| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,134 |
73,175 |
$4.80M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
70,336 |
67,646 |
$3.00M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
33,568 |
32,218 |
$2.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,732 |
31,685 |
$1.48M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34,772 |
16,559 |
$1.01M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,648 |
10,089 |
$875K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,288 |
12,338 |
$399K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
98,139 |
79,984 |
$398K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,106 |
7,880 |
$396K |
| 99233 |
Prolong inpt eval add15 m |
8,891 |
4,559 |
$389K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,198 |
3,992 |
$370K |
| 99223 |
Prolong inpt eval add15 m |
3,300 |
3,057 |
$263K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,061 |
644 |
$260K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,730 |
2,508 |
$181K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,023 |
3,641 |
$170K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,284 |
6,126 |
$159K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,592 |
5,094 |
$142K |
| 99215 |
Prolong outpt/office vis |
1,535 |
1,426 |
$136K |
| 95720 |
|
1,656 |
738 |
$125K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,781 |
5,324 |
$123K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,255 |
2,203 |
$122K |
| 59025 |
Fetal non-stress test |
5,564 |
2,892 |
$121K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
816 |
816 |
$117K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
205 |
202 |
$110K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,244 |
2,109 |
$108K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,362 |
4,281 |
$104K |
| 93000 |
|
12,617 |
11,555 |
$101K |
| 99254 |
|
824 |
812 |
$101K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,248 |
1,228 |
$100K |
| 88342 |
|
3,379 |
2,988 |
$85K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,323 |
2,934 |
$80K |
| 99460 |
|
1,086 |
1,075 |
$77K |
| 59514 |
|
117 |
116 |
$68K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,010 |
973 |
$55K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
288 |
268 |
$52K |
| 93970 |
|
2,998 |
2,705 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,712 |
2,585 |
$47K |
| 71045 |
Radiologic examination, chest; single view |
12,995 |
10,069 |
$47K |
| 99307 |
|
3,880 |
1,345 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,390 |
1,332 |
$43K |
| 88307 |
|
582 |
529 |
$38K |
| 76801 |
|
979 |
925 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
777 |
724 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
4,237 |
4,037 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
606 |
604 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,048 |
1,028 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
916 |
855 |
$24K |
| 90686 |
|
1,992 |
1,887 |
$23K |
| 76818 |
|
526 |
375 |
$22K |
| 99462 |
|
673 |
600 |
$22K |
| 99443 |
|
273 |
273 |
$19K |
| 93971 |
|
1,505 |
1,393 |
$17K |
| 59426 |
|
28 |
28 |
$17K |
| 76813 |
|
484 |
417 |
$16K |
| 86077 |
|
624 |
566 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
302 |
263 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,010 |
496 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
542 |
518 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
92 |
88 |
$13K |
| 99441 |
|
918 |
890 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
141 |
140 |
$12K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
56 |
54 |
$12K |
| 20610 |
|
465 |
322 |
$11K |
| 99205 |
Prolong outpt/office vis |
209 |
195 |
$11K |
| 59425 |
|
70 |
61 |
$11K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
482 |
377 |
$11K |
| 88341 |
|
185 |
126 |
$10K |
| 97804 |
|
462 |
325 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
4,895 |
4,248 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
177 |
161 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$7K |
| 99442 |
|
310 |
280 |
$7K |
| 54150 |
|
62 |
54 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
212 |
191 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
390 |
374 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
132 |
112 |
$6K |
| 71250 |
|
217 |
205 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,347 |
3,465 |
$5K |
| 76820 |
|
356 |
235 |
$5K |
| 93458 |
|
29 |
29 |
$5K |
| 99152 |
|
210 |
176 |
$5K |
| 93296 |
|
733 |
657 |
$4K |
| 93016 |
|
385 |
356 |
$4K |
| 93295 |
|
330 |
281 |
$4K |
| 93298 |
|
156 |
145 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
37 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
96 |
95 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,214 |
960 |
$3K |
| 99385 |
|
31 |
31 |
$3K |
| 93018 |
|
386 |
357 |
$3K |
| 99217 |
|
82 |
82 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
86 |
$3K |
| 88304 |
|
303 |
275 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
129 |
$2K |
| 97803 |
|
112 |
98 |
$2K |
| 93294 |
|
421 |
363 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
639 |
373 |
$2K |
| 95718 |
|
30 |
27 |
$2K |
| 77427 |
|
24 |
13 |
$2K |
| 82962 |
|
4,024 |
3,381 |
$1K |
| 70486 |
|
60 |
55 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
26 |
24 |
$1K |
| 95251 |
|
108 |
95 |
$1K |
| 94060 |
|
234 |
229 |
$1K |
| 94727 |
|
219 |
214 |
$1K |
| 90656 |
|
99 |
97 |
$1K |
| 64615 |
|
13 |
13 |
$1K |
| 90461 |
|
40 |
39 |
$1K |
| 99305 |
|
46 |
42 |
$1K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$964.86 |
| 94729 |
|
220 |
214 |
$953.71 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$736.04 |
| 76642 |
|
43 |
40 |
$691.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
32 |
32 |
$676.94 |
| 73130 |
|
120 |
115 |
$582.69 |
| 96127 |
|
201 |
186 |
$554.29 |
| 76937 |
|
99 |
92 |
$541.95 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
25 |
25 |
$503.44 |
| 73030 |
|
102 |
98 |
$488.99 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
30 |
30 |
$463.94 |
| 95816 |
|
12 |
12 |
$423.88 |
| 72110 |
|
57 |
55 |
$418.97 |
| 81025 |
|
90 |
88 |
$418.53 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$371.64 |
| 73630 |
|
88 |
83 |
$356.41 |
| 93923 |
|
30 |
27 |
$313.78 |
| 73610 |
|
56 |
51 |
$287.14 |
| 72100 |
|
37 |
35 |
$267.14 |
| 36410 |
|
43 |
41 |
$232.80 |
| 73564 |
|
33 |
29 |
$167.68 |
| 90674 |
|
12 |
12 |
$161.92 |
| 51798 |
|
13 |
12 |
$160.60 |
| 94618 |
|
13 |
13 |
$159.98 |
| G0008 |
Administration of influenza virus vaccine |
126 |
105 |
$149.75 |
| 81002 |
|
370 |
321 |
$144.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$132.92 |
| 73562 |
|
27 |
25 |
$88.92 |
| 90662 |
|
13 |
13 |
$83.01 |
| 77080 |
|
15 |
13 |
$64.83 |
| 74018 |
|
12 |
12 |
$40.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
21 |
15 |
$27.31 |
| 90723 |
|
70 |
59 |
$1.00 |
| 3288F |
|
30,225 |
28,470 |
$0.00 |
| 90670 |
|
90 |
77 |
$0.00 |
| 90648 |
|
88 |
75 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 1220F |
|
26,355 |
25,110 |
$0.00 |
| 90694 |
|
18 |
12 |
$0.00 |
| 90647 |
|
16 |
14 |
$0.00 |