| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53,441 |
46,108 |
$14.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117,033 |
96,961 |
$6.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,538 |
116,065 |
$4.99M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
137,548 |
48,636 |
$4.36M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
76,438 |
35,416 |
$1.31M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25,883 |
23,733 |
$976K |
| 99233 |
Prolong inpt eval add15 m |
20,950 |
11,333 |
$843K |
| 99215 |
Prolong outpt/office vis |
10,398 |
8,807 |
$725K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,134 |
5,107 |
$417K |
| 99223 |
Prolong inpt eval add15 m |
3,169 |
2,699 |
$381K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,206 |
4,204 |
$362K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,224 |
4,563 |
$356K |
| 99460 |
|
4,877 |
4,848 |
$342K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,905 |
1,881 |
$283K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,858 |
3,441 |
$242K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,094 |
7,969 |
$221K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,540 |
6,676 |
$206K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,310 |
2,935 |
$168K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,090 |
2,013 |
$152K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,236 |
24,963 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,456 |
1,413 |
$128K |
| 93000 |
|
9,341 |
8,876 |
$126K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,210 |
3,075 |
$125K |
| 99221 |
|
2,578 |
2,155 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,396 |
1,394 |
$119K |
| 90791 |
Psychiatric diagnostic evaluation |
934 |
734 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,877 |
6,851 |
$94K |
| 99205 |
Prolong outpt/office vis |
651 |
620 |
$90K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,281 |
1,191 |
$74K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
699 |
699 |
$74K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,403 |
2,134 |
$58K |
| 99222 |
Initial hospital care, per day, moderate complexity |
985 |
843 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
776 |
750 |
$54K |
| 76830 |
Ultrasound, transvaginal |
607 |
584 |
$52K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,600 |
2,559 |
$46K |
| 94375 |
|
1,663 |
1,598 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,839 |
5,777 |
$41K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
625 |
571 |
$35K |
| 99442 |
|
1,380 |
1,237 |
$33K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
355 |
322 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,820 |
1,775 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,018 |
5,151 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
240 |
240 |
$21K |
| 92551 |
|
2,504 |
2,502 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
922 |
669 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
278 |
278 |
$15K |
| 76813 |
|
176 |
176 |
$14K |
| 99443 |
|
401 |
380 |
$14K |
| 87081 |
|
3,313 |
3,286 |
$14K |
| 76820 |
|
373 |
328 |
$14K |
| 90686 |
|
949 |
946 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,050 |
1,125 |
$14K |
| 99245 |
|
105 |
105 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
348 |
247 |
$12K |
| 76801 |
|
130 |
130 |
$12K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
21 |
12 |
$11K |
| 96156 |
|
92 |
89 |
$11K |
| 99462 |
|
449 |
403 |
$11K |
| 69210 |
|
390 |
386 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,628 |
1,619 |
$11K |
| 51798 |
|
442 |
417 |
$9K |
| 99252 |
|
136 |
136 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
276 |
104 |
$9K |
| 99219 |
|
208 |
207 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
254 |
215 |
$7K |
| 90707 |
|
97 |
97 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,892 |
644 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
9,409 |
8,122 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
131 |
131 |
$6K |
| 99173 |
|
2,734 |
2,732 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
962 |
341 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
92 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
178 |
73 |
$6K |
| 99241 |
|
101 |
101 |
$5K |
| 95720 |
|
24 |
12 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
202 |
77 |
$5K |
| 93970 |
|
194 |
122 |
$5K |
| 76642 |
|
255 |
237 |
$4K |
| 59430 |
|
26 |
26 |
$4K |
| 99217 |
|
194 |
193 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
118 |
104 |
$4K |
| 20610 |
|
141 |
123 |
$4K |
| 99464 |
|
69 |
64 |
$3K |
| 90670 |
|
54 |
54 |
$3K |
| 81000 |
|
1,756 |
1,747 |
$3K |
| 94664 |
|
180 |
178 |
$3K |
| 95800 |
|
77 |
77 |
$2K |
| 99243 |
|
26 |
26 |
$2K |
| 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) |
925 |
858 |
$2K |
| 76818 |
|
26 |
24 |
$2K |
| 93018 |
|
323 |
285 |
$2K |
| 95816 |
|
33 |
29 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
167 |
167 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
100 |
98 |
$2K |
| 93016 |
|
324 |
286 |
$1K |
| 73562 |
|
71 |
61 |
$1K |
| 81002 |
|
1,148 |
1,031 |
$1K |
| 90656 |
|
56 |
55 |
$1K |
| 99350 |
Prolong home eval add 15m |
20 |
18 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$1K |
| 99235 |
|
12 |
12 |
$1K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12 |
12 |
$1K |
| 99354 |
|
12 |
12 |
$1K |
| 80305 |
|
195 |
193 |
$972.17 |
| 90682 |
|
19 |
19 |
$950.53 |
| 99441 |
|
123 |
119 |
$921.89 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
101 |
84 |
$904.20 |
| 93971 |
|
75 |
49 |
$830.22 |
| 94728 |
|
29 |
29 |
$680.28 |
| 99242 |
|
12 |
12 |
$628.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
76 |
$627.92 |
| 93015 |
|
12 |
12 |
$623.04 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
25 |
$572.92 |
| 83655 |
|
77 |
77 |
$546.83 |
| 73030 |
|
30 |
25 |
$543.81 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$470.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
66 |
$438.98 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
14 |
13 |
$433.65 |
| 94727 |
|
12 |
12 |
$396.47 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$390.45 |
| G0008 |
Administration of influenza virus vaccine |
72 |
66 |
$350.56 |
| 96127 |
|
130 |
130 |
$287.50 |
| 95819 |
|
12 |
12 |
$284.42 |
| 90672 |
|
12 |
12 |
$284.40 |
| 90685 |
|
15 |
15 |
$258.20 |
| 73560 |
|
13 |
13 |
$250.84 |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$236.48 |
| 95012 |
|
12 |
12 |
$163.65 |
| 93320 |
|
12 |
12 |
$113.42 |
| 90694 |
|
15 |
12 |
$71.68 |
| 93040 |
|
90 |
65 |
$59.52 |
| 93325 |
|
13 |
13 |
$54.14 |
| 94760 |
|
21 |
21 |
$21.69 |
| 93290 |
|
16 |
13 |
$19.83 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
23 |
17 |
$10.49 |
| 99000 |
|
483 |
481 |
$0.00 |
| 99024 |
|
549 |
435 |
$0.00 |
| 3074F |
|
14 |
12 |
$0.00 |
| 1159F |
|
67 |
63 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
73 |
12 |
$0.00 |
| 1160F |
|
67 |
63 |
$0.00 |
| 0502F |
|
54 |
43 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |