| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,948 |
18,873 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,280 |
17,887 |
$1.10M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,948 |
7,204 |
$856K |
| 99233 |
Prolong inpt eval add15 m |
7,004 |
3,416 |
$576K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
10,265 |
4,967 |
$373K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,410 |
6,023 |
$346K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,230 |
2,968 |
$261K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34,427 |
25,188 |
$249K |
| 99221 |
|
3,333 |
3,072 |
$208K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
942 |
465 |
$147K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,914 |
1,843 |
$137K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,586 |
2,519 |
$129K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,678 |
2,566 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,039 |
1,024 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
710 |
672 |
$75K |
| 99215 |
Prolong outpt/office vis |
711 |
701 |
$70K |
| 99443 |
|
534 |
502 |
$67K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,193 |
1,159 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
440 |
434 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
5,796 |
5,742 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
7,744 |
5,793 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,338 |
1,243 |
$51K |
| 99442 |
|
787 |
753 |
$50K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
591 |
583 |
$47K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
643 |
635 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
871 |
863 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
771 |
762 |
$42K |
| 76641 |
|
398 |
397 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
683 |
669 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
585 |
580 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
814 |
762 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
852 |
851 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
414 |
392 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
468 |
436 |
$22K |
| 88307 |
|
177 |
174 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
513 |
510 |
$16K |
| 93970 |
|
399 |
365 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
320 |
274 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
129 |
129 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
318 |
312 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
250 |
250 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
503 |
503 |
$12K |
| 93298 |
|
136 |
136 |
$8K |
| 71250 |
|
208 |
205 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
106 |
102 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
77 |
77 |
$6K |
| 00731 |
|
64 |
59 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
261 |
$6K |
| 92015 |
Determination of refractive state |
405 |
399 |
$6K |
| 73630 |
|
497 |
466 |
$6K |
| 96127 |
|
3,763 |
3,617 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
161 |
149 |
$5K |
| 73560 |
|
415 |
386 |
$5K |
| 31231 |
|
30 |
30 |
$5K |
| 88141 |
|
250 |
250 |
$5K |
| 70486 |
|
145 |
143 |
$5K |
| 31575 |
|
35 |
35 |
$5K |
| 95816 |
|
102 |
96 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
87 |
87 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
64 |
$4K |
| 76818 |
|
97 |
72 |
$4K |
| 92551 |
|
832 |
824 |
$4K |
| 99406 |
|
331 |
319 |
$4K |
| 92556 |
|
113 |
113 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
61 |
57 |
$3K |
| 99441 |
|
63 |
60 |
$3K |
| 73130 |
|
397 |
368 |
$3K |
| 73030 |
|
253 |
238 |
$3K |
| 70498 |
|
49 |
48 |
$3K |
| 88304 |
|
192 |
188 |
$3K |
| 92563 |
|
127 |
127 |
$3K |
| 97803 |
|
69 |
69 |
$3K |
| 88312 |
|
91 |
90 |
$3K |
| 93923 |
|
122 |
121 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 97802 |
|
59 |
59 |
$2K |
| 92587 |
|
143 |
139 |
$2K |
| 73610 |
|
291 |
242 |
$2K |
| 69210 |
|
115 |
115 |
$2K |
| 92550 |
|
136 |
136 |
$2K |
| 74018 |
|
275 |
196 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
73 |
69 |
$2K |
| 77066 |
Tomosynthesis, mammo |
45 |
43 |
$2K |
| 93000 |
|
176 |
169 |
$2K |
| 76830 |
Ultrasound, transvaginal |
68 |
68 |
$2K |
| 93297 |
|
56 |
56 |
$2K |
| 76770 |
|
72 |
69 |
$2K |
| 92202 |
|
174 |
174 |
$2K |
| 99173 |
|
462 |
462 |
$2K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
30 |
29 |
$2K |
| 76536 |
|
76 |
76 |
$2K |
| 00811 |
|
14 |
12 |
$2K |
| 20553 |
|
59 |
55 |
$2K |
| 40800 |
|
12 |
12 |
$2K |
| 72100 |
|
181 |
179 |
$1K |
| 73080 |
|
105 |
94 |
$1K |
| 73590 |
|
177 |
150 |
$1K |
| 94726 |
|
138 |
119 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
36 |
14 |
$986.42 |
| 72170 |
|
172 |
168 |
$980.04 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
26 |
$974.19 |
| 94729 |
|
153 |
134 |
$919.11 |
| 73100 |
|
123 |
112 |
$824.77 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
36 |
14 |
$727.26 |
| 73090 |
|
68 |
66 |
$663.44 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$594.41 |
| 88300 |
|
101 |
101 |
$571.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
49 |
$564.68 |
| 94060 |
|
54 |
53 |
$553.51 |
| 93925 |
|
15 |
14 |
$530.45 |
| 11721 |
|
37 |
37 |
$519.13 |
| 92250 |
|
31 |
31 |
$505.58 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
28 |
28 |
$484.23 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$404.22 |
| 94010 |
|
86 |
69 |
$393.29 |
| 99418 |
Prolong nursin fac eval 15m |
21 |
12 |
$386.84 |
| 93971 |
|
26 |
26 |
$351.44 |
| 73502 |
|
40 |
37 |
$338.83 |
| 73562 |
|
45 |
40 |
$335.35 |
| 95251 |
|
15 |
15 |
$332.64 |
| 94618 |
|
17 |
17 |
$314.84 |
| 88302 |
|
29 |
29 |
$308.57 |
| 93325 |
|
101 |
99 |
$300.61 |
| 77080 |
|
80 |
80 |
$274.22 |
| 92133 |
|
15 |
15 |
$253.72 |
| 73620 |
|
41 |
41 |
$253.65 |
| 93320 |
|
12 |
12 |
$206.12 |
| 73110 |
|
45 |
30 |
$201.62 |
| 73140 |
|
34 |
32 |
$181.14 |
| 73060 |
|
12 |
12 |
$170.80 |
| 72082 |
|
12 |
12 |
$165.86 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
154 |
$159.28 |
| 93016 |
|
12 |
12 |
$154.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
63 |
$138.30 |
| 92225 |
|
12 |
12 |
$117.97 |
| 88311 |
|
13 |
13 |
$114.06 |
| 93018 |
|
12 |
12 |
$112.60 |
| 94664 |
|
171 |
167 |
$101.86 |
| 73552 |
|
12 |
12 |
$77.79 |
| 73565 |
|
12 |
12 |
$56.61 |
| 94375 |
|
12 |
12 |
$51.29 |
| S9470 |
Nutritional counseling, dietitian visit |
33 |
33 |
$27.53 |
| 1159F |
|
11,499 |
10,444 |
$25.00 |
| 1032F |
|
170 |
160 |
$25.00 |
| 1160F |
|
9,664 |
8,844 |
$25.00 |
| 3077F |
|
486 |
462 |
$25.00 |
| 1036F |
|
4,874 |
4,412 |
$25.00 |
| 3008F |
|
10,785 |
9,855 |
$25.00 |
| 1126F |
|
1,767 |
1,656 |
$25.00 |
| 3079F |
|
366 |
351 |
$25.00 |
| 3048F |
|
393 |
364 |
$25.00 |
| 3044F |
|
4,377 |
4,027 |
$25.00 |
| 3061F |
|
599 |
546 |
$25.00 |
| 1125F |
|
7,317 |
6,678 |
$22.03 |
| 3288F |
|
3,474 |
3,136 |
$0.00 |
| 3725F |
|
956 |
925 |
$0.00 |
| 3046F |
|
315 |
292 |
$0.00 |
| 3062F |
|
1,860 |
1,692 |
$0.00 |
| 3078F |
|
4,704 |
4,363 |
$0.00 |
| 1033F |
|
899 |
834 |
$0.00 |
| 4040F |
|
104 |
100 |
$0.00 |
| 3050F |
|
143 |
131 |
$0.00 |
| 1170F |
|
3,678 |
3,325 |
$0.00 |
| 4010F |
|
423 |
384 |
$0.00 |
| 3075F |
|
499 |
485 |
$0.00 |
| 3074F |
|
4,069 |
3,730 |
$0.00 |
| 1034F |
|
489 |
447 |
$0.00 |
| 3049F |
|
216 |
203 |
$0.00 |
| 3017F |
|
117 |
111 |
$0.00 |
| 1000F |
|
271 |
256 |
$0.00 |
| 3080F |
|
115 |
113 |
$0.00 |
| 4000F |
|
83 |
75 |
$0.00 |
| 3014F |
|
83 |
78 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |