| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167,147 |
158,199 |
$9.82M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
99,404 |
97,483 |
$6.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,523 |
46,860 |
$4.13M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30,661 |
30,133 |
$3.56M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,150 |
25,104 |
$1.58M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,172 |
20,341 |
$1.27M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26,139 |
25,733 |
$1.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18,514 |
18,496 |
$1.07M |
| 70450 |
Computed tomography, head or brain; without contrast material |
23,032 |
21,952 |
$857K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,260 |
24,885 |
$850K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,203 |
12,198 |
$768K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,744 |
8,636 |
$651K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,973 |
6,962 |
$575K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,233 |
3,163 |
$557K |
| 71045 |
Radiologic examination, chest; single view |
61,586 |
48,982 |
$501K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,788 |
5,670 |
$483K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12,906 |
12,899 |
$464K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,073 |
5,050 |
$375K |
| 71046 |
Radiologic examination, chest; 2 views |
34,997 |
34,742 |
$366K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,227 |
6,188 |
$292K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,827 |
5,822 |
$161K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,236 |
2,210 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,162 |
1,160 |
$138K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,031 |
4,018 |
$119K |
| 99221 |
|
1,290 |
1,274 |
$115K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,436 |
2,410 |
$112K |
| 76830 |
Ultrasound, transvaginal |
3,123 |
3,113 |
$104K |
| 99381 |
|
1,451 |
1,428 |
$102K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,821 |
2,783 |
$79K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
867 |
850 |
$66K |
| 99385 |
|
648 |
643 |
$57K |
| 70486 |
|
1,266 |
1,257 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
639 |
634 |
$49K |
| 73562 |
|
4,755 |
4,174 |
$46K |
| 74018 |
|
5,166 |
4,498 |
$45K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
728 |
294 |
$45K |
| 76642 |
|
1,165 |
1,116 |
$39K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,026 |
1,018 |
$39K |
| 76770 |
|
1,015 |
1,011 |
$33K |
| 76506 |
|
937 |
803 |
$31K |
| 73610 |
|
3,320 |
3,036 |
$30K |
| 73630 |
|
3,445 |
3,178 |
$29K |
| 99460 |
|
285 |
285 |
$25K |
| 73130 |
|
2,656 |
2,348 |
$24K |
| 99383 |
|
292 |
292 |
$22K |
| 99215 |
Prolong outpt/office vis |
184 |
174 |
$21K |
| 73110 |
|
2,119 |
1,791 |
$20K |
| 76775 |
|
655 |
653 |
$19K |
| 99386 |
|
178 |
176 |
$19K |
| 70498 |
|
240 |
238 |
$17K |
| 70496 |
|
221 |
219 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
200 |
195 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
417 |
377 |
$15K |
| 76801 |
|
283 |
257 |
$13K |
| 76536 |
|
448 |
444 |
$12K |
| 99384 |
|
132 |
131 |
$12K |
| S9470 |
Nutritional counseling, dietitian visit |
12,996 |
12,397 |
$11K |
| 77065 |
Tomosynthesis, mammo |
275 |
271 |
$11K |
| 73030 |
|
1,132 |
1,035 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
260 |
260 |
$7K |
| 99382 |
|
78 |
78 |
$7K |
| 73590 |
|
768 |
702 |
$6K |
| 72100 |
|
578 |
576 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
57 |
57 |
$6K |
| 99201 |
|
192 |
192 |
$6K |
| 99442 |
|
192 |
187 |
$6K |
| 73080 |
|
594 |
515 |
$5K |
| 99441 |
|
326 |
307 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
204 |
203 |
$4K |
| 73090 |
|
454 |
401 |
$4K |
| 73140 |
|
530 |
466 |
$4K |
| 99243 |
|
43 |
42 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
322 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 17110 |
|
38 |
38 |
$2K |
| 99464 |
|
39 |
39 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
57 |
39 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 71250 |
|
61 |
61 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25 |
25 |
$2K |
| 92202 |
|
214 |
214 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
32 |
30 |
$1K |
| 99253 |
|
15 |
15 |
$1K |
| 92551 |
|
183 |
183 |
$1K |
| 77066 |
Tomosynthesis, mammo |
25 |
25 |
$1K |
| 77080 |
|
201 |
200 |
$1K |
| 98926 |
|
32 |
30 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
25 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$1K |
| 76870 |
|
28 |
28 |
$869.36 |
| 71271 |
|
17 |
17 |
$796.88 |
| 74019 |
|
66 |
66 |
$729.89 |
| 99443 |
|
12 |
12 |
$643.25 |
| 72082 |
|
39 |
39 |
$635.02 |
| 76641 |
|
14 |
14 |
$634.55 |
| 92015 |
Determination of refractive state |
130 |
129 |
$627.28 |
| 99173 |
|
199 |
199 |
$596.46 |
| 70360 |
|
60 |
60 |
$561.54 |
| 93976 |
|
13 |
13 |
$541.19 |
| 98967 |
|
42 |
42 |
$514.63 |
| 77061 |
|
12 |
12 |
$475.00 |
| 76885 |
|
12 |
12 |
$464.46 |
| 99406 |
|
43 |
40 |
$386.78 |
| 98968 |
|
14 |
14 |
$297.01 |
| 69210 |
|
12 |
12 |
$256.49 |
| 74022 |
|
14 |
12 |
$231.14 |
| 73502 |
|
13 |
13 |
$122.05 |
| 72170 |
|
16 |
15 |
$121.07 |
| 77072 |
|
12 |
12 |
$119.66 |
| 76937 |
|
13 |
12 |
$117.54 |
| 73552 |
|
13 |
12 |
$111.40 |
| 11721 |
|
12 |
12 |
$84.15 |
| 73060 |
|
12 |
12 |
$79.52 |
| 99051 |
|
561 |
538 |
$28.35 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
25 |
$12.35 |
| 1159F |
|
14,713 |
14,056 |
$0.00 |
| 4004F |
|
482 |
457 |
$0.00 |
| 1160F |
|
11,718 |
11,232 |
$0.00 |
| 99499 |
|
403 |
275 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
136 |
131 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
105 |
102 |
$0.00 |
| 0502F |
|
56 |
36 |
$0.00 |
| 1126F |
|
7,874 |
7,592 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
3,074 |
2,987 |
$0.00 |
| 1036F |
|
27,116 |
25,255 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,201 |
2,198 |
$0.00 |
| 1125F |
|
1,078 |
1,052 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
503 |
494 |
$0.00 |