| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,723 |
22,753 |
$912K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,190 |
21,237 |
$559K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,830 |
4,329 |
$329K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,991 |
7,163 |
$283K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,790 |
1,000 |
$229K |
| 99223 |
Prolong inpt eval add15 m |
1,846 |
1,552 |
$98K |
| 99233 |
Prolong inpt eval add15 m |
3,549 |
1,356 |
$96K |
| 95806 |
|
855 |
806 |
$81K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
865 |
708 |
$70K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,244 |
9,137 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,564 |
1,344 |
$56K |
| 93000 |
|
2,064 |
1,799 |
$30K |
| 11721 |
|
2,342 |
1,817 |
$23K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
106 |
90 |
$19K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
143 |
131 |
$14K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
319 |
293 |
$12K |
| 93018 |
|
897 |
812 |
$12K |
| 93016 |
|
932 |
776 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
429 |
190 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
339 |
228 |
$8K |
| 93971 |
|
554 |
471 |
$8K |
| 99205 |
Prolong outpt/office vis |
78 |
70 |
$8K |
| 94060 |
|
586 |
491 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
883 |
832 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
64 |
53 |
$7K |
| 11043 |
|
107 |
68 |
$4K |
| 27096 |
|
18 |
12 |
$4K |
| 99215 |
Prolong outpt/office vis |
66 |
59 |
$3K |
| 93970 |
|
190 |
162 |
$3K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
27 |
26 |
$3K |
| 95811 |
|
27 |
24 |
$3K |
| 43248 |
|
35 |
24 |
$3K |
| 94726 |
|
401 |
326 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
931 |
794 |
$2K |
| 00731 |
|
41 |
38 |
$2K |
| 95251 |
|
164 |
147 |
$2K |
| 00812 |
|
28 |
26 |
$2K |
| 43235 |
|
12 |
12 |
$876.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$814.12 |
| 29445 |
|
19 |
12 |
$760.45 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$689.95 |
| 76830 |
Ultrasound, transvaginal |
19 |
13 |
$522.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
134 |
118 |
$402.72 |
| 93880 |
|
31 |
25 |
$392.71 |
| 93924 |
|
16 |
13 |
$341.42 |
| 15275 |
|
15 |
13 |
$280.00 |
| 10061 |
|
19 |
12 |
$248.92 |
| 93246 |
|
33 |
26 |
$175.30 |
| 93248 |
|
14 |
13 |
$165.65 |
| 81003 |
|
224 |
168 |
$150.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
14 |
$87.15 |
| 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) |
69 |
62 |
$84.98 |
| 0296T |
|
20 |
14 |
$15.21 |