| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,854 |
45,503 |
$2.65M |
| 99233 |
Prolong inpt eval add15 m |
45,022 |
15,419 |
$2.15M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,216 |
3,397 |
$862K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18,202 |
17,561 |
$739K |
| 99215 |
Prolong outpt/office vis |
6,663 |
5,166 |
$625K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,400 |
5,727 |
$519K |
| 99223 |
Prolong inpt eval add15 m |
4,879 |
4,713 |
$461K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,714 |
8,141 |
$373K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,622 |
4,444 |
$284K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,142 |
2,060 |
$180K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,574 |
1,894 |
$158K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,463 |
2,322 |
$125K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,532 |
1,277 |
$124K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,590 |
2,346 |
$105K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,133 |
643 |
$83K |
| 62321 |
|
953 |
905 |
$73K |
| 97803 |
|
2,798 |
2,600 |
$69K |
| 62323 |
|
1,215 |
1,144 |
$65K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,339 |
4,045 |
$60K |
| 99292 |
|
593 |
265 |
$44K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
405 |
377 |
$37K |
| 99152 |
|
2,241 |
1,964 |
$31K |
| 90836 |
|
870 |
644 |
$30K |
| 64483 |
|
226 |
216 |
$30K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
167 |
157 |
$27K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
836 |
686 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
489 |
473 |
$21K |
| 75574 |
|
331 |
318 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
146 |
145 |
$19K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
448 |
442 |
$16K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
653 |
294 |
$13K |
| 31575 |
|
222 |
218 |
$13K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
52 |
$13K |
| 93295 |
|
526 |
494 |
$13K |
| 93458 |
|
87 |
75 |
$12K |
| 90870 |
|
167 |
69 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
243 |
236 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
381 |
353 |
$11K |
| 93000 |
|
653 |
629 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
147 |
144 |
$10K |
| 93016 |
|
623 |
603 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
146 |
139 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,602 |
1,527 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
400 |
212 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
100 |
90 |
$8K |
| 93248 |
|
389 |
378 |
$8K |
| 93294 |
|
673 |
628 |
$8K |
| 77014 |
|
351 |
49 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
251 |
227 |
$8K |
| 99205 |
Prolong outpt/office vis |
74 |
68 |
$8K |
| 99221 |
|
178 |
164 |
$7K |
| 93018 |
|
585 |
565 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
163 |
154 |
$5K |
| 99460 |
|
91 |
87 |
$5K |
| 99443 |
|
106 |
92 |
$5K |
| 77427 |
|
48 |
24 |
$5K |
| 93298 |
|
400 |
371 |
$4K |
| 75561 |
|
40 |
40 |
$4K |
| 64484 |
|
67 |
49 |
$3K |
| 99442 |
|
77 |
75 |
$3K |
| 95811 |
|
27 |
27 |
$3K |
| 95720 |
|
22 |
13 |
$3K |
| 0298T |
|
111 |
111 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
81 |
$2K |
| 99336 |
|
92 |
81 |
$2K |
| 94010 |
|
292 |
281 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
72 |
$2K |
| 96156 |
|
86 |
69 |
$2K |
| 93297 |
|
155 |
149 |
$1K |
| 31579 |
|
15 |
13 |
$1K |
| 94060 |
|
118 |
115 |
$1K |
| 99243 |
|
14 |
13 |
$1K |
| 99356 |
|
20 |
14 |
$1K |
| 95886 |
|
12 |
12 |
$1K |
| 94729 |
|
223 |
214 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
69 |
$978.89 |
| 97802 |
|
14 |
14 |
$972.26 |
| 76813 |
|
25 |
24 |
$953.60 |
| 96127 |
|
194 |
157 |
$925.60 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$553.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
55 |
$507.09 |
| 92524 |
|
15 |
13 |
$470.55 |
| 93325 |
|
202 |
191 |
$466.33 |
| 94727 |
|
74 |
74 |
$458.44 |
| 95819 |
|
15 |
13 |
$426.84 |
| 76801 |
|
13 |
13 |
$373.39 |
| 77002 |
|
32 |
29 |
$348.12 |
| 20610 |
|
16 |
14 |
$327.97 |
| 99441 |
|
14 |
14 |
$297.15 |
| 82962 |
|
112 |
107 |
$272.64 |
| 69210 |
|
15 |
13 |
$192.88 |
| 95251 |
|
12 |
12 |
$180.59 |
| 94726 |
|
27 |
26 |
$180.47 |
| 91200 |
|
14 |
12 |
$66.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$22.16 |
| 90686 |
|
13 |
12 |
$19.42 |
| G9275 |
Documentation that patient is a current non-tobacco user |
13,689 |
12,078 |
$0.00 |
| 3074F |
|
6,128 |
5,398 |
$0.00 |
| 1126F |
|
2,282 |
1,955 |
$0.00 |
| 3079F |
|
1,844 |
1,648 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
10,465 |
9,190 |
$0.00 |
| 3044F |
|
858 |
769 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,345 |
1,102 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,281 |
1,126 |
$0.00 |
| 1125F |
|
640 |
596 |
$0.00 |
| 1036F |
|
137 |
111 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
97 |
92 |
$0.00 |
| 3075F |
|
219 |
207 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
17 |
$0.00 |
| 3077F |
|
825 |
748 |
$0.00 |
| 3078F |
|
6,056 |
5,287 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,384 |
1,225 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
218 |
177 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
81 |
62 |
$0.00 |
| 1160F |
|
127 |
109 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
42 |
40 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 4274F |
|
40 |
38 |
$0.00 |
| 90662 |
|
21 |
17 |
$0.00 |
| S0191 |
Misoprostol, oral, 200 mcg |
12 |
12 |
$0.00 |