| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,948 |
34,495 |
$3.11M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37,811 |
37,351 |
$1.78M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,158 |
4,796 |
$466K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,441 |
8,105 |
$286K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,300 |
9,184 |
$268K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,029 |
7,798 |
$220K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,991 |
27,683 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,066 |
3,980 |
$203K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,594 |
2,568 |
$162K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,106 |
1,087 |
$135K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,637 |
1,613 |
$131K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
790 |
351 |
$107K |
| 71046 |
Radiologic examination, chest; 2 views |
11,848 |
11,748 |
$97K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,482 |
2,142 |
$92K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,063 |
2,051 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,676 |
1,674 |
$86K |
| 71045 |
Radiologic examination, chest; single view |
12,223 |
9,852 |
$79K |
| 99443 |
|
574 |
293 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
988 |
988 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
981 |
958 |
$47K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,621 |
873 |
$45K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,073 |
1,064 |
$35K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
487 |
483 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
684 |
608 |
$23K |
| 99221 |
|
431 |
416 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,136 |
1,099 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
660 |
660 |
$17K |
| 99218 |
|
195 |
193 |
$15K |
| 88307 |
|
168 |
167 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
553 |
537 |
$14K |
| 76641 |
|
466 |
365 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
226 |
225 |
$13K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
721 |
715 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
474 |
449 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
202 |
110 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
325 |
274 |
$10K |
| 59425 |
|
134 |
121 |
$9K |
| 70486 |
|
294 |
293 |
$8K |
| 76830 |
Ultrasound, transvaginal |
351 |
351 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
128 |
$7K |
| 93970 |
|
276 |
274 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
83 |
82 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
307 |
306 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
202 |
202 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
252 |
252 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
46 |
$5K |
| 99442 |
|
166 |
164 |
$5K |
| 88312 |
|
249 |
248 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
53 |
52 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
64 |
$4K |
| 73630 |
|
625 |
555 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$3K |
| 73610 |
|
476 |
438 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
73 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
28 |
$3K |
| 20552 |
|
108 |
108 |
$2K |
| 73130 |
|
313 |
291 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
344 |
339 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
53 |
$2K |
| 88304 |
|
133 |
130 |
$2K |
| 99441 |
|
114 |
114 |
$1K |
| 99252 |
|
14 |
13 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
27 |
$1K |
| 99217 |
|
18 |
18 |
$1K |
| 92250 |
|
84 |
84 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99253 |
|
13 |
12 |
$1K |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$985.08 |
| 99152 |
|
129 |
127 |
$931.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$845.46 |
| 71271 |
|
24 |
24 |
$845.30 |
| 72170 |
|
144 |
142 |
$840.29 |
| 76770 |
|
29 |
29 |
$663.12 |
| 73590 |
|
113 |
98 |
$606.44 |
| 73030 |
|
80 |
74 |
$515.75 |
| 94729 |
|
84 |
84 |
$513.67 |
| 76801 |
|
13 |
13 |
$505.36 |
| 94727 |
|
59 |
59 |
$488.17 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$468.92 |
| 99224 |
|
14 |
12 |
$398.99 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
21 |
12 |
$385.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$371.25 |
| 94010 |
|
47 |
47 |
$311.70 |
| 76818 |
|
21 |
13 |
$310.56 |
| 73562 |
|
39 |
37 |
$306.14 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$233.59 |
| 73560 |
|
13 |
12 |
$127.57 |
| 73110 |
|
14 |
13 |
$78.95 |
| 73090 |
|
13 |
12 |
$74.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$15.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
821 |
800 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18 |
18 |
$0.00 |
| 99080 |
|
454 |
104 |
$0.00 |
| 81025 |
|
27 |
27 |
$0.00 |
| 0502F |
|
16 |
13 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |
| 82962 |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
53 |
50 |
$0.00 |