| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,242 |
33,470 |
$1.95M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36,168 |
11,733 |
$1.26M |
| 99233 |
Prolong inpt eval add15 m |
20,977 |
7,721 |
$1.02M |
| 99223 |
Prolong inpt eval add15 m |
8,612 |
6,900 |
$775K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,859 |
12,969 |
$469K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,010 |
11,259 |
$430K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,376 |
5,082 |
$422K |
| 99215 |
Prolong outpt/office vis |
6,298 |
5,576 |
$417K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,596 |
4,475 |
$314K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,765 |
2,591 |
$190K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,218 |
2,966 |
$178K |
| 99205 |
Prolong outpt/office vis |
1,776 |
1,664 |
$173K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,820 |
2,685 |
$129K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,836 |
1,560 |
$83K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,989 |
7,747 |
$41K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,329 |
1,073 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,211 |
1,028 |
$33K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
653 |
638 |
$32K |
| 93296 |
|
1,995 |
1,918 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
496 |
480 |
$27K |
| 99443 |
|
1,072 |
907 |
$26K |
| 88307 |
|
267 |
261 |
$23K |
| 64483 |
|
117 |
113 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
363 |
348 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,665 |
947 |
$20K |
| 99221 |
|
422 |
391 |
$17K |
| 93016 |
|
1,335 |
1,290 |
$14K |
| 99254 |
|
206 |
173 |
$14K |
| 88342 |
|
424 |
404 |
$14K |
| 99442 |
|
836 |
639 |
$13K |
| 93018 |
|
1,401 |
1,356 |
$10K |
| 93294 |
|
535 |
517 |
$9K |
| 88341 |
|
57 |
51 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
136 |
124 |
$7K |
| 76820 |
|
369 |
227 |
$6K |
| 99454 |
|
208 |
198 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
184 |
132 |
$5K |
| 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) |
1,254 |
1,192 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
55 |
50 |
$4K |
| 11043 |
|
50 |
39 |
$4K |
| 99255 |
|
26 |
26 |
$4K |
| 59025 |
Fetal non-stress test |
193 |
129 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,196 |
1,113 |
$3K |
| 93458 |
|
15 |
15 |
$2K |
| 64493 |
|
13 |
13 |
$2K |
| 90839 |
|
48 |
41 |
$2K |
| 93000 |
|
188 |
181 |
$2K |
| 98968 |
|
59 |
28 |
$2K |
| 99441 |
|
151 |
97 |
$2K |
| 88304 |
|
123 |
122 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
243 |
221 |
$1K |
| 94729 |
|
26 |
25 |
$1K |
| 94726 |
|
26 |
25 |
$958.56 |
| 93272 |
|
55 |
54 |
$911.00 |
| 93295 |
|
42 |
40 |
$885.46 |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
39 |
$737.52 |
| 95816 |
|
17 |
16 |
$696.53 |
| 93227 |
|
57 |
55 |
$632.66 |
| 92557 |
|
24 |
24 |
$611.76 |
| 92567 |
|
50 |
50 |
$583.94 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
34 |
12 |
$500.61 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
12 |
$425.03 |
| 88112 |
|
12 |
12 |
$335.66 |
| 85060 |
|
14 |
12 |
$287.35 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$237.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
141 |
141 |
$226.34 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
37 |
35 |
$217.83 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
28 |
$208.66 |
| 93321 |
|
29 |
26 |
$140.63 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
643 |
611 |
$129.12 |
| 84165 |
|
13 |
12 |
$123.02 |
| 93325 |
|
45 |
43 |
$91.42 |
| 99152 |
|
31 |
26 |
$89.79 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
33 |
32 |
$83.69 |
| 85018 |
|
13 |
12 |
$27.50 |