| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
8,380 |
1,940 |
$290K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,583 |
3,543 |
$250K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,151 |
15,223 |
$186K |
| 99223 |
Prolong inpt eval add15 m |
2,008 |
1,918 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,431 |
1,425 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,636 |
7,237 |
$36K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,855 |
2,339 |
$26K |
| 93000 |
|
1,642 |
1,621 |
$22K |
| 93015 |
|
475 |
464 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,336 |
717 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
428 |
356 |
$11K |
| 99454 |
|
603 |
576 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
238 |
$7K |
| 99457 |
|
967 |
965 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
285 |
279 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
26 |
26 |
$5K |
| 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 |
3,036 |
2,895 |
$4K |
| 99458 |
|
469 |
467 |
$4K |
| 93224 |
|
69 |
69 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
806 |
806 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
29 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
875 |
800 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
28 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
235 |
234 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
167 |
161 |
$1K |
| 3008F |
|
2,389 |
2,258 |
$1K |
| 99349 |
|
28 |
28 |
$1K |
| 90674 |
|
38 |
38 |
$825.75 |
| 99215 |
Prolong outpt/office vis |
212 |
212 |
$725.15 |
| 99343 |
|
15 |
15 |
$720.45 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
344 |
343 |
$584.84 |
| 90756 |
|
60 |
60 |
$427.81 |
| 93016 |
|
26 |
26 |
$411.09 |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$362.86 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$334.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
308 |
306 |
$282.61 |
| 99385 |
|
42 |
42 |
$265.49 |
| 93018 |
|
26 |
26 |
$249.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
235 |
$247.45 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
40 |
$196.84 |
| 99173 |
|
911 |
909 |
$187.62 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
41 |
39 |
$159.64 |
| 80305 |
|
47 |
46 |
$122.29 |
| 1125F |
|
177 |
176 |
$121.88 |
| 1159F |
|
2,073 |
1,954 |
$121.01 |
| 90658 |
|
16 |
12 |
$101.58 |
| 1160F |
|
2,066 |
1,932 |
$65.66 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
304 |
$52.50 |
| 1033F |
|
147 |
146 |
$45.00 |
| 1000F |
|
1,497 |
1,415 |
$40.00 |
| 94760 |
|
102 |
92 |
$21.84 |
| 96127 |
|
27 |
27 |
$17.06 |
| 99442 |
|
527 |
506 |
$14.28 |
| 94761 |
|
101 |
92 |
$9.56 |
| 81002 |
|
49 |
49 |
$6.39 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
91 |
91 |
$0.12 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
721 |
664 |
$0.02 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
760 |
699 |
$0.02 |
| 1126F |
|
256 |
255 |
$0.01 |
| 1220F |
|
233 |
233 |
$0.01 |
| 3077F |
|
335 |
330 |
$0.00 |
| 3078F |
|
336 |
329 |
$0.00 |
| 1003F |
|
1,450 |
1,368 |
$0.00 |
| 3725F |
|
618 |
615 |
$0.00 |
| 1090F |
|
308 |
307 |
$0.00 |
| 1158F |
|
319 |
317 |
$0.00 |
| 0521F |
|
24 |
22 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
13 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 3050F |
|
28 |
28 |
$0.00 |
| 4274F |
|
14 |
14 |
$0.00 |
| 3048F |
|
113 |
113 |
$0.00 |
| 3044F |
|
77 |
77 |
$0.00 |
| 3074F |
|
389 |
385 |
$0.00 |
| 1101F |
|
200 |
199 |
$0.00 |
| 1170F |
|
759 |
752 |
$0.00 |
| 1036F |
|
157 |
150 |
$0.00 |
| 3079F |
|
174 |
174 |
$0.00 |
| 3351F |
|
52 |
52 |
$0.00 |
| 3075F |
|
98 |
98 |
$0.00 |
| 1031F |
|
117 |
117 |
$0.00 |
| 3080F |
|
207 |
202 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
15 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 1157F |
|
32 |
32 |
$0.00 |
| 3049F |
|
61 |
61 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 3353F |
|
25 |
25 |
$0.00 |