| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,001 |
14,065 |
$729K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,293 |
10,139 |
$606K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,246 |
9,952 |
$597K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,985 |
5,609 |
$452K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,841 |
6,336 |
$282K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,154 |
1,995 |
$226K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,575 |
2,222 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,006 |
932 |
$95K |
| 99460 |
|
1,569 |
1,322 |
$94K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
900 |
820 |
$77K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
844 |
704 |
$75K |
| 88342 |
|
2,187 |
2,049 |
$52K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
293 |
274 |
$37K |
| 20610 |
|
642 |
572 |
$27K |
| 93000 |
|
2,585 |
2,356 |
$24K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
215 |
74 |
$24K |
| 95806 |
|
653 |
624 |
$24K |
| 73630 |
|
1,197 |
918 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
275 |
258 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
114 |
$12K |
| 92015 |
Determination of refractive state |
910 |
856 |
$11K |
| 99224 |
|
355 |
117 |
$11K |
| 94060 |
|
1,390 |
1,282 |
$10K |
| 93248 |
|
466 |
437 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
77 |
$8K |
| 93970 |
|
321 |
311 |
$8K |
| 93016 |
|
501 |
459 |
$7K |
| 73610 |
|
344 |
309 |
$7K |
| 94726 |
|
856 |
778 |
$6K |
| 93971 |
|
480 |
421 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
929 |
813 |
$5K |
| 93018 |
|
501 |
458 |
$5K |
| 94729 |
|
860 |
781 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
872 |
783 |
$4K |
| 99205 |
Prolong outpt/office vis |
21 |
21 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94 |
34 |
$3K |
| 99152 |
|
693 |
537 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
12 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
128 |
43 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
42 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
12 |
$2K |
| 73130 |
|
120 |
96 |
$2K |
| 31231 |
|
15 |
14 |
$2K |
| 73562 |
|
112 |
81 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
26 |
24 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
29 |
$2K |
| 90670 |
|
86 |
84 |
$2K |
| 90698 |
|
78 |
76 |
$1K |
| 99462 |
|
46 |
26 |
$1K |
| 88307 |
|
15 |
15 |
$1K |
| 73110 |
|
71 |
58 |
$1K |
| 90680 |
|
67 |
66 |
$1K |
| 90685 |
|
62 |
61 |
$1K |
| 90744 |
|
59 |
56 |
$982.71 |
| 92136 |
|
25 |
25 |
$827.37 |
| 90633 |
|
43 |
42 |
$785.07 |
| 88312 |
|
33 |
26 |
$777.99 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
67 |
$688.04 |
| 93227 |
|
26 |
26 |
$662.49 |
| 73560 |
|
40 |
36 |
$630.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$621.09 |
| 99406 |
|
61 |
55 |
$561.36 |
| 88304 |
|
58 |
49 |
$555.49 |
| 90710 |
|
27 |
26 |
$510.57 |
| 93272 |
|
101 |
94 |
$455.50 |
| 90686 |
|
28 |
25 |
$444.69 |
| 93244 |
|
13 |
12 |
$123.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
14 |
$118.11 |
| 93922 |
|
12 |
12 |
$46.82 |
| 76937 |
|
20 |
12 |
$41.28 |
| 99442 |
|
29 |
27 |
$4.62 |
| 99024 |
|
195 |
156 |
$0.00 |
| 99443 |
|
51 |
43 |
$0.00 |