| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,535 |
26,466 |
$1.70M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30,836 |
10,392 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,932 |
34,547 |
$1.33M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,424 |
9,120 |
$849K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,258 |
4,681 |
$521K |
| 99233 |
Prolong inpt eval add15 m |
7,042 |
1,964 |
$469K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,610 |
4,457 |
$450K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,104 |
4,865 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,263 |
4,069 |
$258K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,659 |
2,401 |
$212K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,535 |
1,332 |
$201K |
| 99443 |
|
2,684 |
2,281 |
$180K |
| 76830 |
Ultrasound, transvaginal |
1,844 |
1,808 |
$170K |
| 90870 |
|
2,640 |
777 |
$163K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,911 |
1,772 |
$150K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,240 |
1,205 |
$145K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,207 |
1,387 |
$131K |
| 64483 |
|
1,154 |
883 |
$99K |
| 20610 |
|
2,572 |
2,067 |
$98K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
936 |
925 |
$97K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,271 |
1,247 |
$94K |
| 93015 |
|
2,194 |
2,014 |
$92K |
| 64635 |
|
1,054 |
682 |
$91K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,039 |
1,302 |
$78K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
1,505 |
1,031 |
$77K |
| 99442 |
|
1,654 |
1,435 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
627 |
580 |
$72K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
83 |
83 |
$70K |
| J2785 |
Injection, regadenoson, 0.1 mg |
727 |
619 |
$61K |
| 73630 |
|
2,504 |
2,190 |
$58K |
| 93000 |
|
5,846 |
5,625 |
$56K |
| 64636 |
|
1,054 |
680 |
$55K |
| 73610 |
|
1,868 |
1,579 |
$47K |
| 64633 |
|
541 |
358 |
$46K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,086 |
1,017 |
$45K |
| 93458 |
|
331 |
299 |
$43K |
| 64484 |
|
857 |
651 |
$40K |
| 43775 |
|
94 |
89 |
$39K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,293 |
492 |
$39K |
| 62321 |
|
607 |
458 |
$37K |
| 27096 |
|
612 |
502 |
$37K |
| 73564 |
|
1,288 |
1,179 |
$37K |
| 43644 |
|
57 |
50 |
$36K |
| 72110 |
|
1,101 |
1,057 |
$34K |
| 20553 |
|
937 |
596 |
$31K |
| 64634 |
|
536 |
357 |
$31K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
894 |
296 |
$29K |
| 90791 |
Psychiatric diagnostic evaluation |
259 |
250 |
$29K |
| 99441 |
|
587 |
545 |
$27K |
| 64493 |
|
290 |
222 |
$26K |
| 20611 |
|
340 |
224 |
$22K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
732 |
240 |
$20K |
| 64495 |
|
311 |
225 |
$16K |
| 99215 |
Prolong outpt/office vis |
203 |
161 |
$15K |
| 64494 |
|
291 |
222 |
$15K |
| 73030 |
|
686 |
645 |
$13K |
| 76820 |
|
351 |
220 |
$12K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
71 |
16 |
$11K |
| 62323 |
|
204 |
155 |
$11K |
| 64490 |
|
110 |
89 |
$10K |
| 81025 |
|
1,340 |
1,206 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
72 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
96 |
89 |
$8K |
| 99221 |
|
105 |
103 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
353 |
$6K |
| 72100 |
|
301 |
278 |
$6K |
| 64492 |
|
110 |
89 |
$6K |
| 64491 |
|
110 |
89 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
124 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
183 |
77 |
$5K |
| 72040 |
|
189 |
181 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
849 |
736 |
$5K |
| 63650 |
|
14 |
12 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
28 |
28 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
450 |
394 |
$4K |
| 99243 |
|
38 |
37 |
$4K |
| 73560 |
|
88 |
88 |
$3K |
| 76813 |
|
25 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
835 |
778 |
$2K |
| 73130 |
|
110 |
102 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
152 |
52 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
109 |
$1K |
| 29405 |
|
21 |
13 |
$1K |
| 11045 |
|
54 |
27 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
89 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
21 |
13 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
175 |
161 |
$922.81 |
| 99152 |
|
143 |
122 |
$834.28 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
13 |
$830.40 |
| 77002 |
|
146 |
105 |
$586.78 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
26 |
12 |
$553.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
733 |
494 |
$551.05 |
| 93283 |
|
14 |
12 |
$528.80 |
| 73562 |
|
31 |
28 |
$470.18 |
| 64450 |
|
15 |
12 |
$404.79 |
| 99401 |
|
16 |
12 |
$366.77 |
| 93307 |
|
12 |
12 |
$360.26 |
| 93280 |
|
21 |
17 |
$305.04 |
| 93228 |
|
12 |
12 |
$258.25 |
| 93018 |
|
35 |
35 |
$235.86 |
| 73502 |
|
14 |
12 |
$202.48 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
24 |
$193.15 |
| 93016 |
|
18 |
16 |
$153.00 |
| 81002 |
|
95 |
81 |
$135.71 |
| 0502F |
|
2,279 |
1,343 |
$0.00 |
| 1159F |
|
2,377 |
2,096 |
$0.00 |
| 3078F |
|
1,765 |
1,499 |
$0.00 |
| 1160F |
|
2,247 |
2,011 |
$0.00 |
| 3077F |
|
102 |
95 |
$0.00 |
| 1125F |
|
141 |
106 |
$0.00 |
| 3008F |
|
4,378 |
3,661 |
$0.00 |
| 1036F |
|
3,647 |
3,058 |
$0.00 |
| 99024 |
|
390 |
335 |
$0.00 |
| 3074F |
|
2,304 |
1,937 |
$0.00 |
| 3079F |
|
220 |
212 |
$0.00 |
| 1111F |
|
37 |
25 |
$0.00 |
| 3075F |
|
68 |
67 |
$0.00 |
| 1034F |
|
56 |
49 |
$0.00 |
| 1126F |
|
36 |
23 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1170F |
|
30 |
19 |
$0.00 |