| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,366 |
2,232 |
$112K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
919 |
839 |
$92K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
361 |
355 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
804 |
290 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
817 |
783 |
$22K |
| 82805 |
|
1,614 |
631 |
$20K |
| T1017 |
Targeted case management, each 15 minutes |
832 |
614 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
144 |
128 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
112 |
$15K |
| H1000 |
Prenatal care, at-risk assessment |
289 |
228 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
227 |
188 |
$13K |
| 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) |
1,060 |
995 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
190 |
185 |
$12K |
| 97803 |
|
231 |
230 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
293 |
263 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,039 |
4,568 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
416 |
372 |
$9K |
| 80053 |
Comprehensive metabolic panel |
6,407 |
3,472 |
$9K |
| 99215 |
Prolong outpt/office vis |
95 |
89 |
$8K |
| 83735 |
|
6,809 |
1,936 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,649 |
1,653 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
51 |
43 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,455 |
1,207 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,318 |
1,546 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
67 |
64 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
197 |
168 |
$6K |
| 82947 |
|
3,491 |
977 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
365 |
299 |
$4K |
| 84100 |
|
6,323 |
1,663 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
52 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
670 |
638 |
$4K |
| 87507 |
|
72 |
64 |
$4K |
| 86141 |
|
1,804 |
1,191 |
$3K |
| 82330 |
|
1,386 |
302 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
27 |
$3K |
| 84484 |
|
1,212 |
930 |
$3K |
| 83605 |
|
1,976 |
718 |
$3K |
| 82803 |
|
617 |
255 |
$3K |
| 74018 |
|
729 |
557 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$3K |
| 85027 |
|
2,393 |
1,002 |
$2K |
| 86922 |
|
81 |
73 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
47 |
42 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
465 |
460 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
30 |
30 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
409 |
397 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
15 |
14 |
$2K |
| 86850 |
|
1,384 |
995 |
$2K |
| 82375 |
|
1,131 |
595 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
27 |
$2K |
| 82248 |
|
2,444 |
1,336 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
88 |
86 |
$2K |
| 87040 |
|
617 |
435 |
$1K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
14 |
14 |
$1K |
| 76775 |
|
74 |
71 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
14 |
$1K |
| 87497 |
|
206 |
160 |
$1K |
| 81001 |
|
2,073 |
1,895 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$1K |
| 82728 |
|
600 |
535 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
162 |
101 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
50 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
520 |
505 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
397 |
381 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16 |
14 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
775 |
708 |
$1K |
| 85384 |
|
593 |
219 |
$1K |
| 80197 |
|
404 |
189 |
$1K |
| 88307 |
|
18 |
17 |
$999.67 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
13 |
$967.56 |
| 85610 |
|
1,605 |
799 |
$965.62 |
| 87077 |
|
529 |
457 |
$964.76 |
| 85730 |
|
887 |
414 |
$955.95 |
| 82784 |
|
222 |
205 |
$948.06 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
31 |
31 |
$936.33 |
| 81025 |
|
559 |
519 |
$926.31 |
| 20611 |
|
15 |
14 |
$914.64 |
| 83690 |
|
968 |
829 |
$912.36 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
37 |
$898.44 |
| 87799 |
|
143 |
116 |
$874.65 |
| 76506 |
|
34 |
29 |
$828.47 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
18 |
15 |
$799.47 |
| 83050 |
|
1,132 |
596 |
$795.39 |
| 93304 |
|
24 |
20 |
$766.00 |
| 86901 |
|
1,684 |
1,245 |
$762.66 |
| 86900 |
|
1,685 |
1,242 |
$762.36 |
| 87186 |
|
389 |
348 |
$725.27 |
| 82607 |
|
331 |
317 |
$718.48 |
| 97802 |
|
15 |
15 |
$682.99 |
| 80061 |
Lipid panel |
369 |
354 |
$654.45 |
| 83970 |
|
102 |
96 |
$639.84 |
| 87070 |
|
377 |
316 |
$594.11 |
| 82962 |
|
914 |
249 |
$589.77 |
| 71250 |
|
31 |
29 |
$556.65 |
| 83550 |
|
445 |
432 |
$556.27 |
| 72082 |
|
59 |
56 |
$553.25 |
| 86803 |
|
251 |
243 |
$551.92 |
| 73100 |
|
116 |
108 |
$537.27 |
| 84132 |
|
809 |
188 |
$534.41 |
| 85576 |
|
99 |
54 |
$525.53 |
| 82746 |
|
229 |
222 |
$522.71 |
| 87081 |
|
342 |
338 |
$491.73 |
| 85520 |
|
313 |
98 |
$483.29 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
24 |
$474.23 |
| 92552 |
|
15 |
15 |
$455.14 |
| 84439 |
|
379 |
350 |
$454.62 |
| 80202 |
|
186 |
73 |
$446.84 |
| 87340 |
|
282 |
268 |
$416.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
40 |
$391.24 |
| 80074 |
|
58 |
53 |
$382.84 |
| 86317 |
|
155 |
151 |
$379.72 |
| 83540 |
|
443 |
426 |
$372.91 |
| 93325 |
|
148 |
126 |
$355.61 |
| 87641 |
|
73 |
70 |
$353.70 |
| 84295 |
|
675 |
157 |
$348.98 |
| 73564 |
|
68 |
58 |
$334.71 |
| 73600 |
|
68 |
64 |
$333.79 |
| 84702 |
|
143 |
124 |
$333.38 |
| 73521 |
|
45 |
45 |
$321.29 |
| 73090 |
|
64 |
58 |
$320.21 |
| 73110 |
|
63 |
58 |
$312.68 |
| 82570 |
|
359 |
321 |
$298.64 |
| 93321 |
|
52 |
42 |
$298.26 |
| 73140 |
|
77 |
74 |
$297.97 |
| 76536 |
|
14 |
13 |
$287.95 |
| 84134 |
|
132 |
96 |
$284.84 |
| 80069 |
|
193 |
129 |
$284.62 |
| 86762 |
|
128 |
126 |
$279.05 |
| 81003 |
|
303 |
289 |
$277.43 |
| 85652 |
|
557 |
510 |
$262.39 |
| 87205 |
|
335 |
263 |
$253.10 |
| 93320 |
|
19 |
15 |
$250.03 |
| 82247 |
|
369 |
127 |
$243.69 |
| 73070 |
|
45 |
45 |
$239.84 |
| 93272 |
|
13 |
13 |
$228.48 |
| 85045 |
|
367 |
286 |
$228.45 |
| 82550 |
|
222 |
185 |
$223.83 |
| 84703 |
|
207 |
190 |
$223.48 |
| 83615 |
|
260 |
161 |
$221.07 |
| 73590 |
|
44 |
37 |
$217.73 |
| 85390 |
|
92 |
47 |
$214.33 |
| 82977 |
|
215 |
132 |
$198.52 |
| 76820 |
|
14 |
13 |
$197.94 |
| 86880 |
|
193 |
189 |
$188.18 |
| 88108 |
|
13 |
12 |
$179.31 |
| 85347 |
|
168 |
83 |
$173.31 |
| 85379 |
|
127 |
111 |
$169.50 |
| 73620 |
|
37 |
33 |
$162.27 |
| 82565 |
|
231 |
144 |
$157.59 |
| 83020 |
|
93 |
83 |
$156.84 |
| 80305 |
|
16 |
16 |
$156.74 |
| 73610 |
|
36 |
33 |
$152.20 |
| 80076 |
|
130 |
102 |
$151.94 |
| 86870 |
|
60 |
59 |
$143.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
29 |
$137.93 |
| 85014 |
|
459 |
58 |
$136.41 |
| 84156 |
|
244 |
211 |
$130.67 |
| 80051 |
|
120 |
64 |
$128.46 |
| 82610 |
|
53 |
50 |
$128.23 |
| 73030 |
|
45 |
38 |
$127.40 |
| 82533 |
|
45 |
36 |
$121.37 |
| 87102 |
|
79 |
76 |
$118.32 |
| 84480 |
|
62 |
59 |
$116.59 |
| 73630 |
|
44 |
37 |
$114.89 |
| 94726 |
|
19 |
16 |
$95.87 |
| 84520 |
|
176 |
96 |
$90.27 |
| 84550 |
|
138 |
99 |
$85.63 |
| 86376 |
|
45 |
44 |
$85.24 |
| 84146 |
|
26 |
26 |
$82.86 |
| 87075 |
|
41 |
36 |
$81.15 |
| 94010 |
|
20 |
17 |
$80.80 |
| 94729 |
|
23 |
20 |
$79.41 |
| 82310 |
|
104 |
46 |
$77.39 |
| 83010 |
|
57 |
34 |
$75.37 |
| 77080 |
|
18 |
18 |
$73.25 |
| 86355 |
|
46 |
43 |
$71.72 |
| 84300 |
|
99 |
81 |
$71.39 |
| 86357 |
|
45 |
42 |
$70.72 |
| 85018 |
|
201 |
117 |
$68.66 |
| 87541 |
|
14 |
14 |
$66.52 |
| 87640 |
|
14 |
14 |
$66.36 |
| 86704 |
|
31 |
29 |
$64.40 |
| 94060 |
|
15 |
13 |
$63.35 |
| 86359 |
|
45 |
42 |
$61.63 |
| 83930 |
|
71 |
63 |
$61.44 |
| 87184 |
|
37 |
34 |
$56.15 |
| 84478 |
|
70 |
28 |
$53.82 |
| 74019 |
|
14 |
14 |
$52.26 |
| 88142 |
|
19 |
18 |
$50.94 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$48.24 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$48.24 |
| 82950 |
|
76 |
72 |
$44.85 |
| 86160 |
|
16 |
13 |
$39.99 |
| 84157 |
|
69 |
57 |
$38.28 |
| 83001 |
|
13 |
13 |
$36.83 |
| 80164 |
|
17 |
14 |
$36.07 |
| 86905 |
|
14 |
12 |
$35.44 |
| 82945 |
|
64 |
52 |
$33.92 |
| 86592 |
|
50 |
50 |
$30.39 |
| 87106 |
|
14 |
12 |
$28.17 |
| 87210 |
|
38 |
38 |
$25.17 |
| 83935 |
|
25 |
24 |
$23.87 |
| 84460 |
|
32 |
31 |
$21.26 |
| 85613 |
|
16 |
16 |
$21.18 |
| 85460 |
|
13 |
13 |
$18.67 |
| 82390 |
|
12 |
12 |
$18.16 |
| 51798 |
|
13 |
13 |
$17.26 |
| 85732 |
|
15 |
15 |
$11.90 |
| 84075 |
|
14 |
14 |
$11.06 |
| 84540 |
|
14 |
14 |
$11.04 |
| 82270 |
|
16 |
15 |
$9.39 |
| 84155 |
|
13 |
13 |
$8.23 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
13 |
$2.16 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
277 |
180 |
$0.00 |