| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,046 |
28,879 |
$2.38M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17,457 |
17,390 |
$2.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,627 |
28,809 |
$1.85M |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
3,723 |
948 |
$1.06M |
| 52000 |
|
5,228 |
5,189 |
$959K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,947 |
6,923 |
$636K |
| 51798 |
|
21,194 |
20,285 |
$305K |
| 77014 |
|
3,759 |
963 |
$305K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,711 |
2,668 |
$181K |
| 99439 |
|
4,092 |
4,087 |
$175K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
538 |
530 |
$173K |
| 99490 |
Ccm add 20min |
5,930 |
5,911 |
$168K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,980 |
2,909 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,672 |
3,567 |
$155K |
| 51728 |
|
749 |
718 |
$150K |
| 52442 |
|
46 |
43 |
$145K |
| 76872 |
|
1,184 |
1,149 |
$140K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,312 |
1,287 |
$122K |
| 81003 |
|
41,125 |
38,653 |
$120K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,069 |
1,065 |
$113K |
| 88312 |
|
1,527 |
1,524 |
$96K |
| 99223 |
Prolong inpt eval add15 m |
668 |
657 |
$69K |
| 99222 |
Initial hospital care, per day, moderate complexity |
989 |
973 |
$61K |
| 88313 |
|
1,578 |
1,574 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
679 |
379 |
$57K |
| 52441 |
|
43 |
43 |
$54K |
| 81002 |
|
19,750 |
18,318 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,198 |
637 |
$45K |
| 99215 |
Prolong outpt/office vis |
391 |
347 |
$45K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
319 |
318 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,934 |
2,671 |
$41K |
| 51784 |
|
1,030 |
997 |
$38K |
| 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) |
2,688 |
2,622 |
$36K |
| J0897 |
Injection, denosumab, 1 mg |
36 |
36 |
$29K |
| 51705 |
|
406 |
354 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
328 |
$23K |
| 51701 |
|
462 |
460 |
$21K |
| 77336 |
|
405 |
265 |
$18K |
| 96402 |
|
919 |
903 |
$18K |
| 77427 |
|
181 |
94 |
$17K |
| 51700 |
|
240 |
162 |
$16K |
| 51729 |
|
46 |
46 |
$14K |
| 51741 |
|
1,164 |
1,120 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,974 |
2,815 |
$11K |
| 99205 |
Prolong outpt/office vis |
60 |
60 |
$11K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
383 |
382 |
$10K |
| 64566 |
|
75 |
49 |
$10K |
| 99454 |
|
183 |
166 |
$8K |
| 76770 |
|
109 |
109 |
$6K |
| 46221 |
|
42 |
36 |
$6K |
| 52356 |
|
13 |
13 |
$6K |
| 51797 |
|
30 |
30 |
$5K |
| 52310 |
|
12 |
12 |
$4K |
| 00811 |
|
24 |
24 |
$4K |
| 88112 |
|
232 |
201 |
$4K |
| 99457 |
|
104 |
104 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
142 |
72 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
167 |
164 |
$3K |
| 55700 |
|
13 |
13 |
$2K |
| 81000 |
|
455 |
441 |
$1K |
| 43235 |
|
13 |
12 |
$1K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
140 |
75 |
$901.66 |
| 99442 |
|
12 |
12 |
$753.47 |
| 88360 |
|
26 |
25 |
$294.79 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
13 |
13 |
$275.57 |
| 82570 |
|
504 |
478 |
$256.48 |
| 88121 |
|
12 |
12 |
$243.96 |
| 81001 |
|
524 |
497 |
$180.35 |
| 87799 |
|
28 |
21 |
$128.52 |
| 87492 |
|
21 |
21 |
$53.47 |
| 87592 |
|
21 |
21 |
$42.84 |
| 87652 |
|
21 |
21 |
$41.76 |
| 87512 |
|
21 |
21 |
$41.76 |
| 87481 |
|
21 |
21 |
$35.09 |
| 87641 |
|
22 |
22 |
$35.09 |
| 87653 |
|
21 |
21 |
$35.09 |
| 87640 |
|
21 |
21 |
$35.09 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
21 |
21 |
$35.09 |
| 87500 |
|
22 |
22 |
$35.09 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
195 |
188 |
$10.00 |
| 1036F |
|
1,359 |
1,287 |
$0.00 |
| 1126F |
|
65 |
63 |
$0.00 |