| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,056 |
42,015 |
$2.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,783 |
24,017 |
$1.63M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,940 |
5,131 |
$439K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,383 |
3,575 |
$353K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,842 |
5,773 |
$352K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,227 |
1,870 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,483 |
3,736 |
$246K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,073 |
1,260 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,440 |
2,963 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,533 |
3,754 |
$197K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,981 |
3,814 |
$167K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,036 |
1,432 |
$167K |
| 99215 |
Prolong outpt/office vis |
2,135 |
1,860 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,060 |
1,725 |
$141K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
990 |
859 |
$120K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,401 |
2,135 |
$117K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,230 |
1,991 |
$114K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,585 |
1,351 |
$98K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,133 |
950 |
$79K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
494 |
258 |
$69K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,311 |
1,105 |
$65K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,517 |
9,237 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,964 |
2,169 |
$63K |
| 99233 |
Prolong inpt eval add15 m |
870 |
277 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,350 |
1,933 |
$60K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
948 |
829 |
$58K |
| 99205 |
Prolong outpt/office vis |
446 |
391 |
$51K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
282 |
248 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
472 |
370 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
62 |
50 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,123 |
1,502 |
$43K |
| J2785 |
Injection, regadenoson, 0.1 mg |
255 |
209 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,740 |
2,822 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,211 |
585 |
$35K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
417 |
361 |
$31K |
| 93000 |
|
2,642 |
2,461 |
$27K |
| 92551 |
|
3,560 |
3,069 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
355 |
300 |
$23K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
229 |
185 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,669 |
1,436 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,196 |
1,524 |
$21K |
| 88342 |
|
742 |
578 |
$19K |
| 99385 |
|
326 |
288 |
$17K |
| 90671 |
|
302 |
216 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
3,851 |
3,301 |
$14K |
| 93015 |
|
294 |
258 |
$13K |
| 11721 |
|
1,328 |
1,257 |
$12K |
| 59025 |
Fetal non-stress test |
596 |
296 |
$11K |
| 20610 |
|
327 |
279 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,118 |
874 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
226 |
146 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
449 |
$8K |
| 88141 |
|
437 |
408 |
$6K |
| 99221 |
|
117 |
95 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
62 |
56 |
$6K |
| 99384 |
|
151 |
109 |
$6K |
| 88307 |
|
94 |
79 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
202 |
176 |
$6K |
| 99386 |
|
82 |
57 |
$6K |
| 90686 |
|
964 |
799 |
$5K |
| 99383 |
|
159 |
106 |
$5K |
| 93971 |
|
194 |
171 |
$5K |
| 93016 |
|
370 |
345 |
$4K |
| 95886 |
|
126 |
100 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
324 |
264 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
106 |
$4K |
| 77427 |
|
54 |
26 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
480 |
372 |
$3K |
| 93018 |
|
365 |
340 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
131 |
100 |
$3K |
| 59430 |
|
14 |
13 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
12 |
$3K |
| 90715 |
|
182 |
141 |
$2K |
| 99173 |
|
904 |
768 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
118 |
106 |
$2K |
| 99307 |
|
139 |
126 |
$2K |
| 93970 |
|
62 |
55 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
157 |
141 |
$2K |
| 99217 |
|
33 |
29 |
$1K |
| 90670 |
|
892 |
548 |
$1K |
| 99382 |
|
34 |
22 |
$1K |
| 90648 |
|
1,246 |
812 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
113 |
83 |
$1K |
| 88304 |
|
101 |
83 |
$996.14 |
| 90474 |
|
155 |
121 |
$905.41 |
| 99460 |
|
14 |
12 |
$639.47 |
| 81002 |
|
280 |
192 |
$609.50 |
| 96127 |
|
169 |
119 |
$577.53 |
| 90707 |
|
176 |
107 |
$547.20 |
| 93880 |
|
28 |
26 |
$515.83 |
| 20550 |
|
13 |
12 |
$513.78 |
| 90651 |
|
388 |
248 |
$499.81 |
| 90656 |
|
157 |
155 |
$483.40 |
| 81025 |
|
57 |
28 |
$384.78 |
| 90716 |
|
179 |
106 |
$352.41 |
| 90688 |
|
152 |
127 |
$301.66 |
| 73630 |
|
19 |
13 |
$267.49 |
| 93248 |
|
13 |
12 |
$235.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
351 |
280 |
$224.31 |
| 90723 |
|
720 |
454 |
$216.84 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
100 |
72 |
$189.29 |
| 90461 |
|
803 |
670 |
$164.52 |
| 97803 |
|
31 |
31 |
$163.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
164 |
122 |
$129.74 |
| 99406 |
|
16 |
12 |
$126.77 |
| 90620 |
|
141 |
91 |
$117.14 |
| 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) |
527 |
499 |
$101.87 |
| 90714 |
|
31 |
15 |
$62.75 |
| 90680 |
|
576 |
347 |
$42.00 |
| 90633 |
|
463 |
287 |
$25.50 |
| 90696 |
|
184 |
111 |
$0.00 |
| 3044F |
|
27 |
25 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90710 |
|
218 |
134 |
$0.00 |
| 90734 |
|
375 |
239 |
$0.00 |
| 90700 |
|
172 |
99 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |