| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,470 |
40,171 |
$2.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,446 |
34,767 |
$1.71M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,020 |
5,641 |
$182K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,373 |
2,141 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,473 |
5,054 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
911 |
841 |
$117K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,466 |
1,338 |
$97K |
| 71046 |
Radiologic examination, chest; 2 views |
8,338 |
7,610 |
$67K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,697 |
8,846 |
$60K |
| 76830 |
Ultrasound, transvaginal |
1,522 |
1,449 |
$47K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,367 |
1,300 |
$41K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
188 |
180 |
$36K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
530 |
488 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
738 |
654 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
469 |
429 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
3,186 |
2,701 |
$21K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
319 |
293 |
$16K |
| 00812 |
|
107 |
87 |
$13K |
| 77065 |
Tomosynthesis, mammo |
377 |
344 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
131 |
113 |
$11K |
| 76642 |
|
400 |
364 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
282 |
271 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
185 |
169 |
$5K |
| 95251 |
|
258 |
223 |
$5K |
| 73630 |
|
530 |
451 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
83 |
37 |
$4K |
| 11721 |
|
199 |
173 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
72 |
61 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
42 |
$3K |
| 93971 |
|
114 |
101 |
$3K |
| 73030 |
|
433 |
380 |
$3K |
| 72100 |
|
335 |
314 |
$3K |
| 77066 |
Tomosynthesis, mammo |
70 |
63 |
$3K |
| 73130 |
|
312 |
281 |
$2K |
| 76770 |
|
79 |
75 |
$2K |
| 99224 |
|
87 |
77 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
30 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
29 |
$1K |
| 77078 |
|
153 |
144 |
$1K |
| 99442 |
|
381 |
340 |
$697.79 |
| 00811 |
|
12 |
12 |
$605.55 |
| 73610 |
|
76 |
69 |
$542.96 |
| 97803 |
|
32 |
28 |
$489.52 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
16 |
$453.91 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
13 |
$252.42 |
| 73562 |
|
31 |
25 |
$223.37 |
| 71047 |
|
25 |
19 |
$179.06 |
| 73564 |
|
15 |
14 |
$145.24 |
| 72040 |
|
15 |
15 |
$144.18 |
| 73502 |
|
12 |
12 |
$114.71 |
| 74019 |
|
14 |
12 |
$111.29 |
| 99441 |
|
79 |
75 |
$98.80 |
| 74018 |
|
12 |
12 |
$70.62 |
| 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) |
221 |
201 |
$54.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
6,719 |
4,852 |
$0.00 |
| 4010F |
|
4,317 |
3,876 |
$0.00 |
| 3074F |
|
5,649 |
5,036 |
$0.00 |
| 1157F |
|
6,996 |
6,288 |
$0.00 |
| 3008F |
|
8,380 |
7,431 |
$0.00 |
| 1125F |
|
2,597 |
2,341 |
$0.00 |
| 3044F |
|
2,316 |
2,147 |
$0.00 |
| 3079F |
|
3,156 |
2,840 |
$0.00 |
| 1126F |
|
5,998 |
5,320 |
$0.00 |
| 7025F |
|
3,297 |
2,964 |
$0.00 |
| 1036F |
|
1,488 |
1,359 |
$0.00 |
| 3075F |
|
2,405 |
2,155 |
$0.00 |
| 1031F |
|
1,671 |
1,514 |
$0.00 |
| 4000F |
|
1,108 |
951 |
$0.00 |
| 3351F |
|
1,960 |
1,827 |
$0.00 |
| 3048F |
|
2,669 |
2,449 |
$0.00 |
| 3080F |
|
142 |
131 |
$0.00 |
| 3049F |
|
635 |
584 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
1,096 |
892 |
$0.00 |
| 3341F |
|
1,771 |
1,563 |
$0.00 |
| 3061F |
|
472 |
441 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| 99024 |
|
55 |
51 |
$0.00 |
| 1034F |
|
28 |
27 |
$0.00 |
| 1160F |
|
9,937 |
8,845 |
$0.00 |
| 1159F |
|
9,822 |
8,739 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
4,063 |
3,123 |
$0.00 |
| 3077F |
|
1,106 |
965 |
$0.00 |
| 3078F |
|
6,517 |
5,790 |
$0.00 |
| 1032F |
|
757 |
662 |
$0.00 |
| 3288F |
|
2,508 |
2,258 |
$0.00 |
| 3062F |
|
99 |
95 |
$0.00 |
| 1033F |
|
2,683 |
2,275 |
$0.00 |
| 3050F |
|
149 |
144 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
27 |
25 |
$0.00 |
| 3342F |
|
236 |
230 |
$0.00 |
| 3051F |
|
36 |
36 |
$0.00 |
| 3046F |
|
27 |
24 |
$0.00 |