| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,083 |
2,758 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,991 |
1,677 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
610 |
209 |
$9K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
430 |
16 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
387 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
254 |
111 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
283 |
46 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
99 |
97 |
$4K |
| 90961 |
|
76 |
76 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
336 |
143 |
$4K |
| 98966 |
|
233 |
222 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
195 |
17 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
102 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
23 |
20 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
40 |
40 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
122 |
71 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
379 |
21 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
96 |
93 |
$2K |
| A0425 |
Ground mileage, per statute mile |
57 |
55 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
79 |
76 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
128 |
118 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
98 |
87 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16 |
16 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
247 |
61 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
139 |
50 |
$957.36 |
| 99222 |
Initial hospital care, per day, moderate complexity |
37 |
33 |
$926.66 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
38 |
38 |
$924.91 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$920.72 |
| 71045 |
Radiologic examination, chest; single view |
452 |
368 |
$919.72 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
65 |
62 |
$908.42 |
| 71046 |
Radiologic examination, chest; 2 views |
233 |
217 |
$863.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
46 |
$832.11 |
| 90834 |
Psychotherapy, 45 minutes with patient |
97 |
80 |
$815.51 |
| 99442 |
|
76 |
76 |
$789.59 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
48 |
44 |
$774.14 |
| 90832 |
Psychotherapy, 30 minutes with patient |
129 |
93 |
$772.75 |
| 99215 |
Prolong outpt/office vis |
32 |
28 |
$747.44 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$703.26 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$507.15 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19 |
18 |
$506.31 |
| 99443 |
|
71 |
71 |
$415.29 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$403.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$366.11 |
| 90686 |
|
34 |
34 |
$329.26 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
16 |
$303.04 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
41 |
27 |
$218.80 |
| 73030 |
|
25 |
24 |
$186.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$164.29 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15 |
12 |
$146.43 |
| Q3014 |
Telehealth originating site facility fee |
22 |
14 |
$135.11 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
14 |
$128.30 |
| E0601 |
Continuous positive airway pressure (cpap) device |
12 |
12 |
$122.99 |
| 73630 |
|
37 |
33 |
$99.26 |
| 93294 |
|
12 |
12 |
$74.40 |
| 74018 |
|
38 |
28 |
$72.06 |
| 93971 |
|
13 |
13 |
$57.33 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
15 |
$56.43 |
| 73502 |
|
15 |
14 |
$33.90 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
12 |
12 |
$0.00 |