| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,916 |
4,760 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,598 |
7,428 |
$202K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,963 |
1,612 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,853 |
1,657 |
$99K |
| 20610 |
|
4,174 |
2,590 |
$95K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
3,133 |
2,382 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,721 |
1,667 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
502 |
476 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
566 |
514 |
$21K |
| 99215 |
Prolong outpt/office vis |
463 |
320 |
$16K |
| 20550 |
|
984 |
663 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,069 |
837 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
724 |
657 |
$12K |
| 76642 |
|
634 |
529 |
$11K |
| 77065 |
Tomosynthesis, mammo |
545 |
497 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
632 |
584 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
3,158 |
2,467 |
$10K |
| 20551 |
|
505 |
320 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
598 |
472 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,359 |
1,786 |
$9K |
| 99205 |
Prolong outpt/office vis |
96 |
80 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
268 |
97 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
112 |
85 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,218 |
1,131 |
$6K |
| 76536 |
|
384 |
356 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
331 |
209 |
$5K |
| 73564 |
|
881 |
688 |
$5K |
| 73610 |
|
645 |
561 |
$3K |
| 77066 |
Tomosynthesis, mammo |
94 |
80 |
$3K |
| 73110 |
|
515 |
419 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
187 |
$2K |
| 73030 |
|
517 |
446 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
39 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
40 |
$2K |
| 99051 |
|
580 |
421 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
53 |
45 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
226 |
$1K |
| 73630 |
|
260 |
219 |
$1K |
| 73130 |
|
223 |
189 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
49 |
$1K |
| 99406 |
|
223 |
161 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
43 |
27 |
$997.27 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
25 |
$994.88 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
18 |
15 |
$987.30 |
| 71250 |
|
59 |
52 |
$971.90 |
| 90686 |
|
112 |
96 |
$873.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
65 |
$871.08 |
| 81000 |
|
830 |
615 |
$822.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
73 |
$814.05 |
| 96127 |
|
292 |
234 |
$620.63 |
| 51701 |
|
16 |
13 |
$567.34 |
| 93971 |
|
32 |
27 |
$410.19 |
| 76775 |
|
16 |
14 |
$214.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
229 |
196 |
$211.30 |
| 99490 |
Ccm add 20min |
99 |
70 |
$174.13 |
| 74220 |
|
12 |
12 |
$173.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
206 |
177 |
$160.06 |
| 76000 |
|
53 |
42 |
$159.40 |
| 73562 |
|
34 |
25 |
$157.30 |
| 73502 |
|
18 |
14 |
$73.62 |
| 73080 |
|
13 |
13 |
$59.76 |
| 73090 |
|
17 |
14 |
$55.26 |
| 93018 |
|
43 |
27 |
$43.31 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28 |
27 |
$42.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
29 |
$27.55 |
| 3045F |
|
204 |
155 |
$20.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
477 |
427 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
556 |
489 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
415 |
382 |
$0.00 |
| 4004F |
|
967 |
830 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,353 |
2,766 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,702 |
1,460 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
394 |
349 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,633 |
2,167 |
$0.00 |
| 3288F |
|
69 |
53 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
50 |
40 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
14 |
$0.00 |
| 3342F |
|
18 |
13 |
$0.00 |
| 3008F |
|
112 |
97 |
$0.00 |
| 7025F |
|
170 |
159 |
$0.00 |
| 3017F |
|
575 |
468 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,637 |
2,256 |
$0.00 |
| 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) |
882 |
741 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
310 |
273 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,867 |
1,601 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
699 |
575 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,023 |
1,743 |
$0.00 |
| 99024 |
|
52 |
37 |
$0.00 |
| 3044F |
|
201 |
163 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
39 |
30 |
$0.00 |
| 1036F |
|
1,864 |
1,560 |
$0.00 |
| 3014F |
|
93 |
71 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
248 |
152 |
$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 |
95 |
86 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
40 |
38 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
215 |
168 |
$0.00 |