| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,234 |
14,404 |
$856K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,749 |
13,495 |
$646K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12,502 |
9,290 |
$482K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,580 |
2,461 |
$365K |
| 99233 |
Prolong inpt eval add15 m |
4,339 |
1,333 |
$270K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,550 |
5,348 |
$252K |
| 99223 |
Prolong inpt eval add15 m |
1,791 |
1,588 |
$230K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,138 |
2,995 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,312 |
2,173 |
$192K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,960 |
3,821 |
$191K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25,580 |
21,281 |
$140K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,606 |
1,490 |
$115K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,034 |
997 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,219 |
2,934 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,957 |
1,870 |
$83K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,661 |
3,530 |
$80K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,578 |
2,371 |
$69K |
| 71045 |
Radiologic examination, chest; single view |
11,483 |
8,926 |
$68K |
| 71046 |
Radiologic examination, chest; 2 views |
8,530 |
8,184 |
$67K |
| 99222 |
Initial hospital care, per day, moderate complexity |
756 |
667 |
$58K |
| 99215 |
Prolong outpt/office vis |
537 |
498 |
$49K |
| 88307 |
|
665 |
587 |
$49K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
367 |
360 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,226 |
1,202 |
$36K |
| 88342 |
|
1,121 |
1,002 |
$34K |
| 64615 |
|
329 |
308 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
341 |
334 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,173 |
1,124 |
$24K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
133 |
65 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
850 |
720 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
505 |
457 |
$17K |
| 93298 |
|
669 |
589 |
$15K |
| 88304 |
|
1,455 |
1,371 |
$15K |
| 88141 |
|
665 |
656 |
$14K |
| 76830 |
Ultrasound, transvaginal |
563 |
503 |
$12K |
| 73630 |
|
2,123 |
1,859 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
437 |
399 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
379 |
234 |
$11K |
| 76801 |
|
358 |
348 |
$10K |
| 88341 |
|
154 |
141 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
107 |
101 |
$7K |
| 73610 |
|
1,201 |
1,119 |
$7K |
| 99221 |
|
97 |
93 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
48 |
41 |
$6K |
| 93294 |
|
274 |
271 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
26 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
118 |
$5K |
| 73110 |
|
774 |
705 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
68 |
64 |
$4K |
| 95886 |
|
66 |
43 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
70 |
69 |
$4K |
| 73030 |
|
614 |
554 |
$4K |
| 73562 |
|
536 |
481 |
$4K |
| 20610 |
|
110 |
103 |
$4K |
| 99243 |
|
69 |
66 |
$3K |
| 59025 |
Fetal non-stress test |
191 |
104 |
$3K |
| 74018 |
|
516 |
441 |
$3K |
| 99460 |
|
54 |
50 |
$3K |
| 73130 |
|
496 |
432 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
69 |
63 |
$3K |
| 99219 |
|
32 |
29 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
33 |
12 |
$2K |
| 88112 |
|
77 |
67 |
$2K |
| 0002A |
|
55 |
55 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
373 |
330 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
53 |
37 |
$1K |
| 93976 |
|
46 |
38 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
38 |
$1K |
| 72100 |
|
152 |
147 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
24 |
$961.76 |
| 0001A |
|
38 |
36 |
$843.00 |
| 95816 |
|
13 |
12 |
$667.94 |
| 99403 |
|
15 |
12 |
$632.17 |
| 99442 |
|
15 |
15 |
$602.02 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13 |
12 |
$582.14 |
| 73502 |
|
94 |
87 |
$562.23 |
| 77080 |
|
26 |
25 |
$559.17 |
| 88312 |
|
13 |
12 |
$551.57 |
| 93325 |
|
258 |
225 |
$521.46 |
| 93244 |
|
29 |
29 |
$493.86 |
| 93321 |
|
110 |
99 |
$493.63 |
| 76642 |
|
16 |
14 |
$483.68 |
| 76770 |
|
14 |
14 |
$466.76 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$454.77 |
| 99152 |
|
62 |
53 |
$447.59 |
| 74019 |
|
47 |
45 |
$356.78 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$286.80 |
| 73140 |
|
63 |
60 |
$285.38 |
| 73564 |
|
34 |
30 |
$249.23 |
| 93308 |
|
16 |
15 |
$212.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$194.40 |
| 93971 |
|
12 |
12 |
$189.93 |
| 88311 |
|
25 |
24 |
$175.23 |
| 93320 |
|
17 |
12 |
$166.79 |
| 93018 |
|
15 |
14 |
$159.04 |
| 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) |
104 |
102 |
$154.07 |
| 90686 |
|
12 |
12 |
$19.58 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,055 |
822 |
$0.00 |
| 91300 |
|
108 |
91 |
$0.00 |