| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
50,632 |
50,052 |
$2.26M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
137,324 |
67,059 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150,977 |
147,935 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136,575 |
133,192 |
$1.10M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
36,461 |
35,956 |
$1.03M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
17,775 |
8,188 |
$910K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29,332 |
28,989 |
$804K |
| 99233 |
Prolong inpt eval add15 m |
48,676 |
23,419 |
$759K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
34,240 |
34,009 |
$600K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
61,867 |
35,500 |
$554K |
| 71045 |
Radiologic examination, chest; single view |
165,956 |
135,446 |
$546K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28,350 |
27,959 |
$503K |
| 70450 |
Computed tomography, head or brain; without contrast material |
38,262 |
36,737 |
$491K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
105,381 |
90,148 |
$459K |
| 99223 |
Prolong inpt eval add15 m |
15,148 |
14,946 |
$363K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,346 |
21,976 |
$330K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14,566 |
14,372 |
$323K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24,733 |
11,616 |
$301K |
| 90962 |
|
14,169 |
14,163 |
$287K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
894 |
885 |
$286K |
| 99222 |
Initial hospital care, per day, moderate complexity |
11,376 |
11,190 |
$271K |
| 99460 |
|
8,296 |
8,282 |
$261K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,460 |
6,107 |
$243K |
| 99215 |
Prolong outpt/office vis |
10,486 |
10,278 |
$224K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
10,484 |
10,417 |
$186K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,061 |
298 |
$183K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,251 |
10,946 |
$180K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20,410 |
19,745 |
$153K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
999 |
992 |
$150K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,708 |
5,654 |
$146K |
| 71046 |
Radiologic examination, chest; 2 views |
47,975 |
47,690 |
$143K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
4,761 |
4,716 |
$132K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,583 |
9,532 |
$131K |
| 99243 |
|
9,982 |
9,929 |
$129K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
6,868 |
4,415 |
$120K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
9,692 |
1,420 |
$116K |
| 77427 |
|
3,098 |
1,443 |
$103K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
870 |
243 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,777 |
19,166 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,256 |
4,229 |
$91K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,085 |
3,019 |
$80K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
11,744 |
11,617 |
$77K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12,476 |
12,433 |
$76K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,883 |
1,875 |
$74K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
5,637 |
5,539 |
$69K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,432 |
4,337 |
$63K |
| 91320 |
|
1,004 |
1,004 |
$63K |
| 99242 |
|
7,366 |
7,317 |
$61K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,457 |
1,453 |
$59K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,510 |
1,506 |
$59K |
| 88304 |
|
5,812 |
5,471 |
$58K |
| 99254 |
|
2,222 |
2,161 |
$55K |
| 99152 |
|
12,483 |
12,332 |
$54K |
| 74018 |
|
14,371 |
12,090 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,157 |
8,127 |
$46K |
| 99417 |
Prolong home eval add 15m |
586 |
552 |
$46K |
| 88307 |
|
2,502 |
1,778 |
$46K |
| 92134 |
|
13,680 |
13,525 |
$44K |
| 99255 |
|
1,244 |
1,212 |
$44K |
| 99462 |
|
2,418 |
2,338 |
$44K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
718 |
715 |
$43K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,961 |
1,924 |
$40K |
| 31575 |
|
1,962 |
1,952 |
$38K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
575 |
575 |
$37K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
2,747 |
2,745 |
$36K |
| 93016 |
|
5,792 |
5,789 |
$35K |
| 99464 |
|
891 |
887 |
$34K |
| 90961 |
|
1,591 |
1,591 |
$29K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
232 |
67 |
$28K |
| 88342 |
|
3,622 |
2,744 |
$27K |
| 91322 |
|
423 |
423 |
$27K |
| 73630 |
|
10,972 |
10,005 |
$27K |
| 92250 |
|
12,079 |
11,732 |
$25K |
| 70496 |
|
1,095 |
1,074 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
425 |
410 |
$25K |
| Z4300 |
|
318 |
318 |
$23K |
| 93018 |
|
5,787 |
5,784 |
$22K |
| 73610 |
|
7,700 |
7,164 |
$22K |
| 99253 |
|
1,074 |
997 |
$22K |
| 90686 |
|
6,402 |
6,400 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,081 |
2,074 |
$19K |
| Z0102 |
|
100 |
28 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,295 |
2,292 |
$19K |
| Z4304 |
|
332 |
332 |
$18K |
| 90480 |
|
1,502 |
1,502 |
$18K |
| 17110 |
|
949 |
947 |
$17K |
| Z4306 |
|
332 |
332 |
$17K |
| 31231 |
|
1,913 |
1,891 |
$17K |
| 11721 |
|
5,707 |
5,676 |
$16K |
| 73030 |
|
5,902 |
5,496 |
$16K |
| 93227 |
|
3,197 |
3,188 |
$16K |
| 88173 |
|
2,251 |
1,876 |
$15K |
| 70498 |
|
843 |
826 |
$15K |
| 92133 |
|
3,733 |
3,723 |
$15K |
| 88312 |
|
2,848 |
2,105 |
$14K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
600 |
571 |
$14K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
1,223 |
1,213 |
$14K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,284 |
3,284 |
$13K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
67 |
13 |
$13K |
| 71250 |
|
1,293 |
1,275 |
$12K |
| 76770 |
|
1,379 |
1,369 |
$12K |
| 11043 |
|
276 |
172 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
908 |
905 |
$12K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
830 |
514 |
$12K |
| 76801 |
|
623 |
610 |
$12K |
| 76830 |
Ultrasound, transvaginal |
1,512 |
1,511 |
$12K |
| 77066 |
Tomosynthesis, mammo |
1,195 |
1,190 |
$11K |
| 93970 |
|
936 |
923 |
$11K |
| 93458 |
|
136 |
136 |
$11K |
| 73110 |
|
4,211 |
3,890 |
$11K |
| 99252 |
|
774 |
760 |
$11K |
| 99245 |
|
477 |
461 |
$10K |
| Z4303 |
|
332 |
332 |
$10K |
| 72131 |
|
761 |
749 |
$10K |
| 93280 |
|
1,218 |
1,206 |
$10K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
608 |
608 |
$10K |
| 77263 |
|
478 |
468 |
$9K |
| 43235 |
|
157 |
155 |
$9K |
| 77300 |
|
486 |
471 |
$9K |
| 92579 |
|
2,885 |
2,884 |
$9K |
| 73562 |
|
4,974 |
4,373 |
$9K |
| 92015 |
Determination of refractive state |
2,218 |
2,193 |
$9K |
| 76641 |
|
1,226 |
1,095 |
$9K |
| 92083 |
|
2,407 |
2,396 |
$8K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
374 |
374 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
750 |
714 |
$8K |
| 76942 |
|
569 |
486 |
$8K |
| 72100 |
|
2,932 |
2,926 |
$8K |
| 77334 |
|
358 |
324 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,132 |
922 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
130 |
130 |
$7K |
| 11102 |
|
500 |
496 |
$7K |
| 92557 |
|
1,703 |
1,696 |
$7K |
| 64615 |
|
433 |
433 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
209 |
201 |
$7K |
| 97802 |
|
595 |
586 |
$7K |
| 93971 |
|
1,366 |
1,346 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
363 |
357 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
943 |
711 |
$6K |
| 73130 |
|
2,311 |
2,083 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
922 |
768 |
$6K |
| 77080 |
|
3,336 |
3,316 |
$6K |
| 99606 |
|
338 |
334 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
495 |
489 |
$6K |
| 77014 |
|
544 |
156 |
$5K |
| Z4301 |
|
304 |
304 |
$5K |
| 99221 |
|
398 |
360 |
$5K |
| 73080 |
|
1,954 |
1,799 |
$5K |
| 90662 |
|
1,484 |
1,484 |
$5K |
| Z4307 |
|
300 |
300 |
$5K |
| 92587 |
|
5,865 |
5,853 |
$5K |
| 99607 |
|
419 |
404 |
$5K |
| 99355 |
|
55 |
55 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
858 |
858 |
$4K |
| 99354 |
|
55 |
55 |
$4K |
| 92002 |
|
437 |
437 |
$4K |
| 95811 |
|
105 |
105 |
$4K |
| 77387 |
|
136 |
14 |
$4K |
| 94726 |
|
2,059 |
2,058 |
$4K |
| 11056 |
|
1,038 |
1,024 |
$4K |
| 88108 |
|
771 |
695 |
$4K |
| 11981 |
|
26 |
26 |
$4K |
| 88341 |
|
1,604 |
471 |
$4K |
| 20610 |
|
778 |
634 |
$4K |
| 73502 |
|
1,219 |
1,162 |
$3K |
| 88112 |
|
950 |
827 |
$3K |
| 76536 |
|
817 |
815 |
$3K |
| 72170 |
|
1,194 |
1,174 |
$3K |
| 11055 |
|
665 |
651 |
$3K |
| 93288 |
|
714 |
707 |
$3K |
| 72128 |
|
197 |
195 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
1,968 |
1,950 |
$3K |
| 93248 |
|
1,213 |
1,210 |
$3K |
| 00142 |
|
74 |
55 |
$3K |
| 93294 |
|
851 |
850 |
$3K |
| 59025 |
Fetal non-stress test |
424 |
405 |
$3K |
| 94010 |
|
1,669 |
1,661 |
$3K |
| 73560 |
|
1,481 |
1,272 |
$3K |
| 11045 |
|
47 |
37 |
$3K |
| 94729 |
|
2,053 |
2,052 |
$3K |
| 93922 |
|
733 |
730 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
596 |
589 |
$3K |
| 76506 |
|
112 |
83 |
$3K |
| Z4311 |
|
300 |
300 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,068 |
879 |
$2K |
| 52000 |
|
189 |
186 |
$2K |
| 73590 |
|
836 |
752 |
$2K |
| 76937 |
|
863 |
848 |
$2K |
| 93320 |
|
66 |
62 |
$2K |
| 92020 |
|
723 |
717 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,994 |
5,966 |
$2K |
| 97597 |
|
335 |
252 |
$2K |
| 77065 |
Tomosynthesis, mammo |
322 |
322 |
$2K |
| 76519 |
|
391 |
390 |
$2K |
| 93295 |
|
255 |
254 |
$2K |
| 92582 |
|
806 |
804 |
$2K |
| 69210 |
|
592 |
589 |
$2K |
| 70486 |
|
141 |
140 |
$2K |
| 96112 |
|
12 |
12 |
$2K |
| 88172 |
|
556 |
363 |
$2K |
| 72141 |
|
69 |
67 |
$2K |
| 77295 |
|
53 |
50 |
$2K |
| 73090 |
|
628 |
564 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
136 |
135 |
$2K |
| 11044 |
|
16 |
12 |
$2K |
| 71010 |
|
320 |
223 |
$1K |
| 70544 |
|
94 |
94 |
$1K |
| 66982 |
|
12 |
12 |
$1K |
| 93244 |
|
444 |
443 |
$1K |
| 52353 |
|
13 |
12 |
$1K |
| 11100 |
|
232 |
231 |
$1K |
| 92060 |
|
185 |
183 |
$1K |
| 94060 |
|
455 |
454 |
$1K |
| 17000 |
|
220 |
219 |
$1K |
| 54161 |
|
29 |
29 |
$1K |
| 73100 |
|
463 |
439 |
$929.42 |
| 72040 |
|
370 |
369 |
$918.56 |
| 93308 |
|
88 |
86 |
$917.79 |
| 51741 |
|
211 |
208 |
$841.19 |
| S0265 |
Genetic counseling, under physician supervision, each 15 minutes |
132 |
129 |
$837.90 |
| 77049 |
|
54 |
54 |
$809.72 |
| 91200 |
|
302 |
302 |
$792.33 |
| 96113 |
|
12 |
12 |
$782.52 |
| 75574 |
|
63 |
63 |
$763.96 |
| 90966 |
|
124 |
124 |
$703.11 |
| 92136 |
|
133 |
123 |
$679.34 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12 |
12 |
$652.00 |
| 95816 |
|
98 |
93 |
$643.80 |
| 11900 |
|
178 |
177 |
$643.03 |
| 99407 |
|
94 |
94 |
$627.31 |
| 77290 |
|
61 |
54 |
$577.54 |
| 71020 |
|
82 |
57 |
$521.50 |
| 74183 |
|
38 |
38 |
$502.29 |
| 99236 |
Prolong inpt eval add15 m |
20 |
17 |
$485.94 |
| 95819 |
|
52 |
50 |
$478.33 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
123 |
123 |
$470.47 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$453.67 |
| 92567 |
|
2,010 |
2,008 |
$428.02 |
| 99292 |
|
14 |
14 |
$428.01 |
| 77333 |
|
93 |
82 |
$409.71 |
| 11730 |
|
16 |
15 |
$386.71 |
| 99443 |
|
16 |
16 |
$372.57 |
| 73221 |
|
63 |
60 |
$369.99 |
| 11750 |
|
34 |
27 |
$353.42 |
| 88142 |
|
107 |
107 |
$334.73 |
| 77001 |
|
67 |
66 |
$325.85 |
| 93350 |
|
27 |
27 |
$306.54 |
| 91035 |
|
13 |
13 |
$283.65 |
| 76514 |
|
128 |
128 |
$280.13 |
| 73140 |
|
262 |
254 |
$270.21 |
| 73564 |
|
93 |
86 |
$268.56 |
| 96156 |
|
12 |
12 |
$260.20 |
| 88313 |
|
26 |
14 |
$250.28 |
| 93325 |
|
95 |
80 |
$248.67 |
| 76881 |
|
30 |
28 |
$243.12 |
| 76870 |
|
13 |
13 |
$242.99 |
| 93296 |
|
266 |
266 |
$239.73 |
| 73552 |
|
95 |
86 |
$229.98 |
| 51705 |
|
32 |
29 |
$221.82 |
| 95806 |
|
238 |
238 |
$218.62 |
| 99442 |
|
45 |
44 |
$207.41 |
| 93289 |
|
49 |
49 |
$202.70 |
| 95812 |
|
13 |
13 |
$194.12 |
| 78306 |
|
25 |
25 |
$184.52 |
| 93225 |
|
182 |
181 |
$184.15 |
| 88302 |
|
43 |
24 |
$149.09 |
| 95782 |
|
37 |
37 |
$144.01 |
| 92555 |
|
601 |
601 |
$141.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$133.46 |
| 74178 |
|
15 |
15 |
$128.82 |
| 74000 |
|
25 |
24 |
$122.05 |
| 11720 |
|
43 |
43 |
$116.35 |
| 67228 |
|
26 |
25 |
$103.47 |
| 77062 |
|
52 |
52 |
$95.25 |
| 93246 |
|
12 |
12 |
$92.16 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
207 |
183 |
$84.42 |
| 92553 |
|
15 |
15 |
$77.87 |
| 72070 |
|
27 |
27 |
$72.88 |
| 99441 |
|
12 |
12 |
$64.78 |
| 77073 |
|
17 |
17 |
$50.26 |
| 73060 |
|
28 |
27 |
$50.01 |
| 92550 |
|
28 |
28 |
$45.94 |
| 96136 |
|
19 |
14 |
$41.88 |
| 82962 |
|
279 |
208 |
$36.72 |
| G0008 |
Administration of influenza virus vaccine |
294 |
294 |
$34.84 |
| 88300 |
|
29 |
29 |
$32.24 |
| 88141 |
|
130 |
130 |
$27.38 |
| 17003 |
|
38 |
38 |
$23.28 |
| 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) |
63 |
63 |
$22.94 |
| 92504 |
|
16 |
12 |
$19.43 |
| 73000 |
|
12 |
12 |
$13.57 |
| 93283 |
|
14 |
14 |
$13.47 |
| 20553 |
|
12 |
12 |
$4.75 |
| 3075F |
|
6,084 |
5,971 |
$0.00 |
| 3074F |
|
25,317 |
24,396 |
$0.00 |
| 3044F |
|
4,168 |
4,008 |
$0.00 |
| 3079F |
|
7,487 |
7,281 |
$0.00 |
| 1126F |
|
1,827 |
1,775 |
$0.00 |
| 3080F |
|
1,066 |
1,046 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
306 |
291 |
$0.00 |
| 3052F |
|
29 |
29 |
$0.00 |
| 3048F |
|
168 |
168 |
$0.00 |
| 1125F |
|
742 |
721 |
$0.00 |
| 90677 |
|
66 |
66 |
$0.00 |
| 41899 |
Unlisted procedure, dentoalveolar structures |
99 |
99 |
$0.00 |
| 90656 |
|
43 |
43 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 3049F |
|
14 |
14 |
$0.00 |
| 1123F |
|
40 |
37 |
$0.00 |
| 3078F |
|
37,244 |
35,555 |
$0.00 |
| 1159F |
|
48,762 |
46,680 |
$0.00 |
| 3077F |
|
7,602 |
7,202 |
$0.00 |
| 1160F |
|
12,047 |
11,644 |
$0.00 |
| 90750 |
|
91 |
91 |
$0.00 |
| 3051F |
|
72 |
67 |
$0.00 |
| 96130 |
|
40 |
38 |
$0.00 |
| 3046F |
|
40 |
39 |
$0.00 |
| 0298T |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
13 |
12 |
$0.00 |
| 90715 |
|
42 |
42 |
$0.00 |