| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,434 |
5,428 |
$215K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,672 |
24,673 |
$212K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,997 |
5,870 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,059 |
9,133 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,105 |
9,884 |
$151K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,453 |
3,958 |
$116K |
| 99233 |
Prolong inpt eval add15 m |
5,402 |
2,165 |
$111K |
| 99223 |
Prolong inpt eval add15 m |
2,308 |
2,093 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,772 |
1,734 |
$51K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
84 |
84 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
376 |
299 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,766 |
2,640 |
$32K |
| Z1034 |
|
567 |
396 |
$31K |
| 93000 |
|
3,398 |
3,369 |
$19K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,377 |
1,336 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
701 |
692 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
275 |
253 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,142 |
992 |
$13K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
284 |
265 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,200 |
1,014 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
867 |
402 |
$8K |
| 99215 |
Prolong outpt/office vis |
411 |
393 |
$6K |
| 59425 |
|
174 |
115 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
229 |
229 |
$4K |
| 99442 |
|
56 |
52 |
$4K |
| 99221 |
|
168 |
163 |
$3K |
| 99205 |
Prolong outpt/office vis |
56 |
53 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
470 |
464 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
261 |
183 |
$2K |
| 20610 |
|
67 |
53 |
$1K |
| 69210 |
|
169 |
165 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
102 |
85 |
$888.84 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
24 |
13 |
$822.50 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
33 |
33 |
$618.72 |
| 82728 |
|
129 |
124 |
$582.23 |
| 93016 |
|
57 |
57 |
$573.21 |
| 92557 |
|
65 |
65 |
$551.11 |
| 95816 |
|
19 |
15 |
$389.65 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$261.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
467 |
461 |
$248.96 |
| 92504 |
|
71 |
68 |
$229.10 |
| 83540 |
|
118 |
113 |
$216.08 |
| 93018 |
|
45 |
45 |
$215.02 |
| 82570 |
|
298 |
296 |
$206.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$205.24 |
| 87428 |
|
19 |
19 |
$127.18 |
| 93970 |
|
15 |
14 |
$98.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
136 |
119 |
$87.15 |
| 90694 |
|
29 |
29 |
$75.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
863 |
861 |
$71.54 |
| 81002 |
|
432 |
393 |
$69.91 |
| 73630 |
|
19 |
16 |
$60.92 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
85 |
57 |
$56.63 |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$54.12 |
| G0008 |
Administration of influenza virus vaccine |
79 |
79 |
$52.06 |
| 82962 |
|
372 |
348 |
$51.96 |
| 81001 |
|
615 |
601 |
$51.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$44.11 |
| 80053 |
Comprehensive metabolic panel |
1,392 |
1,352 |
$26.24 |
| 85610 |
|
799 |
604 |
$23.80 |
| 81003 |
|
48 |
48 |
$22.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$20.83 |
| 99051 |
|
84 |
82 |
$16.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,988 |
1,868 |
$7.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
152 |
143 |
$7.53 |
| 80061 |
Lipid panel |
1,015 |
1,014 |
$7.31 |
| 90662 |
|
47 |
47 |
$2.39 |
| 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) |
12 |
12 |
$0.00 |
| 3078F |
|
337 |
319 |
$0.00 |
| 84439 |
|
305 |
300 |
$0.00 |
| 83655 |
|
66 |
66 |
$0.00 |
| 84550 |
|
165 |
165 |
$0.00 |
| 3725F |
|
37 |
37 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
139 |
139 |
$0.00 |
| 87186 |
|
95 |
91 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$0.00 |
| 86038 |
|
42 |
42 |
$0.00 |
| 80076 |
|
40 |
40 |
$0.00 |
| 86592 |
|
147 |
147 |
$0.00 |
| 85652 |
|
111 |
110 |
$0.00 |
| 3008F |
|
596 |
551 |
$0.00 |
| 85730 |
|
62 |
59 |
$0.00 |
| 3079F |
|
65 |
61 |
$0.00 |
| 84153 |
|
54 |
53 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
149 |
148 |
$0.00 |
| 80081 |
|
51 |
51 |
$0.00 |
| 82746 |
|
93 |
92 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
434 |
434 |
$0.00 |
| 87077 |
|
81 |
77 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
915 |
908 |
$0.00 |
| 3074F |
|
360 |
338 |
$0.00 |
| 84436 |
|
49 |
49 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 83550 |
|
113 |
108 |
$0.00 |
| 84479 |
|
129 |
129 |
$0.00 |
| 82043 |
|
273 |
273 |
$0.00 |
| 87088 |
|
338 |
323 |
$0.00 |
| 82607 |
|
123 |
122 |
$0.00 |
| 88142 |
|
62 |
62 |
$0.00 |
| 87081 |
|
192 |
191 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
146 |
146 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,150 |
1,100 |
$0.00 |
| 95819 |
|
15 |
14 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
459 |
438 |
$0.00 |
| 86140 |
|
65 |
61 |
$0.00 |
| 87070 |
|
43 |
42 |
$0.00 |
| 85027 |
|
333 |
332 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 1170F |
|
40 |
40 |
$0.00 |
| 86803 |
|
18 |
18 |
$0.00 |