| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,466 |
9,915 |
$703K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,264 |
7,813 |
$658K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,654 |
7,258 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,150 |
7,260 |
$203K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,880 |
2,469 |
$88K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19,037 |
13,821 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,423 |
$57K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
644 |
563 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,228 |
1,899 |
$54K |
| 20610 |
|
1,612 |
1,213 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
958 |
816 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
782 |
680 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
5,439 |
4,944 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
9,338 |
7,861 |
$27K |
| 99219 |
|
713 |
645 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
617 |
494 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
263 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,063 |
868 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
610 |
530 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,045 |
957 |
$12K |
| 99220 |
|
271 |
241 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
691 |
598 |
$10K |
| 72100 |
|
1,295 |
1,174 |
$9K |
| 74018 |
|
1,702 |
1,516 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
625 |
301 |
$9K |
| 51798 |
|
2,132 |
1,494 |
$6K |
| 73562 |
|
757 |
549 |
$4K |
| 73523 |
|
342 |
302 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
124 |
117 |
$3K |
| 73630 |
|
624 |
453 |
$3K |
| 73610 |
|
533 |
388 |
$3K |
| 73030 |
|
546 |
443 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
155 |
122 |
$3K |
| 77078 |
|
153 |
126 |
$3K |
| 73522 |
|
283 |
259 |
$3K |
| 73110 |
|
472 |
292 |
$3K |
| 73130 |
|
472 |
320 |
$3K |
| 73564 |
|
396 |
266 |
$3K |
| 72040 |
|
359 |
304 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
33 |
28 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
105 |
44 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
51 |
$2K |
| 93227 |
|
112 |
93 |
$2K |
| 76830 |
Ultrasound, transvaginal |
51 |
50 |
$1K |
| 93925 |
|
30 |
26 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
33 |
27 |
$1K |
| 81003 |
|
1,893 |
1,308 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$965.64 |
| 97597 |
|
54 |
25 |
$782.88 |
| 72052 |
|
42 |
42 |
$587.88 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
672 |
640 |
$567.70 |
| 72110 |
|
53 |
52 |
$524.63 |
| 73502 |
|
67 |
53 |
$459.65 |
| 71250 |
|
15 |
13 |
$415.84 |
| 94016 |
|
24 |
24 |
$370.66 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$353.58 |
| 72050 |
|
25 |
25 |
$273.77 |
| 99218 |
|
14 |
13 |
$270.19 |
| 76000 |
|
13 |
12 |
$247.98 |
| 93272 |
|
12 |
12 |
$215.55 |
| 74022 |
|
28 |
25 |
$172.45 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
12 |
$103.24 |
| 74019 |
|
13 |
12 |
$94.05 |
| 73565 |
|
20 |
13 |
$75.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
38 |
$32.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
14 |
$3.18 |
| 99217 |
|
90 |
81 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
159 |
158 |
$0.00 |