| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,323 |
6,447 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,440 |
4,861 |
$373K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,580 |
1,439 |
$180K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,744 |
2,545 |
$138K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,254 |
2,070 |
$134K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,324 |
3,914 |
$112K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,357 |
1,270 |
$80K |
| 31231 |
|
394 |
357 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
11,344 |
9,442 |
$62K |
| 99215 |
Prolong outpt/office vis |
665 |
608 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
947 |
360 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
556 |
471 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
144 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
597 |
493 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
521 |
476 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,224 |
1,151 |
$11K |
| 99205 |
Prolong outpt/office vis |
62 |
52 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
277 |
244 |
$7K |
| 92504 |
|
230 |
194 |
$6K |
| 96127 |
|
341 |
302 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
386 |
372 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
40 |
38 |
$4K |
| 93975 |
|
93 |
82 |
$3K |
| 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) |
100 |
99 |
$3K |
| 71250 |
|
228 |
216 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
402 |
263 |
$2K |
| 99385 |
|
14 |
12 |
$2K |
| 74018 |
|
180 |
165 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
57 |
15 |
$1K |
| 81003 |
|
72 |
64 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
126 |
125 |
$908.73 |
| 85610 |
|
146 |
87 |
$780.49 |
| 76830 |
Ultrasound, transvaginal |
28 |
26 |
$725.78 |
| 73610 |
|
110 |
101 |
$676.05 |
| 73630 |
|
119 |
109 |
$655.07 |
| 93793 |
|
145 |
99 |
$625.49 |
| 70486 |
|
18 |
12 |
$585.60 |
| 95251 |
|
29 |
27 |
$564.27 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
21 |
13 |
$555.07 |
| 3074F |
|
6,302 |
5,694 |
$545.00 |
| 99221 |
|
27 |
25 |
$460.14 |
| 92567 |
|
24 |
24 |
$399.36 |
| 90662 |
|
40 |
39 |
$326.40 |
| 90682 |
|
31 |
31 |
$306.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$289.41 |
| 90686 |
|
17 |
13 |
$276.91 |
| 73130 |
|
40 |
38 |
$256.26 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
32 |
$252.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$226.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$172.26 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
24 |
$160.45 |
| 73560 |
|
33 |
30 |
$132.38 |
| 73110 |
|
16 |
13 |
$75.30 |
| 3044F |
|
384 |
345 |
$20.00 |
| 3079F |
|
419 |
392 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| 3078F |
|
4,721 |
4,263 |
$0.00 |