| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,134 |
24,348 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,159 |
18,599 |
$819K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,925 |
4,357 |
$209K |
| 20610 |
|
4,100 |
3,450 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,488 |
2,285 |
$145K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,724 |
1,416 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,207 |
1,126 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,223 |
1,805 |
$91K |
| 88307 |
|
1,320 |
1,192 |
$69K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,311 |
6,185 |
$53K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,337 |
1,206 |
$50K |
| 43248 |
|
406 |
340 |
$41K |
| 99215 |
Prolong outpt/office vis |
711 |
648 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
957 |
343 |
$35K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,623 |
4,071 |
$32K |
| 99205 |
Prolong outpt/office vis |
281 |
252 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,062 |
967 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
389 |
357 |
$25K |
| 93000 |
|
1,863 |
1,646 |
$23K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
183 |
154 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
3,796 |
2,766 |
$13K |
| 76830 |
Ultrasound, transvaginal |
377 |
355 |
$13K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$11K |
| 95806 |
|
116 |
109 |
$11K |
| 99243 |
|
126 |
124 |
$11K |
| 59410 |
|
13 |
12 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
186 |
175 |
$9K |
| 59025 |
Fetal non-stress test |
306 |
237 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
43 |
38 |
$8K |
| 88112 |
|
193 |
175 |
$7K |
| 99459 |
|
578 |
523 |
$6K |
| 51798 |
|
827 |
736 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
192 |
181 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
153 |
37 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
144 |
121 |
$5K |
| 81025 |
|
807 |
728 |
$5K |
| 88304 |
|
629 |
596 |
$5K |
| 73562 |
|
187 |
170 |
$4K |
| 93458 |
|
26 |
25 |
$4K |
| 45384 |
|
13 |
13 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
123 |
25 |
$3K |
| 93880 |
|
43 |
39 |
$2K |
| 99406 |
|
357 |
328 |
$2K |
| 94060 |
|
160 |
154 |
$2K |
| 00731 |
|
30 |
28 |
$2K |
| 76801 |
|
77 |
72 |
$2K |
| 58558 |
|
18 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 95811 |
|
14 |
13 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 93018 |
|
96 |
88 |
$1K |
| 00811 |
|
14 |
13 |
$1K |
| 82951 |
|
93 |
66 |
$1K |
| 94726 |
|
149 |
142 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
45 |
$1K |
| 93016 |
|
50 |
48 |
$1K |
| 81003 |
|
1,637 |
1,356 |
$909.84 |
| 99242 |
|
16 |
13 |
$884.51 |
| 51701 |
|
24 |
24 |
$827.74 |
| 99443 |
|
54 |
51 |
$826.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
128 |
107 |
$808.22 |
| 93350 |
|
12 |
12 |
$725.82 |
| 94729 |
|
149 |
144 |
$718.12 |
| 99156 |
|
20 |
18 |
$697.51 |
| 88108 |
|
54 |
37 |
$689.41 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
26 |
$633.20 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$568.75 |
| 93227 |
|
26 |
25 |
$564.86 |
| 73560 |
|
26 |
24 |
$555.90 |
| 93922 |
|
28 |
26 |
$543.32 |
| 88302 |
|
52 |
40 |
$326.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
13 |
$291.38 |
| 69210 |
|
14 |
12 |
$226.07 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
18 |
$156.60 |
| 87210 |
|
51 |
36 |
$147.54 |
| 1034F |
|
4,685 |
3,816 |
$21.25 |
| 3074F |
|
18,787 |
15,390 |
$6.33 |
| 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) |
99 |
90 |
$6.16 |
| 3078F |
|
18,011 |
14,719 |
$6.05 |
| 99024 |
|
6,394 |
4,717 |
$5.71 |
| 3079F |
|
2,928 |
2,602 |
$1.33 |
| 3075F |
|
1,027 |
920 |
$0.70 |
| 3077F |
|
337 |
291 |
$0.26 |
| 1036F |
|
20,435 |
16,256 |
$0.00 |
| 3008F |
|
30,566 |
24,850 |
$0.00 |
| 1035F |
|
2,201 |
1,690 |
$0.00 |
| 0503F |
|
27 |
24 |
$0.00 |
| 90686 |
|
34 |
28 |
$0.00 |
| 1160F |
|
16,811 |
13,418 |
$0.00 |
| 1159F |
|
16,806 |
13,414 |
$0.00 |
| 1090F |
|
295 |
266 |
$0.00 |