| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,427 |
45,323 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,151 |
37,499 |
$1.82M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,915 |
9,180 |
$423K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,634 |
7,411 |
$338K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,489 |
7,131 |
$290K |
| 99215 |
Prolong outpt/office vis |
5,714 |
4,819 |
$253K |
| 99223 |
Prolong inpt eval add15 m |
3,953 |
3,753 |
$252K |
| 99233 |
Prolong inpt eval add15 m |
7,925 |
3,692 |
$233K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,743 |
5,435 |
$193K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,347 |
3,973 |
$178K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,706 |
2,589 |
$169K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,590 |
4,302 |
$157K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,030 |
17,844 |
$142K |
| H1000 |
Prenatal care, at-risk assessment |
1,059 |
925 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,869 |
1,782 |
$132K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,809 |
1,724 |
$117K |
| 20610 |
|
2,424 |
1,934 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,824 |
1,722 |
$85K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
929 |
877 |
$84K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,721 |
2,546 |
$70K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,560 |
1,486 |
$62K |
| 99255 |
|
688 |
638 |
$57K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,731 |
1,632 |
$57K |
| 93970 |
|
1,928 |
1,753 |
$54K |
| 27096 |
|
882 |
825 |
$53K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
525 |
461 |
$51K |
| 76820 |
|
2,155 |
1,186 |
$42K |
| 76818 |
|
539 |
254 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
375 |
373 |
$37K |
| 62323 |
|
517 |
504 |
$33K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
509 |
472 |
$33K |
| 95251 |
|
1,379 |
1,323 |
$28K |
| 99254 |
|
357 |
340 |
$27K |
| 77014 |
|
1,059 |
189 |
$25K |
| 95816 |
|
746 |
710 |
$24K |
| 93971 |
|
1,215 |
1,145 |
$23K |
| 59410 |
|
26 |
25 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
238 |
233 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
235 |
140 |
$20K |
| 95720 |
|
165 |
86 |
$19K |
| 93000 |
|
1,828 |
1,739 |
$18K |
| 93296 |
|
1,522 |
1,450 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
244 |
208 |
$17K |
| 52000 |
|
244 |
234 |
$17K |
| 93295 |
|
513 |
487 |
$16K |
| 59025 |
Fetal non-stress test |
701 |
605 |
$16K |
| 81025 |
|
2,575 |
2,291 |
$16K |
| 58662 |
|
47 |
41 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
914 |
671 |
$14K |
| 76830 |
Ultrasound, transvaginal |
203 |
192 |
$14K |
| 93356 |
|
1,742 |
1,681 |
$13K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,108 |
953 |
$13K |
| 95886 |
|
311 |
298 |
$12K |
| 59515 |
|
12 |
12 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
109 |
106 |
$11K |
| 20553 |
|
299 |
271 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
167 |
162 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,027 |
1,802 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,891 |
1,803 |
$9K |
| 62321 |
|
105 |
103 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
624 |
533 |
$8K |
| 76801 |
|
128 |
124 |
$7K |
| 93298 |
|
484 |
452 |
$7K |
| 93297 |
|
532 |
493 |
$6K |
| 97803 |
|
170 |
168 |
$5K |
| 99406 |
|
508 |
426 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
24 |
24 |
$5K |
| 93294 |
|
228 |
223 |
$4K |
| 36226 |
|
13 |
13 |
$4K |
| 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) |
9,319 |
8,640 |
$4K |
| 73630 |
|
220 |
178 |
$4K |
| 77427 |
|
52 |
27 |
$3K |
| 99385 |
|
41 |
38 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
264 |
91 |
$3K |
| 43249 |
|
31 |
31 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
45 |
43 |
$3K |
| 11721 |
|
159 |
156 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
58 |
24 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
113 |
107 |
$2K |
| 36224 |
|
13 |
13 |
$2K |
| 93880 |
|
100 |
98 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
36 |
$1K |
| 93923 |
|
89 |
84 |
$1K |
| 95822 |
|
58 |
47 |
$1K |
| 93922 |
|
112 |
110 |
$1K |
| 73610 |
|
85 |
79 |
$1K |
| 36227 |
|
13 |
13 |
$1K |
| 95819 |
|
26 |
25 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 93016 |
|
65 |
62 |
$903.14 |
| 99152 |
|
122 |
105 |
$878.00 |
| 64483 |
|
13 |
13 |
$793.74 |
| 94375 |
|
95 |
88 |
$700.43 |
| 77002 |
|
28 |
26 |
$696.84 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
33 |
29 |
$532.54 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
72 |
65 |
$512.51 |
| 93308 |
|
18 |
15 |
$457.25 |
| 81003 |
|
330 |
310 |
$441.64 |
| 99253 |
|
13 |
12 |
$429.61 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
14 |
$394.26 |
| 93018 |
|
38 |
38 |
$378.67 |
| 90715 |
|
12 |
12 |
$376.89 |
| 73030 |
|
18 |
17 |
$308.74 |
| 99221 |
|
13 |
13 |
$307.08 |
| 76937 |
|
55 |
41 |
$304.62 |
| 94729 |
|
94 |
87 |
$268.65 |
| 94726 |
|
91 |
84 |
$261.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
12 |
$253.25 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
50 |
48 |
$234.79 |
| 72110 |
|
14 |
13 |
$211.15 |
| 73560 |
|
20 |
15 |
$202.91 |
| 51798 |
|
12 |
12 |
$112.62 |
| 81002 |
|
45 |
43 |
$109.99 |
| J3490 |
Unclassified drugs |
78 |
70 |
$76.31 |
| 99024 |
|
467 |
363 |
$0.00 |
| 0503F |
|
40 |
30 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
79 |
59 |
$0.00 |