| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,422 |
18,234 |
$920K |
| 91320 |
|
4,801 |
4,800 |
$463K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,381 |
3,351 |
$285K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,029 |
11,923 |
$270K |
| 90480 |
|
7,119 |
7,098 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,927 |
10,422 |
$235K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,115 |
1,743 |
$174K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22,048 |
20,043 |
$142K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,368 |
1,358 |
$121K |
| G0008 |
Administration of influenza virus vaccine |
20,588 |
20,554 |
$113K |
| 0002A |
|
2,460 |
2,460 |
$94K |
| 0001A |
|
2,348 |
2,348 |
$88K |
| 90962 |
|
136 |
136 |
$77K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,941 |
1,902 |
$76K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,743 |
1,727 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,564 |
2,438 |
$72K |
| 90662 |
|
1,159 |
1,159 |
$61K |
| 71045 |
Radiologic examination, chest; single view |
8,539 |
7,786 |
$56K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
299 |
299 |
$55K |
| 0124A |
|
1,675 |
1,675 |
$49K |
| 77080 |
|
1,357 |
719 |
$48K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,249 |
3,217 |
$44K |
| 0054A |
|
1,268 |
1,267 |
$43K |
| 0064A |
|
1,143 |
1,142 |
$41K |
| 92250 |
|
2,499 |
2,486 |
$35K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
508 |
488 |
$33K |
| 0072A |
|
877 |
877 |
$32K |
| 0012A |
|
800 |
800 |
$31K |
| 0071A |
|
838 |
838 |
$31K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
155 |
143 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
684 |
675 |
$27K |
| 0004A |
|
733 |
733 |
$26K |
| 92015 |
Determination of refractive state |
5,051 |
5,031 |
$26K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
183 |
166 |
$25K |
| 0011A |
|
730 |
730 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,962 |
2,851 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
2,635 |
2,450 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
536 |
300 |
$20K |
| 0134A |
|
717 |
717 |
$18K |
| 91322 |
|
193 |
193 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
351 |
340 |
$17K |
| 92134 |
|
547 |
539 |
$16K |
| 90653 |
|
289 |
289 |
$15K |
| 90656 |
|
2,460 |
2,456 |
$14K |
| 90686 |
|
14,682 |
14,660 |
$13K |
| 0154A |
|
293 |
293 |
$10K |
| 97810 |
|
274 |
166 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
99 |
$6K |
| 0073A |
|
167 |
167 |
$6K |
| 0031A |
|
140 |
140 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
301 |
216 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
155 |
154 |
$5K |
| 0081A |
|
111 |
111 |
$4K |
| 91319 |
|
263 |
263 |
$4K |
| 91321 |
|
104 |
102 |
$4K |
| 86580 |
|
2,903 |
2,771 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
434 |
433 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
308 |
$3K |
| 91318 |
|
246 |
236 |
$3K |
| 0052A |
|
85 |
85 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,881 |
3,853 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
323 |
313 |
$3K |
| 99443 |
|
24 |
24 |
$3K |
| 0082A |
|
83 |
83 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
72 |
58 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$3K |
| 0111A |
|
82 |
82 |
$2K |
| 92002 |
|
175 |
174 |
$2K |
| 92133 |
|
65 |
65 |
$2K |
| 0112A |
|
66 |
66 |
$2K |
| 90682 |
|
1,394 |
1,393 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,062 |
456 |
$2K |
| 0051A |
|
43 |
43 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
174 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 0003A |
|
38 |
38 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
233 |
230 |
$1K |
| 70486 |
|
15 |
15 |
$882.44 |
| 93000 |
|
60 |
59 |
$850.37 |
| G0127 |
Trimming of dystrophic nails, any number |
40 |
40 |
$840.00 |
| 90674 |
|
204 |
203 |
$792.16 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
48 |
37 |
$757.00 |
| 90694 |
|
468 |
468 |
$747.00 |
| 90677 |
|
25 |
24 |
$595.62 |
| 73030 |
|
26 |
24 |
$581.08 |
| 0083A |
|
49 |
49 |
$581.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
65 |
$565.58 |
| 73630 |
|
57 |
47 |
$472.88 |
| 72100 |
|
13 |
13 |
$468.78 |
| 73610 |
|
31 |
25 |
$449.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
217 |
215 |
$408.00 |
| 74018 |
|
14 |
12 |
$335.06 |
| 73560 |
|
28 |
26 |
$314.80 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$298.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
26 |
$283.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
60 |
37 |
$269.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
258 |
$143.96 |
| 96156 |
|
27 |
26 |
$139.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$89.80 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
452 |
434 |
$89.40 |
| 90785 |
|
12 |
12 |
$66.00 |
| 90658 |
|
157 |
152 |
$45.12 |
| 99070 |
|
17 |
17 |
$40.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
53 |
$37.60 |
| 99221 |
|
19 |
18 |
$37.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$34.97 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
22 |
15 |
$27.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$18.00 |
| 90734 |
|
25 |
25 |
$9.00 |
| G9920 |
Screening performed and negative |
563 |
556 |
$0.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$0.00 |
| 0172A |
|
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90691 |
|
15 |
15 |
$0.00 |
| 95800 |
|
36 |
36 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$0.00 |
| 1036F |
|
518 |
497 |
$0.00 |
| 88142 |
|
451 |
451 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
192 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$0.00 |
| 99441 |
|
61 |
60 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
196 |
135 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
32 |
25 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$0.00 |
| 95806 |
|
12 |
12 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
43 |
22 |
$0.00 |