| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228,374 |
213,570 |
$25.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,259 |
107,135 |
$9.07M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
47,127 |
44,932 |
$7.82M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27,686 |
26,113 |
$7.00M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
73,569 |
26,877 |
$6.95M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
73,903 |
70,141 |
$6.26M |
| 99233 |
Prolong inpt eval add15 m |
38,188 |
15,722 |
$5.29M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16,217 |
15,597 |
$2.75M |
| 99215 |
Prolong outpt/office vis |
14,277 |
12,528 |
$2.36M |
| 99223 |
Prolong inpt eval add15 m |
8,757 |
8,069 |
$2.13M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,573 |
2,836 |
$2.11M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21,095 |
20,310 |
$1.86M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,337 |
5,156 |
$1.17M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
93,484 |
80,625 |
$1.16M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,520 |
11,198 |
$1.01M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,302 |
2,257 |
$1.00M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,520 |
6,111 |
$899K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
9,458 |
8,858 |
$859K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,010 |
3,836 |
$692K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,965 |
1,895 |
$665K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,424 |
7,343 |
$635K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
9,187 |
8,469 |
$608K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,701 |
3,396 |
$606K |
| 88307 |
|
5,382 |
5,258 |
$603K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,439 |
2,356 |
$583K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14,185 |
13,387 |
$581K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
656 |
651 |
$558K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,565 |
6,060 |
$552K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,295 |
5,013 |
$529K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13,611 |
8,495 |
$525K |
| 99254 |
|
1,548 |
1,450 |
$395K |
| 88342 |
|
7,365 |
7,062 |
$394K |
| 95811 |
|
2,172 |
2,094 |
$393K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
7,217 |
6,992 |
$378K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,045 |
2,824 |
$369K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,835 |
1,797 |
$342K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,044 |
1,007 |
$336K |
| 99255 |
|
1,412 |
1,063 |
$335K |
| 20610 |
|
4,897 |
4,415 |
$330K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,804 |
7,287 |
$298K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,430 |
4,931 |
$292K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,292 |
2,188 |
$274K |
| 99460 |
|
2,455 |
2,409 |
$272K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,381 |
5,180 |
$263K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,155 |
2,099 |
$206K |
| 93356 |
|
4,937 |
4,844 |
$192K |
| 20553 |
|
3,234 |
2,912 |
$182K |
| 99245 |
|
867 |
755 |
$181K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
598 |
556 |
$166K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,125 |
380 |
$150K |
| 99310 |
Prolong nursin fac eval 15m |
1,299 |
1,205 |
$149K |
| 71045 |
Radiologic examination, chest; single view |
11,571 |
8,799 |
$142K |
| 71046 |
Radiologic examination, chest; 2 views |
9,734 |
9,278 |
$141K |
| D0330 |
Panoramic radiographic image |
2,236 |
2,019 |
$139K |
| 99205 |
Prolong outpt/office vis |
611 |
580 |
$134K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,693 |
3,367 |
$131K |
| D0140 |
Limited oral evaluation - problem focused |
2,061 |
1,878 |
$119K |
| 83020 |
|
4,685 |
4,321 |
$113K |
| 93458 |
|
306 |
292 |
$103K |
| 59025 |
Fetal non-stress test |
3,548 |
3,049 |
$100K |
| 92015 |
Determination of refractive state |
4,955 |
4,311 |
$97K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,996 |
686 |
$93K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,062 |
1,027 |
$88K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
127 |
121 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
900 |
892 |
$85K |
| 95886 |
|
1,318 |
1,199 |
$84K |
| 27096 |
|
591 |
555 |
$82K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
620 |
582 |
$79K |
| 92134 |
|
3,080 |
2,888 |
$76K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
354 |
71 |
$75K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
491 |
476 |
$74K |
| 93971 |
|
3,965 |
3,674 |
$74K |
| 94726 |
|
4,845 |
4,696 |
$70K |
| 93970 |
|
2,415 |
2,273 |
$69K |
| 94060 |
|
4,282 |
4,169 |
$66K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
494 |
460 |
$64K |
| 92083 |
|
2,550 |
2,382 |
$64K |
| 64450 |
|
1,176 |
578 |
$61K |
| 92133 |
|
2,940 |
2,741 |
$60K |
| 77002 |
|
1,703 |
1,518 |
$57K |
| 62323 |
|
373 |
350 |
$56K |
| 17110 |
|
623 |
603 |
$52K |
| 43235 |
|
261 |
237 |
$51K |
| 76801 |
|
974 |
955 |
$51K |
| 64405 |
|
553 |
422 |
$51K |
| 11900 |
|
1,151 |
1,122 |
$50K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
555 |
533 |
$48K |
| 11102 |
|
809 |
758 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
818 |
745 |
$47K |
| 76820 |
|
1,836 |
1,031 |
$46K |
| 71250 |
|
590 |
569 |
$41K |
| 49083 |
|
187 |
112 |
$41K |
| 64493 |
|
191 |
151 |
$40K |
| 93016 |
|
1,606 |
1,548 |
$37K |
| 94729 |
|
3,463 |
3,385 |
$37K |
| 76830 |
Ultrasound, transvaginal |
813 |
789 |
$34K |
| 99243 |
|
205 |
199 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
946 |
892 |
$34K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
353 |
230 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
276 |
258 |
$33K |
| 93018 |
|
1,873 |
1,795 |
$32K |
| 99152 |
|
1,023 |
899 |
$28K |
| 17000 |
|
562 |
549 |
$28K |
| 74018 |
|
2,215 |
1,757 |
$26K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
148 |
135 |
$26K |
| 84165 |
|
901 |
853 |
$25K |
| 88141 |
|
754 |
737 |
$24K |
| 71271 |
|
274 |
266 |
$24K |
| 59514 |
|
26 |
26 |
$23K |
| 76813 |
|
419 |
399 |
$22K |
| 59430 |
|
80 |
78 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
371 |
368 |
$20K |
| 92002 |
|
279 |
258 |
$20K |
| 93308 |
|
597 |
569 |
$19K |
| 95819 |
|
274 |
264 |
$19K |
| 64494 |
|
161 |
99 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
468 |
454 |
$16K |
| 11100 |
|
263 |
239 |
$16K |
| 98928 |
|
200 |
173 |
$15K |
| 93923 |
|
647 |
634 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
186 |
168 |
$14K |
| 73630 |
|
1,234 |
1,068 |
$14K |
| 85060 |
|
331 |
308 |
$13K |
| 76770 |
|
263 |
257 |
$12K |
| 20552 |
|
260 |
226 |
$12K |
| 93880 |
|
321 |
315 |
$12K |
| 73030 |
|
970 |
866 |
$11K |
| 94375 |
|
876 |
840 |
$10K |
| 99462 |
|
188 |
158 |
$10K |
| 54150 |
|
58 |
58 |
$9K |
| 93228 |
|
364 |
360 |
$9K |
| 73562 |
|
770 |
673 |
$9K |
| 20611 |
|
85 |
77 |
$9K |
| 17311 |
|
12 |
12 |
$8K |
| 64495 |
|
73 |
43 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
140 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
122 |
121 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
129 |
80 |
$8K |
| 95813 |
|
74 |
71 |
$8K |
| 90970 |
|
97 |
75 |
$7K |
| 73130 |
|
621 |
530 |
$6K |
| 93321 |
|
699 |
656 |
$6K |
| 73610 |
|
560 |
506 |
$6K |
| 73502 |
|
393 |
364 |
$6K |
| 88341 |
|
56 |
51 |
$5K |
| 99221 |
|
45 |
41 |
$5K |
| 88304 |
|
322 |
319 |
$5K |
| 90961 |
|
16 |
15 |
$5K |
| 99406 |
|
311 |
291 |
$5K |
| 95251 |
|
184 |
175 |
$5K |
| 93272 |
|
139 |
132 |
$4K |
| 76825 |
|
42 |
41 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$4K |
| 98927 |
|
68 |
65 |
$4K |
| 76376 |
|
349 |
344 |
$4K |
| 99318 |
|
40 |
36 |
$3K |
| 93325 |
|
829 |
778 |
$3K |
| 95909 |
|
30 |
30 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
62 |
58 |
$3K |
| 99220 |
|
13 |
13 |
$3K |
| 74183 |
|
17 |
16 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$3K |
| 76536 |
|
79 |
78 |
$3K |
| 93312 |
|
24 |
24 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
77 |
70 |
$3K |
| 99443 |
|
160 |
134 |
$3K |
| 95816 |
|
37 |
36 |
$3K |
| 11101 |
|
61 |
55 |
$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) |
816 |
793 |
$3K |
| 17004 |
|
26 |
25 |
$2K |
| 17003 |
|
251 |
245 |
$2K |
| 51701 |
|
57 |
57 |
$2K |
| 73110 |
|
220 |
192 |
$2K |
| 91010 |
|
25 |
25 |
$2K |
| 10005 |
|
16 |
16 |
$2K |
| 93248 |
|
83 |
83 |
$2K |
| 93244 |
|
72 |
71 |
$2K |
| 72170 |
|
169 |
165 |
$2K |
| 70486 |
|
32 |
31 |
$2K |
| 95806 |
|
47 |
47 |
$2K |
| 95910 |
|
15 |
13 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
13 |
$2K |
| 11303 |
|
13 |
13 |
$2K |
| 76827 |
|
42 |
41 |
$2K |
| 73590 |
|
136 |
118 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 76519 |
|
66 |
42 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$1K |
| 99442 |
|
142 |
126 |
$1K |
| 88302 |
|
103 |
100 |
$1K |
| 93925 |
|
26 |
26 |
$1K |
| 72100 |
|
70 |
70 |
$1K |
| 72131 |
|
15 |
15 |
$1K |
| D0170 |
|
41 |
37 |
$891.52 |
| 11103 |
|
13 |
13 |
$872.85 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$834.92 |
| 92020 |
|
29 |
26 |
$739.07 |
| 88312 |
|
13 |
13 |
$723.13 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
25 |
$678.46 |
| 91200 |
|
59 |
58 |
$674.38 |
| 90966 |
|
12 |
12 |
$663.01 |
| 72110 |
|
38 |
38 |
$637.75 |
| 11056 |
|
21 |
16 |
$552.84 |
| 73080 |
|
54 |
49 |
$521.48 |
| 77080 |
|
31 |
30 |
$473.15 |
| 73565 |
|
54 |
50 |
$447.69 |
| 77001 |
|
13 |
12 |
$398.37 |
| 92082 |
|
14 |
13 |
$383.53 |
| 76937 |
|
16 |
15 |
$374.72 |
| 11721 |
|
140 |
118 |
$317.68 |
| 73564 |
|
17 |
16 |
$305.89 |
| 70355 |
|
32 |
31 |
$251.74 |
| 76514 |
|
31 |
27 |
$206.70 |
| 1123F |
|
851 |
747 |
$198.50 |
| 73552 |
|
16 |
14 |
$180.66 |
| 73140 |
|
15 |
14 |
$122.35 |
| 99441 |
|
32 |
24 |
$95.29 |
| G9920 |
Screening performed and negative |
199 |
180 |
$0.00 |
| 1124F |
|
326 |
281 |
$0.00 |