| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,801 |
10,683 |
$925K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,202 |
6,138 |
$808K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,355 |
6,020 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,631 |
7,223 |
$405K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,941 |
2,925 |
$122K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,619 |
1,528 |
$66K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,311 |
3,251 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
192 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
278 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
357 |
357 |
$12K |
| 76801 |
|
198 |
198 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
155 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
161 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
124 |
124 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
343 |
343 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
89 |
89 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,065 |
934 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
153 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
282 |
281 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
117 |
117 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
88 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
544 |
535 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
66 |
65 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
29 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
113 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$3K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
12 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
25 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
14 |
$2K |
| 99221 |
|
18 |
18 |
$2K |
| 99442 |
|
38 |
30 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$1K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
56 |
$1K |
| 76813 |
|
18 |
18 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$966.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$888.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
45 |
28 |
$607.84 |
| 76536 |
|
28 |
28 |
$568.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
85 |
85 |
$540.33 |
| 76642 |
|
14 |
14 |
$409.43 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$389.57 |
| 76770 |
|
13 |
13 |
$357.83 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
16 |
$343.10 |
| 59025 |
Fetal non-stress test |
12 |
12 |
$340.82 |
| 74018 |
|
41 |
41 |
$330.27 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$256.52 |
| 99406 |
|
26 |
26 |
$250.65 |
| 99051 |
|
12 |
12 |
$69.30 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$18.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$0.00 |
| 90686 |
|
22 |
22 |
$0.00 |