| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,656 |
8,266 |
$635K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,223 |
14,504 |
$511K |
| 99223 |
Prolong inpt eval add15 m |
5,160 |
5,008 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,102 |
8,363 |
$407K |
| 99233 |
Prolong inpt eval add15 m |
7,463 |
3,757 |
$334K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,490 |
5,454 |
$270K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,907 |
1,807 |
$259K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,734 |
8,725 |
$253K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60,779 |
52,765 |
$229K |
| 99220 |
|
1,673 |
1,591 |
$169K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,781 |
8,772 |
$138K |
| 71045 |
Radiologic examination, chest; single view |
28,496 |
26,465 |
$122K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,390 |
6,239 |
$115K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,726 |
1,242 |
$110K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,363 |
2,297 |
$101K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,127 |
1,066 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,355 |
2,046 |
$71K |
| 59025 |
Fetal non-stress test |
2,176 |
1,607 |
$65K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,992 |
1,964 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
9,085 |
9,013 |
$56K |
| 76642 |
|
2,503 |
2,202 |
$51K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,234 |
1,223 |
$50K |
| 99217 |
|
1,175 |
1,130 |
$46K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,485 |
1,217 |
$41K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,079 |
2,062 |
$38K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
575 |
538 |
$37K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
806 |
800 |
$32K |
| 76830 |
Ultrasound, transvaginal |
1,337 |
1,332 |
$31K |
| 76813 |
|
721 |
709 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,330 |
1,326 |
$31K |
| 99462 |
|
629 |
551 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
483 |
474 |
$27K |
| 99460 |
|
238 |
236 |
$24K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,453 |
1,443 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
549 |
549 |
$20K |
| 77066 |
Tomosynthesis, mammo |
747 |
728 |
$20K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
282 |
280 |
$19K |
| 77065 |
Tomosynthesis, mammo |
822 |
783 |
$18K |
| 49083 |
|
379 |
229 |
$17K |
| 71250 |
|
738 |
738 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
402 |
381 |
$14K |
| 76536 |
|
768 |
766 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
509 |
501 |
$11K |
| 71271 |
|
465 |
465 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
251 |
240 |
$10K |
| 81002 |
|
3,543 |
3,181 |
$10K |
| 76770 |
|
524 |
523 |
$9K |
| 59426 |
|
13 |
13 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
186 |
185 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
267 |
267 |
$7K |
| 76801 |
|
151 |
151 |
$6K |
| 62323 |
|
92 |
92 |
$5K |
| 73630 |
|
1,022 |
962 |
$5K |
| 99443 |
|
274 |
264 |
$5K |
| 72100 |
|
751 |
747 |
$4K |
| 99225 |
|
288 |
151 |
$4K |
| 73221 |
|
95 |
92 |
$4K |
| 93971 |
|
369 |
364 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
120 |
120 |
$4K |
| 59430 |
|
24 |
24 |
$3K |
| 64493 |
|
76 |
64 |
$3K |
| 99215 |
Prolong outpt/office vis |
67 |
63 |
$3K |
| 93975 |
|
78 |
78 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
74 |
$3K |
| 27096 |
|
59 |
55 |
$3K |
| 73610 |
|
473 |
458 |
$3K |
| 73030 |
|
406 |
383 |
$2K |
| 77080 |
|
477 |
476 |
$2K |
| 99221 |
|
67 |
66 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
68 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 76982 |
|
82 |
82 |
$2K |
| 99226 |
|
20 |
13 |
$1K |
| 91200 |
|
166 |
166 |
$1K |
| 76881 |
|
52 |
43 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
51 |
51 |
$1K |
| 20553 |
|
56 |
55 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
82 |
82 |
$790.79 |
| 72040 |
|
110 |
106 |
$744.57 |
| 73130 |
|
126 |
118 |
$703.09 |
| 99464 |
|
12 |
12 |
$653.64 |
| 93016 |
|
84 |
84 |
$630.33 |
| 70498 |
|
13 |
13 |
$559.78 |
| 72141 |
|
12 |
12 |
$519.66 |
| 95816 |
|
15 |
15 |
$491.26 |
| 73502 |
|
107 |
104 |
$449.85 |
| 64494 |
|
32 |
26 |
$428.32 |
| 99442 |
|
27 |
27 |
$418.66 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$402.50 |
| 76882 |
|
30 |
28 |
$378.78 |
| 73562 |
|
60 |
54 |
$338.40 |
| 94060 |
|
54 |
54 |
$335.53 |
| 93880 |
|
12 |
12 |
$307.50 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
12 |
$286.20 |
| 93018 |
|
56 |
56 |
$267.36 |
| 94727 |
|
39 |
39 |
$251.45 |
| 94729 |
|
50 |
50 |
$221.69 |
| 73110 |
|
37 |
37 |
$211.18 |
| 76775 |
|
19 |
19 |
$209.10 |
| 77062 |
|
12 |
12 |
$207.24 |
| 93970 |
|
15 |
14 |
$192.74 |
| 72070 |
|
26 |
26 |
$176.60 |
| 99441 |
|
24 |
24 |
$164.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$122.70 |
| 77085 |
|
27 |
27 |
$113.90 |
| 76000 |
|
13 |
12 |
$106.92 |
| 73564 |
|
24 |
24 |
$105.24 |
| 81025 |
|
13 |
13 |
$89.55 |
| 73140 |
|
12 |
12 |
$59.88 |
| 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) |
22 |
20 |
$45.28 |
| 99152 |
|
24 |
24 |
$34.67 |
| 0502F |
|
167 |
150 |
$0.00 |