| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50,136 |
49,673 |
$4.65M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
76,094 |
75,220 |
$3.78M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26,240 |
10,422 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,644 |
21,849 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,327 |
28,332 |
$1.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,171 |
6,092 |
$730K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17,957 |
17,728 |
$537K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
71,437 |
60,144 |
$466K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,172 |
5,083 |
$415K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,364 |
10,916 |
$316K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,015 |
5,972 |
$261K |
| 71045 |
Radiologic examination, chest; single view |
38,818 |
32,187 |
$246K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,807 |
3,774 |
$236K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,537 |
821 |
$226K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,225 |
3,224 |
$172K |
| 71046 |
Radiologic examination, chest; 2 views |
20,726 |
20,604 |
$169K |
| 76818 |
|
3,410 |
1,859 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,738 |
2,735 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,475 |
3,410 |
$146K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,585 |
3,361 |
$129K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
6,998 |
6,796 |
$115K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,371 |
1,367 |
$110K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,122 |
2,833 |
$90K |
| 99215 |
Prolong outpt/office vis |
1,006 |
838 |
$90K |
| 59425 |
|
1,415 |
1,252 |
$90K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,944 |
1,933 |
$81K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,105 |
2,085 |
$72K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,198 |
3,198 |
$70K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,035 |
1,027 |
$68K |
| 76641 |
|
1,832 |
1,524 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
981 |
447 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,208 |
3,089 |
$53K |
| 99442 |
|
1,061 |
1,037 |
$48K |
| 99223 |
Prolong inpt eval add15 m |
528 |
516 |
$46K |
| 99221 |
|
739 |
726 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,380 |
1,379 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
329 |
$34K |
| 77066 |
Tomosynthesis, mammo |
825 |
824 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
404 |
398 |
$23K |
| 70486 |
|
653 |
644 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
604 |
602 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
875 |
853 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
503 |
464 |
$16K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
94 |
94 |
$14K |
| 99443 |
|
261 |
240 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
246 |
246 |
$13K |
| 73610 |
|
2,102 |
1,928 |
$13K |
| 76830 |
Ultrasound, transvaginal |
523 |
521 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
425 |
407 |
$12K |
| 73630 |
|
2,058 |
1,861 |
$12K |
| 70496 |
|
218 |
187 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
536 |
534 |
$11K |
| 70498 |
|
200 |
195 |
$10K |
| 99460 |
|
155 |
155 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
254 |
252 |
$9K |
| 73562 |
|
1,420 |
1,212 |
$9K |
| 92002 |
|
360 |
357 |
$9K |
| 76770 |
|
432 |
432 |
$8K |
| 73130 |
|
1,250 |
1,139 |
$8K |
| 71250 |
|
261 |
260 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
369 |
369 |
$7K |
| 94727 |
|
943 |
942 |
$6K |
| 94060 |
|
917 |
917 |
$6K |
| 72100 |
|
842 |
842 |
$6K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
39 |
39 |
$6K |
| 94729 |
|
1,109 |
1,108 |
$6K |
| 99218 |
|
76 |
75 |
$6K |
| 73030 |
|
873 |
838 |
$6K |
| 73110 |
|
787 |
723 |
$5K |
| 99441 |
|
392 |
389 |
$5K |
| 99235 |
|
43 |
40 |
$4K |
| 88307 |
|
57 |
55 |
$4K |
| 92250 |
|
313 |
310 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
94 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
118 |
51 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
81 |
81 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
59 |
59 |
$3K |
| 88304 |
|
305 |
289 |
$3K |
| 95813 |
|
55 |
38 |
$3K |
| 74019 |
|
303 |
303 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
466 |
435 |
$2K |
| 73590 |
|
398 |
372 |
$2K |
| 57452 |
|
37 |
37 |
$2K |
| 76820 |
|
126 |
66 |
$2K |
| 76642 |
|
69 |
63 |
$2K |
| 93923 |
|
133 |
129 |
$2K |
| 99253 |
|
15 |
15 |
$1K |
| 74018 |
|
177 |
136 |
$1K |
| 77080 |
|
318 |
318 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
57 |
57 |
$1K |
| 94010 |
|
181 |
181 |
$923.27 |
| 76775 |
|
57 |
57 |
$901.88 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$901.00 |
| 71047 |
|
78 |
76 |
$756.91 |
| 93971 |
|
39 |
39 |
$677.28 |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$655.66 |
| 99451 |
|
28 |
28 |
$638.23 |
| 99217 |
|
13 |
12 |
$628.03 |
| 72141 |
|
14 |
14 |
$577.86 |
| 76536 |
|
36 |
36 |
$577.51 |
| 76376 |
|
71 |
70 |
$514.07 |
| 92083 |
|
38 |
38 |
$456.68 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$447.94 |
| 73090 |
|
81 |
80 |
$446.05 |
| 73080 |
|
66 |
62 |
$409.60 |
| 59025 |
Fetal non-stress test |
29 |
13 |
$389.25 |
| 93970 |
|
14 |
14 |
$353.17 |
| 73564 |
|
40 |
36 |
$333.98 |
| 73502 |
|
41 |
40 |
$322.59 |
| 20610 |
|
14 |
14 |
$259.98 |
| 71101 |
|
27 |
26 |
$258.54 |
| 93308 |
|
13 |
13 |
$257.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
19 |
$251.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
153 |
153 |
$249.60 |
| 94726 |
|
31 |
31 |
$229.31 |
| 72040 |
|
27 |
27 |
$205.89 |
| 92202 |
|
24 |
24 |
$196.04 |
| 76857 |
|
14 |
14 |
$180.41 |
| 29580 |
|
16 |
12 |
$146.21 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
52 |
44 |
$139.93 |
| 93321 |
|
29 |
24 |
$136.03 |
| 72170 |
|
24 |
24 |
$135.19 |
| 99252 |
|
27 |
26 |
$119.76 |
| 92133 |
|
14 |
14 |
$98.72 |
| 73100 |
|
14 |
12 |
$92.85 |
| 93325 |
|
30 |
25 |
$60.21 |
| 88300 |
|
12 |
12 |
$29.28 |
| 99051 |
|
47 |
46 |
$7.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
63 |
63 |
$0.00 |
| 3008F |
|
634 |
629 |
$0.00 |
| 99024 |
|
62 |
50 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
86 |
86 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
24 |
$0.00 |
| 1170F |
|
188 |
187 |
$0.00 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
13 |
13 |
$0.00 |
| 3074F |
|
27 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,500 |
4,385 |
$0.00 |
| 99080 |
|
1,025 |
260 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
88 |
88 |
$0.00 |
| 3078F |
|
378 |
377 |
$0.00 |
| 0502F |
|
143 |
130 |
$0.00 |
| 1159F |
|
125 |
123 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
56 |
56 |
$0.00 |
| 3725F |
|
28 |
28 |
$0.00 |
| 81025 |
|
19 |
19 |
$0.00 |