| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,186 |
25,662 |
$2.72M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,600 |
9,722 |
$1.95M |
| 99233 |
Prolong inpt eval add15 m |
13,139 |
2,969 |
$1.29M |
| 99215 |
Prolong outpt/office vis |
10,811 |
8,477 |
$1.03M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,498 |
6,034 |
$839K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,937 |
8,909 |
$573K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
997 |
924 |
$261K |
| 99223 |
Prolong inpt eval add15 m |
1,449 |
1,175 |
$253K |
| 99205 |
Prolong outpt/office vis |
1,100 |
1,061 |
$180K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,019 |
945 |
$98K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
997 |
275 |
$98K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,550 |
11,631 |
$95K |
| 93000 |
|
10,576 |
9,892 |
$91K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
279 |
37 |
$84K |
| 76770 |
|
668 |
642 |
$72K |
| 76825 |
|
348 |
309 |
$57K |
| H1000 |
Prenatal care, at-risk assessment |
854 |
559 |
$55K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
419 |
381 |
$41K |
| 99255 |
|
110 |
96 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
545 |
512 |
$35K |
| 93304 |
|
209 |
191 |
$29K |
| 90670 |
|
106 |
95 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,138 |
655 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
140 |
$12K |
| 99254 |
|
87 |
78 |
$12K |
| 59425 |
|
97 |
67 |
$10K |
| 99243 |
|
283 |
275 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
116 |
105 |
$7K |
| 94010 |
|
518 |
470 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
104 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
40 |
40 |
$6K |
| 76827 |
|
350 |
310 |
$6K |
| 85060 |
|
191 |
166 |
$6K |
| 93325 |
|
687 |
578 |
$4K |
| 94060 |
|
262 |
255 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
18 |
13 |
$4K |
| 76775 |
|
55 |
52 |
$3K |
| 90461 |
|
349 |
306 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
63 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
401 |
372 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
186 |
$2K |
| 85007 |
|
748 |
605 |
$2K |
| 81002 |
|
1,303 |
1,186 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
12 |
12 |
$2K |
| 59430 |
|
27 |
26 |
$2K |
| 94726 |
|
149 |
143 |
$1K |
| 96450 |
|
14 |
12 |
$1K |
| 90716 |
|
16 |
14 |
$1K |
| 93320 |
|
42 |
30 |
$1K |
| 90698 |
|
137 |
128 |
$948.91 |
| 93321 |
|
68 |
60 |
$944.22 |
| 85044 |
|
434 |
422 |
$768.05 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$670.85 |
| 36415 |
Collection of venous blood by venipuncture |
313 |
295 |
$593.29 |
| 93225 |
|
57 |
54 |
$325.86 |
| 93227 |
|
16 |
16 |
$325.68 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
21 |
15 |
$259.06 |
| 94729 |
|
26 |
26 |
$255.68 |
| 90707 |
|
15 |
13 |
$103.11 |
| 90633 |
|
43 |
39 |
$102.42 |
| 36416 |
|
1,724 |
1,389 |
$37.00 |
| 99000 |
|
1,152 |
961 |
$25.40 |
| J7050 |
Infusion, normal saline solution, 250 cc |
19 |
14 |
$2.02 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
22 |
16 |
$0.00 |
| 90680 |
|
43 |
38 |
$0.00 |
| 96381 |
|
125 |
119 |
$0.00 |
| 96523 |
|
23 |
16 |
$0.00 |