| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,513 |
74,042 |
$5.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,755 |
17,953 |
$1.70M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,344 |
6,286 |
$1.07M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,969 |
4,811 |
$702K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,777 |
2,755 |
$503K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,980 |
3,398 |
$446K |
| 76813 |
|
2,815 |
2,811 |
$352K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,472 |
2,328 |
$323K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,111 |
3,089 |
$321K |
| 76830 |
Ultrasound, transvaginal |
2,473 |
2,322 |
$270K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,247 |
3,231 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,003 |
2,994 |
$224K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,343 |
2,314 |
$218K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,461 |
3,208 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,055 |
2,047 |
$173K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,243 |
2,017 |
$170K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,848 |
2,797 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,015 |
1,002 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,987 |
7,898 |
$144K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,853 |
3,818 |
$127K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,119 |
1,119 |
$116K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
750 |
747 |
$115K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,033 |
1,002 |
$114K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,119 |
838 |
$104K |
| 99233 |
Prolong inpt eval add15 m |
1,017 |
362 |
$91K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
861 |
855 |
$73K |
| 31231 |
|
391 |
384 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
578 |
578 |
$67K |
| 99215 |
Prolong outpt/office vis |
887 |
863 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,578 |
1,462 |
$63K |
| 76820 |
|
1,296 |
884 |
$60K |
| 99219 |
|
510 |
495 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,298 |
1,271 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
439 |
439 |
$50K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,451 |
6,613 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
331 |
324 |
$45K |
| 99460 |
|
560 |
553 |
$45K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
119 |
37 |
$43K |
| 93970 |
|
1,347 |
1,322 |
$42K |
| 92551 |
|
3,377 |
3,369 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
594 |
590 |
$38K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
164 |
81 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
473 |
449 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
321 |
320 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
557 |
557 |
$23K |
| 99442 |
|
353 |
337 |
$22K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
168 |
66 |
$18K |
| 88312 |
|
685 |
677 |
$16K |
| 69210 |
|
407 |
394 |
$14K |
| 93000 |
|
1,028 |
1,022 |
$14K |
| 99173 |
|
4,942 |
4,932 |
$13K |
| 99468 |
|
13 |
13 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,072 |
1,068 |
$12K |
| 77066 |
Tomosynthesis, mammo |
73 |
72 |
$11K |
| 90756 |
|
384 |
382 |
$9K |
| 76641 |
|
81 |
81 |
$9K |
| 99443 |
|
112 |
110 |
$8K |
| 88307 |
|
96 |
96 |
$7K |
| 76642 |
|
88 |
88 |
$7K |
| 31575 |
|
57 |
55 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
107 |
$6K |
| 96112 |
|
174 |
174 |
$6K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
53 |
13 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
15 |
$5K |
| 90674 |
|
161 |
161 |
$5K |
| 92225 |
|
221 |
158 |
$5K |
| 81002 |
|
1,818 |
1,465 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,719 |
3,591 |
$4K |
| 93015 |
|
61 |
60 |
$4K |
| 92015 |
Determination of refractive state |
1,508 |
1,494 |
$3K |
| 88304 |
|
259 |
257 |
$3K |
| 90461 |
|
327 |
315 |
$3K |
| 81025 |
|
421 |
405 |
$3K |
| 77062 |
|
67 |
66 |
$2K |
| 90688 |
|
156 |
156 |
$2K |
| 99464 |
|
39 |
39 |
$2K |
| 73562 |
|
57 |
56 |
$2K |
| 99441 |
|
49 |
43 |
$2K |
| 99220 |
|
12 |
12 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
14 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
15 |
$2K |
| 96127 |
|
337 |
327 |
$2K |
| 93971 |
|
75 |
74 |
$1K |
| 90686 |
|
2,781 |
2,775 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
28 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
133 |
104 |
$1K |
| 20610 |
|
27 |
25 |
$981.00 |
| 99221 |
|
33 |
29 |
$959.07 |
| 92226 |
|
64 |
46 |
$724.82 |
| 88342 |
|
28 |
27 |
$532.48 |
| 94727 |
|
54 |
54 |
$472.34 |
| 94729 |
|
67 |
67 |
$464.65 |
| 88313 |
|
39 |
39 |
$457.01 |
| 94060 |
|
50 |
50 |
$338.75 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
55 |
51 |
$336.66 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$322.98 |
| 90661 |
|
12 |
12 |
$315.91 |
| 90677 |
|
96 |
96 |
$298.08 |
| 36410 |
|
14 |
14 |
$249.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$208.23 |
| 90656 |
|
1,093 |
1,078 |
$184.59 |
| 81003 |
|
104 |
99 |
$148.03 |
| 93018 |
|
13 |
13 |
$137.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$110.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
144 |
138 |
$85.55 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$81.90 |
| 86580 |
|
88 |
87 |
$58.58 |
| 99401 |
|
13 |
13 |
$31.00 |
| 82962 |
|
12 |
12 |
$27.42 |
| 90670 |
|
1,195 |
1,191 |
$17.85 |
| 94761 |
|
38 |
38 |
$5.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
23 |
$1.94 |
| 99024 |
|
44 |
39 |
$0.00 |
| 90723 |
|
183 |
183 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 0501F |
|
187 |
127 |
$0.00 |
| 99000 |
|
183 |
166 |
$0.00 |
| 90651 |
|
354 |
354 |
$0.00 |
| 90620 |
|
72 |
72 |
$0.00 |
| 90697 |
|
80 |
80 |
$0.00 |
| 90657 |
|
35 |
35 |
$0.00 |
| 36000 |
|
15 |
15 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90649 |
|
47 |
46 |
$0.00 |
| 90633 |
|
353 |
353 |
$0.00 |
| 90648 |
|
553 |
551 |
$0.00 |
| 90655 |
|
113 |
113 |
$0.00 |
| 90734 |
|
194 |
194 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 0502F |
|
235 |
166 |
$0.00 |
| 90681 |
|
167 |
167 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |