| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55,611 |
53,139 |
$2.99M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27,583 |
26,038 |
$2.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,146 |
28,991 |
$915K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,677 |
16,631 |
$623K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,152 |
6,249 |
$293K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,532 |
4,309 |
$178K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,844 |
3,684 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,842 |
1,776 |
$71K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,782 |
1,077 |
$62K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,825 |
8,516 |
$57K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
569 |
508 |
$56K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,994 |
1,895 |
$48K |
| 99233 |
Prolong inpt eval add15 m |
1,816 |
661 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
3,367 |
2,956 |
$44K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
684 |
599 |
$41K |
| 88307 |
|
799 |
756 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,190 |
1,126 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
391 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
301 |
291 |
$22K |
| 87428 |
|
563 |
535 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
694 |
500 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,007 |
498 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
54 |
53 |
$13K |
| 95117 |
|
1,173 |
482 |
$13K |
| 73030 |
|
926 |
789 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
33 |
28 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
87 |
84 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
150 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
644 |
600 |
$10K |
| 88112 |
|
348 |
270 |
$9K |
| 72100 |
|
618 |
549 |
$9K |
| 73630 |
|
637 |
558 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
598 |
576 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
357 |
288 |
$8K |
| 73564 |
|
547 |
449 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
193 |
$8K |
| 73562 |
|
718 |
551 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
103 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
81 |
64 |
$8K |
| 88304 |
|
1,150 |
1,027 |
$7K |
| 76830 |
Ultrasound, transvaginal |
116 |
113 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
34 |
31 |
$6K |
| 73502 |
|
302 |
267 |
$4K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
371 |
325 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
198 |
107 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
163 |
153 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
998 |
841 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
15 |
$3K |
| 73110 |
|
257 |
216 |
$3K |
| 76642 |
|
78 |
54 |
$3K |
| 88312 |
|
185 |
166 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
827 |
741 |
$3K |
| 73610 |
|
214 |
187 |
$3K |
| 74018 |
|
214 |
192 |
$3K |
| 72040 |
|
147 |
134 |
$2K |
| 90686 |
|
850 |
829 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
61 |
$2K |
| 93000 |
|
310 |
258 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 77080 |
|
39 |
37 |
$1K |
| 81003 |
|
2,854 |
2,362 |
$1K |
| 70486 |
|
14 |
14 |
$1K |
| 82962 |
|
1,089 |
962 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 88311 |
|
177 |
163 |
$1K |
| 90461 |
|
495 |
471 |
$971.38 |
| 0072A |
|
24 |
24 |
$960.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$926.20 |
| 72110 |
|
38 |
38 |
$887.78 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$858.00 |
| 95886 |
|
21 |
13 |
$785.21 |
| 51798 |
|
155 |
125 |
$735.19 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
12 |
$718.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$703.12 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$603.48 |
| 94726 |
|
26 |
25 |
$553.77 |
| 94729 |
|
26 |
25 |
$533.88 |
| 96127 |
|
128 |
122 |
$455.48 |
| 81002 |
|
339 |
302 |
$423.55 |
| 76536 |
|
19 |
13 |
$397.74 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
14 |
$357.70 |
| 73140 |
|
35 |
28 |
$332.14 |
| 87807 |
|
27 |
26 |
$330.14 |
| 90670 |
|
83 |
79 |
$290.28 |
| 72070 |
|
13 |
13 |
$173.36 |
| 73100 |
|
13 |
13 |
$149.70 |
| 92015 |
Determination of refractive state |
16 |
14 |
$141.54 |
| 80305 |
|
31 |
28 |
$134.60 |
| 88342 |
|
15 |
12 |
$131.11 |
| 99443 |
|
12 |
12 |
$97.56 |
| 90633 |
|
37 |
36 |
$88.66 |
| 94760 |
|
44 |
40 |
$88.07 |
| 90648 |
|
83 |
79 |
$87.90 |
| 99051 |
|
93 |
78 |
$81.04 |
| 99177 |
|
26 |
24 |
$72.80 |
| 92557 |
|
12 |
12 |
$62.59 |
| 90685 |
|
24 |
24 |
$46.46 |
| 82044 |
|
14 |
13 |
$43.61 |
| 92567 |
|
13 |
13 |
$17.64 |
| 99499 |
|
3,120 |
2,898 |
$0.00 |
| 99053 |
|
77 |
73 |
$0.00 |
| 90680 |
|
15 |
13 |
$0.00 |
| 90723 |
|
15 |
13 |
$0.00 |