| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,905 |
34,336 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,566 |
30,298 |
$2.26M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14,027 |
13,862 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,060 |
17,212 |
$880K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,954 |
2,942 |
$231K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,061 |
2,058 |
$178K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,558 |
3,545 |
$163K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,525 |
1,525 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,987 |
1,986 |
$141K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,368 |
1,367 |
$112K |
| 90682 |
|
1,210 |
1,206 |
$67K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
420 |
420 |
$60K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
430 |
430 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
573 |
573 |
$43K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
327 |
322 |
$42K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
334 |
333 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
742 |
728 |
$36K |
| 99215 |
Prolong outpt/office vis |
327 |
311 |
$31K |
| 99460 |
|
537 |
534 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
935 |
924 |
$23K |
| 99406 |
|
2,341 |
2,199 |
$22K |
| 93000 |
|
1,372 |
1,352 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
420 |
185 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
215 |
215 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
204 |
191 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
436 |
420 |
$12K |
| 94060 |
|
770 |
768 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,426 |
1,424 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,725 |
1,721 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,037 |
1,033 |
$9K |
| 20610 |
|
238 |
226 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
276 |
276 |
$8K |
| 94726 |
|
806 |
804 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
487 |
485 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,254 |
1,205 |
$7K |
| 99221 |
|
138 |
130 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
141 |
54 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
81 |
24 |
$6K |
| 54150 |
|
85 |
85 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
276 |
276 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
620 |
574 |
$5K |
| 90732 |
|
47 |
47 |
$5K |
| 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) |
524 |
487 |
$5K |
| 95806 |
|
119 |
119 |
$4K |
| 90677 |
|
15 |
15 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
249 |
245 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
48 |
45 |
$4K |
| 95811 |
|
26 |
26 |
$4K |
| 90715 |
|
70 |
70 |
$3K |
| 94729 |
|
461 |
460 |
$3K |
| 99442 |
|
79 |
78 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
307 |
306 |
$2K |
| 93227 |
|
53 |
52 |
$2K |
| 31575 |
|
28 |
28 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
16 |
16 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$2K |
| 93016 |
|
108 |
107 |
$2K |
| 59025 |
Fetal non-stress test |
52 |
45 |
$2K |
| 93018 |
|
107 |
106 |
$1K |
| 90674 |
|
39 |
39 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
78 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$954.56 |
| 99443 |
|
17 |
13 |
$858.05 |
| 71045 |
Radiologic examination, chest; single view |
142 |
134 |
$811.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$668.95 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
21 |
13 |
$558.62 |
| 94010 |
|
16 |
16 |
$432.48 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
39 |
$268.01 |
| 76642 |
|
12 |
12 |
$256.66 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
45 |
$223.36 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
46 |
45 |
$218.80 |
| 99243 |
|
16 |
16 |
$184.30 |
| 81003 |
|
66 |
66 |
$108.08 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
12 |
12 |
$94.11 |
| 76641 |
|
13 |
13 |
$91.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$85.00 |
| 81025 |
|
25 |
25 |
$50.88 |
| 81002 |
|
92 |
75 |
$43.85 |
| 92504 |
|
12 |
12 |
$42.88 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
50 |
$37.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,200 |
4,022 |
$33.63 |
| 82962 |
|
59 |
51 |
$4.65 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.12 |
| 97010 |
|
133 |
48 |
$0.00 |
| G9920 |
Screening performed and negative |
13 |
13 |
$0.00 |