| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
245,483 |
99,770 |
$7.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125,137 |
119,381 |
$5.22M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
43,166 |
41,607 |
$2.29M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
100,116 |
48,375 |
$2.07M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
201,375 |
170,059 |
$1.35M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
22,518 |
8,076 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,700 |
37,224 |
$1.11M |
| 99215 |
Prolong outpt/office vis |
24,711 |
22,221 |
$1.07M |
| 99223 |
Prolong inpt eval add15 m |
13,522 |
12,798 |
$796K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,062 |
6,724 |
$527K |
| 99255 |
|
4,679 |
4,471 |
$446K |
| 99254 |
|
6,086 |
5,846 |
$436K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12,728 |
12,029 |
$433K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
7,645 |
7,352 |
$395K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
12,330 |
6,196 |
$343K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,755 |
1,679 |
$179K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,333 |
2,290 |
$177K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
971 |
922 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,839 |
2,689 |
$130K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,998 |
1,956 |
$124K |
| 90961 |
|
2,758 |
2,627 |
$119K |
| 20610 |
|
2,610 |
1,652 |
$103K |
| 93295 |
|
2,068 |
2,010 |
$77K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,230 |
1,166 |
$76K |
| 94010 |
|
11,670 |
11,219 |
$75K |
| 93298 |
|
4,127 |
3,961 |
$70K |
| 11721 |
|
4,351 |
4,100 |
$64K |
| 20611 |
|
1,171 |
968 |
$63K |
| 93458 |
|
572 |
543 |
$57K |
| 94618 |
|
3,731 |
3,578 |
$46K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,692 |
1,580 |
$42K |
| 99205 |
Prolong outpt/office vis |
599 |
585 |
$40K |
| 90945 |
|
922 |
361 |
$40K |
| 99243 |
|
677 |
664 |
$39K |
| 94726 |
|
9,528 |
9,156 |
$32K |
| 99245 |
|
312 |
302 |
$30K |
| 93308 |
|
1,436 |
1,363 |
$29K |
| 95251 |
|
1,748 |
1,671 |
$29K |
| 93000 |
|
2,337 |
2,250 |
$28K |
| 94729 |
|
9,091 |
8,725 |
$28K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
125 |
105 |
$27K |
| 17311 |
|
130 |
119 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,278 |
3,126 |
$24K |
| 93272 |
|
1,077 |
1,059 |
$24K |
| 99451 |
|
1,184 |
1,130 |
$19K |
| 99242 |
|
449 |
446 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,603 |
3,088 |
$15K |
| 93321 |
|
2,608 |
2,498 |
$15K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
166 |
140 |
$13K |
| 99152 |
|
1,550 |
1,446 |
$12K |
| 91037 |
|
266 |
254 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
604 |
540 |
$12K |
| 91010 |
|
336 |
322 |
$12K |
| 99253 |
|
229 |
218 |
$11K |
| 76536 |
|
606 |
588 |
$10K |
| 99217 |
|
452 |
438 |
$10K |
| 95811 |
|
141 |
138 |
$9K |
| 93356 |
|
855 |
830 |
$9K |
| 93325 |
|
2,427 |
2,334 |
$9K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
96 |
94 |
$9K |
| 93018 |
|
1,125 |
1,072 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
495 |
472 |
$8K |
| 96900 |
|
1,065 |
535 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
680 |
403 |
$8K |
| 43235 |
|
71 |
69 |
$7K |
| 93016 |
|
539 |
510 |
$7K |
| 82962 |
|
3,652 |
3,417 |
$7K |
| J2785 |
Injection, regadenoson, 0.1 mg |
40 |
39 |
$7K |
| 75561 |
|
76 |
71 |
$6K |
| 97802 |
|
86 |
80 |
$6K |
| 93294 |
|
329 |
317 |
$6K |
| 90937 |
|
82 |
50 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
219 |
176 |
$5K |
| 11100 |
|
152 |
141 |
$5K |
| 99349 |
|
143 |
133 |
$4K |
| 91120 |
|
78 |
76 |
$4K |
| 91122 |
|
80 |
78 |
$3K |
| 94060 |
|
294 |
286 |
$3K |
| 36416 |
|
1,909 |
1,834 |
$3K |
| 90962 |
|
80 |
77 |
$3K |
| 11900 |
|
84 |
78 |
$3K |
| 90966 |
|
38 |
36 |
$2K |
| 91110 |
|
31 |
30 |
$2K |
| 73110 |
|
174 |
151 |
$2K |
| 90947 |
|
39 |
14 |
$2K |
| 91200 |
|
143 |
140 |
$2K |
| 97803 |
|
55 |
53 |
$2K |
| 17110 |
|
26 |
24 |
$2K |
| 43237 |
|
12 |
12 |
$1K |
| 93312 |
|
24 |
24 |
$1K |
| 93351 |
|
36 |
36 |
$1K |
| 93227 |
|
60 |
58 |
$1K |
| 99251 |
|
51 |
51 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
60 |
$1K |
| 91035 |
|
12 |
12 |
$862.53 |
| 93280 |
|
30 |
29 |
$812.98 |
| 90686 |
|
57 |
57 |
$759.41 |
| 38222 |
|
12 |
12 |
$734.08 |
| 93228 |
|
56 |
56 |
$726.58 |
| 99495 |
|
12 |
12 |
$641.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$517.89 |
| 99252 |
|
13 |
12 |
$513.78 |
| 99454 |
|
15 |
14 |
$494.98 |
| 36415 |
Collection of venous blood by venipuncture |
233 |
228 |
$481.14 |
| 20550 |
|
16 |
13 |
$475.41 |
| 75565 |
|
130 |
122 |
$467.08 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
14 |
13 |
$432.34 |
| 93750 |
|
47 |
12 |
$412.02 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
39 |
37 |
$268.26 |
| 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) |
179 |
168 |
$254.15 |
| 74328 |
|
15 |
13 |
$250.85 |
| 0399T |
|
193 |
187 |
$176.60 |
| 93971 |
|
12 |
12 |
$171.73 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18 |
12 |
$156.39 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$154.45 |
| 77080 |
|
44 |
42 |
$143.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
326 |
281 |
$142.92 |
| 73140 |
|
12 |
12 |
$138.60 |
| 73130 |
|
14 |
12 |
$129.18 |
| 81003 |
|
54 |
52 |
$86.82 |
| 98960 |
|
12 |
12 |
$67.20 |
| 81001 |
|
30 |
28 |
$57.67 |
| 99406 |
|
12 |
12 |
$57.50 |
| J3490 |
Unclassified drugs |
23 |
14 |
$55.43 |
| 76376 |
|
14 |
13 |
$50.43 |
| 4004F |
|
13 |
13 |
$0.00 |
| 1036F |
|
93 |
81 |
$0.00 |