| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
10,707 |
9,646 |
$2.82M |
| 99236 |
Prolong inpt eval add15 m |
11,321 |
10,680 |
$2.73M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,344 |
2,989 |
$1.55M |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
2,663 |
1,705 |
$1.33M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
3,529 |
3,295 |
$903K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,209 |
5,960 |
$645K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,535 |
8,878 |
$643K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,407 |
3,136 |
$499K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,719 |
3,374 |
$336K |
| 99220 |
|
8,912 |
8,096 |
$324K |
| 71045 |
Radiologic examination, chest; single view |
35,689 |
27,354 |
$319K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,357 |
6,118 |
$300K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,139 |
2,025 |
$224K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,870 |
5,632 |
$217K |
| 99233 |
Prolong inpt eval add15 m |
1,415 |
1,151 |
$192K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,271 |
1,114 |
$183K |
| 99217 |
|
6,198 |
5,909 |
$176K |
| 71046 |
Radiologic examination, chest; 2 views |
11,916 |
11,448 |
$167K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,832 |
1,729 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,790 |
2,637 |
$149K |
| 99235 |
|
506 |
471 |
$129K |
| 00731 |
|
1,315 |
855 |
$125K |
| 00104 |
|
1,284 |
689 |
$122K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
966 |
931 |
$118K |
| 99219 |
|
2,784 |
2,665 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
503 |
487 |
$89K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,903 |
1,778 |
$88K |
| 76642 |
|
1,900 |
1,603 |
$82K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
292 |
277 |
$67K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,421 |
1,372 |
$67K |
| 76830 |
Ultrasound, transvaginal |
732 |
711 |
$63K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
768 |
719 |
$58K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
712 |
687 |
$54K |
| 76641 |
|
953 |
608 |
$48K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
329 |
315 |
$44K |
| 71250 |
|
685 |
648 |
$37K |
| 76770 |
|
512 |
495 |
$34K |
| 77065 |
Tomosynthesis, mammo |
688 |
597 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
610 |
472 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,012 |
919 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
408 |
391 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
190 |
178 |
$28K |
| 00812 |
|
255 |
182 |
$26K |
| 76818 |
|
410 |
257 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
319 |
282 |
$24K |
| 99205 |
Prolong outpt/office vis |
184 |
177 |
$24K |
| 77062 |
|
499 |
344 |
$24K |
| 19083 |
|
27 |
24 |
$23K |
| 77066 |
Tomosynthesis, mammo |
370 |
327 |
$23K |
| 74018 |
|
1,901 |
1,512 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,642 |
1,483 |
$19K |
| 77061 |
|
488 |
316 |
$19K |
| 99225 |
|
1,068 |
785 |
$18K |
| 93971 |
|
686 |
647 |
$17K |
| 73630 |
|
1,273 |
1,102 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,565 |
1,419 |
$15K |
| 00797 |
|
38 |
25 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
680 |
588 |
$14K |
| 76506 |
|
328 |
290 |
$14K |
| 73610 |
|
879 |
795 |
$13K |
| 99460 |
|
222 |
184 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
557 |
511 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
197 |
176 |
$11K |
| 93975 |
|
193 |
184 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
71 |
63 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
404 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
132 |
66 |
$10K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
106 |
94 |
$10K |
| 73030 |
|
706 |
619 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
19 |
14 |
$8K |
| 73130 |
|
569 |
480 |
$8K |
| 76775 |
|
161 |
149 |
$8K |
| 73562 |
|
590 |
455 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
50 |
50 |
$7K |
| 00811 |
|
43 |
38 |
$7K |
| 00813 |
|
65 |
55 |
$7K |
| 70496 |
|
64 |
60 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
524 |
515 |
$6K |
| 77080 |
|
700 |
665 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
138 |
133 |
$5K |
| 99053 |
|
5,011 |
4,520 |
$5K |
| 73221 |
|
29 |
28 |
$5K |
| 70498 |
|
50 |
47 |
$5K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
54 |
51 |
$5K |
| 99464 |
|
145 |
84 |
$4K |
| 71271 |
|
74 |
74 |
$4K |
| 76536 |
|
115 |
112 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
38 |
38 |
$4K |
| 01922 |
|
20 |
13 |
$3K |
| 73564 |
|
147 |
124 |
$3K |
| 73590 |
|
411 |
343 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
213 |
203 |
$2K |
| 99215 |
Prolong outpt/office vis |
70 |
66 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
25 |
$2K |
| 93886 |
|
27 |
26 |
$2K |
| 73700 |
|
34 |
31 |
$2K |
| 73110 |
|
135 |
124 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
12 |
$2K |
| 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) |
186 |
150 |
$2K |
| 72141 |
|
15 |
14 |
$2K |
| 76870 |
|
27 |
26 |
$2K |
| 73502 |
|
125 |
115 |
$2K |
| 64488 |
|
12 |
12 |
$1K |
| 93970 |
|
24 |
24 |
$1K |
| 93320 |
|
54 |
50 |
$1K |
| 95813 |
|
13 |
12 |
$1K |
| 99386 |
|
42 |
42 |
$1K |
| 94010 |
|
45 |
44 |
$1K |
| 78306 |
|
27 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
117 |
$1K |
| 73718 |
|
32 |
26 |
$1K |
| 72100 |
|
41 |
40 |
$819.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
209 |
$810.30 |
| 73560 |
|
105 |
76 |
$802.79 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
407 |
316 |
$768.67 |
| 76820 |
|
25 |
12 |
$703.20 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
14 |
$699.42 |
| 99462 |
|
29 |
13 |
$676.78 |
| 93325 |
|
91 |
85 |
$621.23 |
| 99226 |
|
20 |
15 |
$595.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
36 |
$588.83 |
| 78226 |
|
13 |
12 |
$509.17 |
| 73552 |
|
31 |
25 |
$427.52 |
| 77072 |
|
24 |
24 |
$403.62 |
| 99385 |
|
16 |
16 |
$387.32 |
| 73090 |
|
27 |
25 |
$340.74 |
| 93925 |
|
13 |
12 |
$277.18 |
| 3008F |
|
263 |
245 |
$250.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$234.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
239 |
235 |
$126.05 |
| 93042 |
|
31 |
28 |
$21.76 |
| 96161 |
|
165 |
156 |
$9.16 |
| 0502F |
|
473 |
360 |
$0.00 |
| 1160F |
|
177 |
157 |
$0.00 |
| 3078F |
|
58 |
55 |
$0.00 |
| 1159F |
|
219 |
198 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
170 |
169 |
$0.00 |
| 3074F |
|
69 |
65 |
$0.00 |