| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,643 |
12,320 |
$636K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,177 |
4,143 |
$380K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,469 |
4,407 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,874 |
12,279 |
$339K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,014 |
3,951 |
$149K |
| 71045 |
Radiologic examination, chest; single view |
17,082 |
16,711 |
$143K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,935 |
3,875 |
$117K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
550 |
543 |
$112K |
| 99215 |
Prolong outpt/office vis |
1,278 |
1,238 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,122 |
3,897 |
$104K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,803 |
1,783 |
$90K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,015 |
995 |
$82K |
| 71046 |
Radiologic examination, chest; 2 views |
7,424 |
7,367 |
$74K |
| 99205 |
Prolong outpt/office vis |
566 |
564 |
$66K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,070 |
1,055 |
$40K |
| 88304 |
|
472 |
417 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
708 |
704 |
$15K |
| 93793 |
|
963 |
648 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
788 |
732 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
643 |
628 |
$12K |
| 76641 |
|
289 |
282 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
106 |
102 |
$8K |
| 73610 |
|
1,153 |
1,109 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
259 |
241 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
61 |
$7K |
| 73130 |
|
988 |
956 |
$6K |
| 99243 |
|
71 |
71 |
$6K |
| 73110 |
|
888 |
851 |
$5K |
| 73630 |
|
826 |
805 |
$5K |
| 76830 |
Ultrasound, transvaginal |
209 |
207 |
$4K |
| 76801 |
|
124 |
114 |
$4K |
| 73560 |
|
765 |
739 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
67 |
$3K |
| 72170 |
|
575 |
567 |
$3K |
| 98966 |
|
279 |
242 |
$3K |
| 73030 |
|
324 |
311 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
71 |
$2K |
| 77066 |
Tomosynthesis, mammo |
41 |
40 |
$2K |
| 96367 |
|
44 |
29 |
$2K |
| 99201 |
|
58 |
58 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
44 |
44 |
$1K |
| 78451 |
|
42 |
42 |
$1K |
| 73590 |
|
187 |
175 |
$1K |
| 20610 |
|
14 |
12 |
$824.27 |
| 74018 |
|
123 |
116 |
$816.73 |
| 73562 |
|
144 |
142 |
$774.60 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$687.86 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$541.59 |
| 73070 |
|
94 |
83 |
$526.71 |
| 70486 |
|
13 |
13 |
$439.08 |
| 73502 |
|
41 |
36 |
$377.91 |
| 29700 |
|
12 |
12 |
$374.77 |
| 76536 |
|
28 |
28 |
$370.98 |
| 76770 |
|
13 |
13 |
$300.24 |
| 76000 |
|
39 |
39 |
$175.75 |
| 72100 |
|
12 |
12 |
$114.63 |
| 72040 |
|
12 |
12 |
$102.84 |