| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
39,728 |
32,265 |
$3.53M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
36,723 |
30,703 |
$2.44M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,602 |
7,370 |
$1.00M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,635 |
16,357 |
$854K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,219 |
16,442 |
$84K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,538 |
694 |
$38K |
| 12001 |
|
522 |
441 |
$37K |
| 12011 |
|
276 |
245 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
864 |
811 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
435 |
380 |
$17K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
238 |
30 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
783 |
328 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
930 |
$14K |
| 12002 |
|
174 |
148 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
289 |
284 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
169 |
157 |
$5K |
| 90961 |
|
98 |
98 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
210 |
152 |
$4K |
| 49083 |
|
19 |
12 |
$4K |
| 99215 |
Prolong outpt/office vis |
129 |
125 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
167 |
163 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
100 |
93 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
292 |
256 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,158 |
729 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
129 |
126 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
307 |
149 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
151 |
145 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
77 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
189 |
74 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
111 |
99 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
138 |
134 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
117 |
114 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
31 |
31 |
$2K |
| 99221 |
|
84 |
82 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
76 |
$1K |
| 10061 |
|
13 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
407 |
380 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
118 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
63 |
61 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
114 |
31 |
$917.69 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
39 |
39 |
$905.64 |
| 71250 |
|
57 |
56 |
$805.62 |
| G0008 |
Administration of influenza virus vaccine |
128 |
30 |
$696.55 |
| 90962 |
|
19 |
19 |
$695.19 |
| 90832 |
Psychotherapy, 30 minutes with patient |
89 |
79 |
$676.69 |
| 99220 |
|
18 |
15 |
$649.54 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
44 |
$630.31 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
44 |
28 |
$621.23 |
| 90834 |
Psychotherapy, 45 minutes with patient |
50 |
39 |
$581.61 |
| 93042 |
|
106 |
103 |
$438.60 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
21 |
12 |
$430.05 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37 |
30 |
$425.24 |
| 99442 |
|
39 |
38 |
$360.64 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
17 |
$346.84 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
29 |
$327.02 |
| 88342 |
|
34 |
34 |
$278.15 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
16 |
$274.02 |
| A0425 |
Ground mileage, per statute mile |
18 |
18 |
$256.68 |
| 74018 |
|
124 |
95 |
$248.79 |
| 99217 |
|
17 |
17 |
$231.68 |
| 88307 |
|
13 |
12 |
$223.46 |
| 00731 |
|
15 |
13 |
$218.42 |
| 73630 |
|
115 |
91 |
$214.17 |
| 76770 |
|
29 |
28 |
$213.38 |
| 99307 |
|
18 |
16 |
$206.96 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
33 |
$180.23 |
| 99053 |
|
1,900 |
1,520 |
$147.00 |
| 36620 |
|
16 |
13 |
$141.28 |
| 73502 |
|
55 |
51 |
$135.69 |
| 99152 |
|
53 |
46 |
$124.07 |
| 74019 |
|
31 |
27 |
$120.13 |
| 73030 |
|
30 |
27 |
$115.92 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
19 |
19 |
$112.20 |
| 73610 |
|
46 |
40 |
$106.95 |
| 11721 |
|
14 |
14 |
$91.84 |
| 93971 |
|
14 |
14 |
$79.41 |
| 73562 |
|
28 |
25 |
$58.93 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
14 |
$57.09 |
| 72100 |
|
17 |
17 |
$38.43 |
| 73110 |
|
13 |
12 |
$29.91 |
| 11719 |
|
12 |
12 |
$14.63 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
461 |
420 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,314 |
1,949 |
$0.00 |
| 85048 |
|
19 |
19 |
$0.00 |
| 83970 |
|
12 |
12 |
$0.00 |
| 85041 |
|
19 |
19 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
918 |
824 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
260 |
249 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
18 |
18 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
16 |
16 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
23 |
23 |
$0.00 |