| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,339 |
25,231 |
$928K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,568 |
15,779 |
$645K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,982 |
5,055 |
$371K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,508 |
5,201 |
$310K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,422 |
4,840 |
$251K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,003 |
893 |
$112K |
| 99205 |
Prolong outpt/office vis |
976 |
805 |
$75K |
| 88312 |
|
2,759 |
2,304 |
$67K |
| 20610 |
|
2,552 |
1,880 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
1,207 |
966 |
$66K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,352 |
1,185 |
$44K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,776 |
939 |
$43K |
| 88304 |
|
2,619 |
2,358 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
10,089 |
8,107 |
$35K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
971 |
771 |
$31K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,310 |
1,048 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
563 |
496 |
$29K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
540 |
497 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
947 |
845 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,901 |
3,633 |
$26K |
| 88141 |
|
1,533 |
1,370 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
522 |
393 |
$23K |
| 99215 |
Prolong outpt/office vis |
387 |
331 |
$20K |
| 88112 |
|
932 |
764 |
$19K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
110 |
99 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,105 |
955 |
$18K |
| 73560 |
|
1,547 |
1,225 |
$17K |
| 81003 |
|
14,560 |
10,354 |
$16K |
| 73030 |
|
1,538 |
1,278 |
$14K |
| 99220 |
|
272 |
219 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
913 |
425 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
461 |
444 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
475 |
405 |
$11K |
| 76830 |
Ultrasound, transvaginal |
383 |
368 |
$10K |
| 73130 |
|
1,195 |
955 |
$10K |
| 73630 |
|
1,418 |
1,166 |
$9K |
| 81025 |
|
1,776 |
1,523 |
$9K |
| 93000 |
|
1,077 |
857 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
363 |
307 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
451 |
405 |
$8K |
| 73110 |
|
669 |
533 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
987 |
623 |
$7K |
| 11721 |
|
1,188 |
802 |
$7K |
| 73610 |
|
941 |
786 |
$7K |
| 88307 |
|
154 |
127 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
43 |
40 |
$6K |
| 88142 |
|
688 |
500 |
$6K |
| 73562 |
|
774 |
632 |
$5K |
| 31231 |
|
68 |
63 |
$5K |
| 99219 |
|
101 |
97 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,060 |
890 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
75 |
$4K |
| 29880 |
|
14 |
12 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
131 |
120 |
$4K |
| 72100 |
|
483 |
454 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
88 |
53 |
$4K |
| 76000 |
|
218 |
197 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
56 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,984 |
2,414 |
$3K |
| 74018 |
|
513 |
472 |
$3K |
| 94060 |
|
276 |
259 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
40 |
$3K |
| 94726 |
|
282 |
264 |
$3K |
| 94618 |
|
289 |
193 |
$2K |
| 94729 |
|
265 |
248 |
$2K |
| 11730 |
|
46 |
41 |
$2K |
| 93970 |
|
42 |
42 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
58 |
48 |
$2K |
| 76770 |
|
74 |
69 |
$2K |
| 99385 |
|
32 |
24 |
$2K |
| 74420 |
|
67 |
62 |
$2K |
| 51798 |
|
172 |
145 |
$1K |
| 11056 |
|
102 |
73 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
42 |
41 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,769 |
2,054 |
$1K |
| 76801 |
|
43 |
37 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
117 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$1K |
| 88302 |
|
90 |
83 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
12 |
$953.22 |
| 59430 |
|
12 |
12 |
$888.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
293 |
$855.00 |
| 71250 |
|
30 |
26 |
$838.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
12 |
$836.61 |
| 85018 |
|
632 |
384 |
$737.01 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
24 |
12 |
$633.79 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
15 |
$575.85 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
15 |
$575.85 |
| 74241 |
|
22 |
22 |
$530.77 |
| 90461 |
|
502 |
245 |
$519.25 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
20 |
$501.13 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
15 |
$466.82 |
| 99304 |
|
61 |
36 |
$459.14 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
67 |
46 |
$454.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$444.82 |
| 82962 |
|
251 |
215 |
$395.28 |
| 73502 |
|
41 |
38 |
$331.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
28 |
$316.46 |
| 93971 |
|
16 |
12 |
$305.04 |
| 74019 |
|
41 |
40 |
$289.81 |
| 76536 |
|
16 |
13 |
$276.33 |
| 83015 |
|
88 |
56 |
$268.70 |
| 93225 |
|
24 |
23 |
$260.00 |
| 51741 |
|
15 |
12 |
$238.08 |
| 88300 |
|
55 |
50 |
$235.03 |
| 81002 |
|
165 |
94 |
$211.31 |
| 94727 |
|
24 |
23 |
$188.66 |
| 93016 |
|
15 |
15 |
$148.45 |
| 99217 |
|
285 |
244 |
$142.85 |
| 99406 |
|
160 |
76 |
$112.20 |
| 93018 |
|
14 |
14 |
$100.62 |
| 72040 |
|
12 |
12 |
$93.74 |
| 73590 |
|
15 |
12 |
$84.59 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
638 |
501 |
$69.63 |
| 73090 |
|
14 |
12 |
$64.48 |
| 90474 |
|
27 |
12 |
$63.91 |
| 88311 |
|
17 |
12 |
$51.81 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
117 |
73 |
$26.29 |
| 3074F |
|
981 |
780 |
$25.00 |
| 36416 |
|
636 |
328 |
$19.74 |
| 90647 |
|
256 |
182 |
$11.50 |
| 3078F |
|
748 |
583 |
$10.00 |
| 0296T |
|
91 |
77 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
316 |
260 |
$0.00 |
| 90633 |
|
230 |
153 |
$0.00 |
| 0298T |
|
56 |
53 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
437 |
369 |
$0.00 |
| 90710 |
|
23 |
17 |
$0.00 |
| 90670 |
|
414 |
273 |
$0.00 |
| 1159F |
|
249 |
195 |
$0.00 |
| 1160F |
|
250 |
196 |
$0.00 |
| 3077F |
|
54 |
40 |
$0.00 |
| 90681 |
|
25 |
13 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,918 |
1,561 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
220 |
192 |
$0.00 |
| 1036F |
|
1,047 |
843 |
$0.00 |
| 3079F |
|
267 |
198 |
$0.00 |
| 99000 |
|
176 |
134 |
$0.00 |
| 90723 |
|
143 |
94 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
1,023 |
781 |
$0.00 |
| 99024 |
|
1,745 |
1,371 |
$0.00 |
| 90686 |
|
147 |
119 |
$0.00 |
| 1034F |
|
107 |
71 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
77 |
30 |
$0.00 |
| 99407 |
|
39 |
34 |
$0.00 |