| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21,855 |
21,492 |
$2.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,059 |
7,323 |
$777K |
| 88307 |
|
2,320 |
2,291 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,637 |
1,526 |
$204K |
| 88342 |
|
2,211 |
2,103 |
$80K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,296 |
7,127 |
$73K |
| 88312 |
|
601 |
594 |
$65K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
487 |
462 |
$64K |
| 88341 |
|
664 |
618 |
$56K |
| 88304 |
|
1,294 |
1,285 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
254 |
242 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
293 |
267 |
$23K |
| 84165 |
|
1,653 |
1,572 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,977 |
1,967 |
$17K |
| 86334 |
|
1,097 |
1,023 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
147 |
106 |
$14K |
| 88360 |
|
136 |
132 |
$11K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
255 |
246 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$10K |
| 88173 |
|
73 |
73 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
82 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
91 |
91 |
$8K |
| 99460 |
|
66 |
66 |
$7K |
| 93970 |
|
37 |
37 |
$6K |
| 88189 |
|
86 |
84 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
38 |
38 |
$5K |
| 93000 |
|
297 |
292 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
74 |
$4K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
15 |
15 |
$4K |
| 99215 |
Prolong outpt/office vis |
20 |
15 |
$4K |
| 93298 |
|
52 |
52 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
166 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
75 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$2K |
| 88313 |
|
59 |
59 |
$2K |
| 88112 |
|
40 |
38 |
$1K |
| 92551 |
|
80 |
80 |
$1K |
| 93296 |
|
56 |
56 |
$922.97 |
| 0002A |
|
20 |
20 |
$889.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$883.25 |
| 88172 |
|
17 |
17 |
$838.41 |
| 88311 |
|
68 |
68 |
$776.48 |
| 90674 |
|
87 |
87 |
$772.46 |
| 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) |
56 |
48 |
$679.28 |
| 93304 |
|
16 |
13 |
$663.36 |
| 99462 |
|
14 |
12 |
$650.91 |
| 85097 |
|
15 |
15 |
$575.34 |
| 88187 |
|
19 |
19 |
$494.65 |
| 88141 |
|
16 |
16 |
$414.71 |
| 93325 |
|
93 |
83 |
$393.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
55 |
$280.00 |
| 51798 |
|
13 |
12 |
$231.25 |
| 93321 |
|
17 |
14 |
$140.59 |
| 36415 |
Collection of venous blood by venipuncture |
2,988 |
2,845 |
$121.90 |
| 90686 |
|
383 |
383 |
$80.12 |
| 90656 |
|
27 |
27 |
$23.53 |
| 90687 |
|
12 |
12 |
$0.00 |
| 90461 |
|
193 |
193 |
$0.00 |
| 99173 |
|
104 |
104 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |