| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,857 |
12,460 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,090 |
15,914 |
$986K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,327 |
11,194 |
$668K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,479 |
5,727 |
$489K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,116 |
1,861 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,982 |
1,809 |
$119K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,587 |
1,407 |
$104K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
782 |
679 |
$98K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,781 |
2,586 |
$92K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
643 |
604 |
$67K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
932 |
832 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
438 |
393 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,130 |
1,064 |
$34K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,849 |
5,101 |
$33K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
515 |
499 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
307 |
222 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
312 |
297 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
878 |
822 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
379 |
187 |
$16K |
| 11721 |
|
1,153 |
1,087 |
$15K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
168 |
144 |
$12K |
| 00813 |
|
74 |
68 |
$11K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
97 |
79 |
$11K |
| 45384 |
|
77 |
68 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
404 |
380 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
148 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
222 |
84 |
$10K |
| 92134 |
|
484 |
460 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
648 |
612 |
$8K |
| 00731 |
|
55 |
52 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
72 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
24 |
$4K |
| 88342 |
|
197 |
124 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
29 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
68 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$3K |
| 99460 |
|
42 |
38 |
$2K |
| 93971 |
|
28 |
24 |
$2K |
| 99382 |
|
14 |
14 |
$2K |
| 90686 |
|
133 |
130 |
$2K |
| 90474 |
|
82 |
79 |
$2K |
| 99217 |
|
29 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
50 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
26 |
$800.01 |
| 20610 |
|
15 |
12 |
$701.19 |
| 17110 |
|
13 |
12 |
$640.63 |
| 88304 |
|
48 |
41 |
$405.29 |
| 93244 |
|
18 |
18 |
$308.13 |
| 83655 |
|
15 |
15 |
$307.90 |
| 93016 |
|
12 |
12 |
$188.53 |
| 93018 |
|
12 |
12 |
$125.61 |
| 90670 |
|
208 |
193 |
$123.92 |
| 99173 |
|
28 |
27 |
$97.59 |
| 99305 |
|
13 |
12 |
$92.16 |
| 90698 |
|
46 |
40 |
$16.62 |
| 90648 |
|
96 |
93 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99024 |
|
683 |
523 |
$0.00 |
| 90680 |
|
115 |
110 |
$0.00 |
| 90723 |
|
71 |
68 |
$0.00 |