| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,834 |
14,245 |
$721K |
| 91320 |
|
6,250 |
6,248 |
$715K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,299 |
4,311 |
$406K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,577 |
3,555 |
$339K |
| 90480 |
|
8,982 |
8,979 |
$339K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,535 |
4,500 |
$213K |
| 90962 |
|
359 |
351 |
$198K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
870 |
807 |
$195K |
| G0008 |
Administration of influenza virus vaccine |
18,507 |
18,494 |
$170K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,396 |
2,367 |
$169K |
| 71046 |
Radiologic examination, chest; 2 views |
5,959 |
5,139 |
$116K |
| 90662 |
|
1,827 |
1,827 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
1,406 |
$100K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,335 |
10,868 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,856 |
4,681 |
$79K |
| 99397 |
|
251 |
246 |
$71K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,343 |
1,327 |
$64K |
| 97810 |
|
1,570 |
1,045 |
$61K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
899 |
662 |
$61K |
| 77080 |
|
1,461 |
736 |
$60K |
| 92015 |
Determination of refractive state |
7,298 |
7,276 |
$55K |
| 0124A |
|
2,273 |
2,273 |
$55K |
| 0002A |
|
1,364 |
1,364 |
$53K |
| 0001A |
|
1,390 |
1,390 |
$53K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
183 |
182 |
$47K |
| 92250 |
|
2,194 |
2,192 |
$45K |
| 0064A |
|
1,291 |
1,291 |
$43K |
| 91322 |
|
480 |
480 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
434 |
427 |
$33K |
| 0054A |
|
1,251 |
1,251 |
$33K |
| 0004A |
|
788 |
788 |
$31K |
| 99442 |
|
1,802 |
1,792 |
$29K |
| 99215 |
Prolong outpt/office vis |
311 |
296 |
$29K |
| 90686 |
|
11,997 |
11,990 |
$28K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,295 |
869 |
$28K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
154 |
134 |
$25K |
| 0071A |
|
632 |
632 |
$25K |
| 0012A |
|
654 |
654 |
$25K |
| 0072A |
|
614 |
614 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
517 |
$23K |
| 0011A |
|
658 |
658 |
$22K |
| 99441 |
|
744 |
690 |
$22K |
| 92002 |
|
446 |
445 |
$20K |
| 90653 |
|
315 |
315 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,854 |
2,358 |
$17K |
| 0134A |
|
746 |
746 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
55 |
55 |
$14K |
| 90656 |
|
2,196 |
2,196 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
629 |
554 |
$12K |
| 92134 |
|
240 |
235 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,618 |
3,578 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
150 |
150 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
20 |
12 |
$10K |
| 90679 |
|
68 |
68 |
$10K |
| 76830 |
Ultrasound, transvaginal |
117 |
83 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
209 |
154 |
$9K |
| 73630 |
|
489 |
430 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
480 |
478 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
61 |
56 |
$8K |
| 95800 |
|
129 |
127 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,084 |
1,079 |
$8K |
| 0031A |
|
185 |
185 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
62 |
62 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
27 |
26 |
$7K |
| 72100 |
|
198 |
198 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
179 |
$6K |
| 73030 |
|
248 |
216 |
$6K |
| 0154A |
|
174 |
174 |
$6K |
| 86580 |
|
2,166 |
2,054 |
$5K |
| 0081A |
|
138 |
138 |
$5K |
| 0073A |
|
123 |
123 |
$5K |
| 73564 |
|
210 |
149 |
$5K |
| 99387 |
|
12 |
12 |
$4K |
| 0111A |
|
139 |
139 |
$4K |
| 0082A |
|
116 |
116 |
$4K |
| 99307 |
|
207 |
172 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
99 |
$3K |
| 73130 |
|
218 |
186 |
$3K |
| 73110 |
|
192 |
175 |
$3K |
| 73610 |
|
167 |
150 |
$3K |
| 99443 |
|
38 |
38 |
$3K |
| 0112A |
|
86 |
86 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
58 |
53 |
$3K |
| 91318 |
|
199 |
197 |
$2K |
| 90694 |
|
369 |
369 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
373 |
197 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$2K |
| 90682 |
|
768 |
765 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
38 |
$2K |
| 0003A |
|
48 |
48 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$2K |
| 76642 |
|
13 |
13 |
$2K |
| 91319 |
|
193 |
193 |
$2K |
| 98968 |
|
44 |
37 |
$2K |
| 0052A |
|
49 |
49 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
103 |
87 |
$2K |
| 93015 |
|
25 |
25 |
$1K |
| 73560 |
|
92 |
83 |
$1K |
| 93971 |
|
15 |
12 |
$1K |
| 90882 |
|
15 |
12 |
$1K |
| 88342 |
|
15 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$1K |
| 0164A |
|
28 |
28 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$995.00 |
| 73502 |
|
33 |
33 |
$989.10 |
| 96040 |
|
16 |
16 |
$945.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
85 |
84 |
$884.74 |
| 99417 |
Prolong home eval add 15m |
59 |
52 |
$845.00 |
| 99386 |
|
12 |
12 |
$720.00 |
| 90674 |
|
71 |
71 |
$598.00 |
| 74018 |
|
101 |
97 |
$567.13 |
| 72040 |
|
34 |
34 |
$544.40 |
| 92567 |
|
48 |
48 |
$531.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
51 |
38 |
$520.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
253 |
251 |
$478.00 |
| 0083A |
|
37 |
37 |
$431.00 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13 |
13 |
$385.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
30 |
24 |
$333.00 |
| 64615 |
|
51 |
51 |
$320.00 |
| 0051A |
|
13 |
13 |
$280.00 |
| 93976 |
|
56 |
33 |
$278.35 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
80 |
66 |
$182.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
482 |
460 |
$142.50 |
| 90661 |
|
17 |
17 |
$112.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$109.34 |
| 73080 |
|
16 |
16 |
$104.55 |
| 90750 |
|
14 |
14 |
$90.00 |
| 90785 |
|
32 |
27 |
$88.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
176 |
174 |
$85.92 |
| 17999 |
|
384 |
383 |
$66.00 |
| 98967 |
|
88 |
87 |
$60.00 |
| 91321 |
|
78 |
78 |
$31.50 |
| 90648 |
|
12 |
12 |
$27.00 |
| 73140 |
|
13 |
13 |
$25.00 |
| 90658 |
|
123 |
123 |
$9.00 |
| G9920 |
Screening performed and negative |
711 |
707 |
$0.01 |
| 1036F |
|
292 |
288 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
215 |
146 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
508 |
306 |
$0.00 |
| 90749 |
|
68 |
68 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |