| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,103 |
24,471 |
$2.87M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,966 |
3,900 |
$541K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,566 |
7,411 |
$509K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,615 |
4,542 |
$251K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,083 |
4,990 |
$222K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,270 |
2,235 |
$159K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,555 |
639 |
$117K |
| 76641 |
|
2,956 |
2,502 |
$112K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
818 |
765 |
$107K |
| 99233 |
Prolong inpt eval add15 m |
1,052 |
440 |
$106K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,704 |
2,701 |
$96K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,922 |
2,808 |
$86K |
| 99223 |
Prolong inpt eval add15 m |
474 |
434 |
$79K |
| 99222 |
Initial hospital care, per day, moderate complexity |
550 |
508 |
$68K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,417 |
1,220 |
$58K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,209 |
2,206 |
$56K |
| 71046 |
Radiologic examination, chest; 2 views |
5,562 |
5,485 |
$53K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
450 |
432 |
$51K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,954 |
4,991 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,305 |
1,027 |
$48K |
| 99468 |
|
49 |
49 |
$45K |
| 71045 |
Radiologic examination, chest; single view |
5,918 |
4,621 |
$43K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
463 |
450 |
$39K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
155 |
115 |
$38K |
| 88304 |
|
1,967 |
1,962 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
780 |
779 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
370 |
365 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
530 |
499 |
$16K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
310 |
304 |
$16K |
| 99462 |
|
356 |
320 |
$15K |
| 86320 |
|
1,004 |
961 |
$15K |
| 76642 |
|
458 |
442 |
$14K |
| 99460 |
|
124 |
124 |
$13K |
| 76830 |
Ultrasound, transvaginal |
487 |
481 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
270 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
112 |
109 |
$10K |
| 83020 |
|
645 |
643 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
395 |
383 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
120 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
405 |
396 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
139 |
138 |
$7K |
| 77066 |
Tomosynthesis, mammo |
166 |
163 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
355 |
352 |
$7K |
| 76536 |
|
302 |
301 |
$7K |
| 99464 |
|
81 |
81 |
$6K |
| 77065 |
Tomosynthesis, mammo |
165 |
159 |
$6K |
| 86334 |
|
367 |
354 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
85 |
53 |
$4K |
| 93970 |
|
97 |
95 |
$4K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
33 |
24 |
$3K |
| 88307 |
|
36 |
36 |
$3K |
| 73562 |
|
355 |
293 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
72 |
$3K |
| 73630 |
|
353 |
327 |
$3K |
| 73221 |
|
41 |
40 |
$2K |
| 73130 |
|
289 |
226 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
52 |
$2K |
| 77062 |
|
43 |
43 |
$1K |
| 99221 |
|
12 |
12 |
$1K |
| 71250 |
|
38 |
38 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$1K |
| 93971 |
|
52 |
51 |
$1K |
| 88141 |
|
71 |
70 |
$1K |
| 84165 |
|
98 |
90 |
$1K |
| 73610 |
|
140 |
129 |
$936.35 |
| 72100 |
|
86 |
85 |
$929.89 |
| 73030 |
|
103 |
95 |
$890.58 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$866.28 |
| 76813 |
|
12 |
12 |
$608.42 |
| 76820 |
|
32 |
25 |
$596.06 |
| 88342 |
|
29 |
29 |
$554.51 |
| 0064A |
|
18 |
18 |
$497.49 |
| 76801 |
|
13 |
12 |
$445.32 |
| 76377 |
|
12 |
12 |
$420.15 |
| 76770 |
|
14 |
12 |
$400.21 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$387.24 |
| 73502 |
|
25 |
25 |
$255.67 |
| 73110 |
|
32 |
25 |
$215.87 |
| 76870 |
|
13 |
13 |
$215.54 |
| 99053 |
|
1,359 |
1,342 |
$180.00 |
| 72110 |
|
13 |
13 |
$159.18 |
| 74019 |
|
13 |
13 |
$151.87 |
| 77080 |
|
15 |
15 |
$129.03 |
| 74018 |
|
15 |
13 |
$94.89 |
| 77072 |
|
15 |
15 |
$78.48 |
| 88300 |
|
12 |
12 |
$65.52 |
| 99080 |
|
283 |
90 |
$0.00 |