| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,330 |
41,928 |
$4.83M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
30,236 |
29,550 |
$3.49M |
| 99233 |
Prolong inpt eval add15 m |
28,338 |
11,274 |
$2.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,810 |
32,111 |
$2.22M |
| 99215 |
Prolong outpt/office vis |
13,736 |
12,251 |
$2.14M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
241,669 |
166,334 |
$1.94M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22,562 |
9,606 |
$1.25M |
| 99223 |
Prolong inpt eval add15 m |
6,402 |
5,995 |
$810K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,732 |
1,509 |
$662K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,858 |
1,855 |
$328K |
| 93000 |
|
12,964 |
12,809 |
$205K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,288 |
1,288 |
$154K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
599 |
595 |
$74K |
| 99222 |
Initial hospital care, per day, moderate complexity |
846 |
799 |
$69K |
| 94375 |
|
4,533 |
4,484 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,088 |
1,079 |
$53K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
856 |
471 |
$48K |
| 93880 |
|
207 |
207 |
$44K |
| 99205 |
Prolong outpt/office vis |
191 |
190 |
$43K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
197 |
195 |
$43K |
| 93308 |
|
1,057 |
1,013 |
$39K |
| 94729 |
|
4,643 |
4,610 |
$38K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
417 |
412 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
279 |
278 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
637 |
629 |
$32K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
813 |
330 |
$28K |
| 77080 |
|
1,073 |
1,067 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
276 |
273 |
$23K |
| 93925 |
|
95 |
95 |
$21K |
| 94010 |
|
2,034 |
1,746 |
$20K |
| 93296 |
|
1,097 |
1,088 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
5,944 |
5,765 |
$16K |
| 93325 |
|
1,256 |
1,205 |
$14K |
| 93016 |
|
806 |
796 |
$14K |
| 95800 |
|
70 |
70 |
$12K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
68 |
68 |
$11K |
| 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 |
80 |
80 |
$11K |
| 93320 |
|
213 |
210 |
$11K |
| 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) |
1,600 |
1,456 |
$11K |
| 93018 |
|
790 |
781 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
442 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
90 |
$9K |
| 94060 |
|
814 |
813 |
$9K |
| 99236 |
Prolong inpt eval add15 m |
43 |
43 |
$8K |
| 93295 |
|
308 |
307 |
$8K |
| 93923 |
|
86 |
86 |
$8K |
| 93015 |
|
90 |
90 |
$7K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
29 |
29 |
$7K |
| 93321 |
|
540 |
517 |
$6K |
| 99221 |
|
111 |
105 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$5K |
| 90461 |
|
133 |
132 |
$5K |
| 93244 |
|
244 |
244 |
$5K |
| 93970 |
|
28 |
28 |
$5K |
| 99443 |
|
67 |
65 |
$5K |
| 93248 |
|
227 |
227 |
$5K |
| 99447 |
|
149 |
112 |
$5K |
| 0002A |
|
96 |
96 |
$5K |
| 93298 |
|
127 |
127 |
$5K |
| 99442 |
|
40 |
38 |
$3K |
| 94726 |
|
277 |
275 |
$3K |
| 90961 |
|
14 |
14 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
295 |
295 |
$3K |
| 93272 |
|
117 |
117 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$3K |
| 90686 |
|
264 |
264 |
$2K |
| 93242 |
|
184 |
183 |
$2K |
| 93268 |
|
14 |
14 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 99446 |
|
134 |
106 |
$2K |
| 0124A |
|
44 |
43 |
$2K |
| 0001A |
|
38 |
38 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
51 |
$2K |
| D9310 |
|
27 |
27 |
$1K |
| 93246 |
|
112 |
112 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
61 |
$1K |
| 93294 |
|
85 |
80 |
$1K |
| 99152 |
|
79 |
78 |
$1K |
| 94727 |
|
78 |
76 |
$788.22 |
| 90674 |
|
26 |
26 |
$738.59 |
| 82962 |
|
154 |
154 |
$489.79 |
| 31645 |
|
15 |
15 |
$478.58 |
| 90756 |
|
16 |
16 |
$361.34 |
| 77089 |
|
12 |
12 |
$307.22 |
| 83655 |
|
28 |
28 |
$283.41 |
| 93270 |
|
29 |
29 |
$272.03 |
| 93784 |
|
26 |
26 |
$261.17 |
| 3078F |
|
255 |
252 |
$237.50 |
| 90656 |
|
82 |
82 |
$192.80 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$142.36 |
| 3074F |
|
115 |
114 |
$130.00 |
| 90661 |
|
35 |
35 |
$73.70 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$69.81 |
| 90670 |
|
26 |
26 |
$53.55 |
| 99000 |
|
32 |
31 |
$21.76 |
| 3075F |
|
14 |
14 |
$12.50 |
| 91312 |
|
28 |
28 |
$0.02 |
| 1036F |
|
102 |
99 |
$0.00 |
| 3079F |
|
16 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,109 |
928 |
$0.00 |
| 91300 |
|
57 |
57 |
$0.00 |