| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,589 |
38,307 |
$2.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,051 |
37,756 |
$1.85M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,723 |
7,852 |
$724K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,392 |
4,624 |
$680K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,648 |
6,781 |
$608K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,688 |
5,245 |
$342K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,161 |
1,923 |
$249K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,516 |
2,644 |
$248K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,480 |
2,117 |
$218K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,446 |
3,170 |
$173K |
| 20610 |
|
4,438 |
3,627 |
$156K |
| 99223 |
Prolong inpt eval add15 m |
1,379 |
1,178 |
$152K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
953 |
460 |
$143K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,197 |
2,117 |
$138K |
| 99233 |
Prolong inpt eval add15 m |
2,274 |
630 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,195 |
3,767 |
$106K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,342 |
1,577 |
$86K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,445 |
1,282 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
661 |
618 |
$44K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,179 |
1,035 |
$43K |
| 76830 |
Ultrasound, transvaginal |
1,602 |
1,341 |
$40K |
| 88307 |
|
660 |
631 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
538 |
509 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
517 |
485 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
391 |
358 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
572 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
597 |
550 |
$32K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,797 |
6,345 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
489 |
420 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
725 |
403 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
518 |
475 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
385 |
375 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
337 |
311 |
$25K |
| 99221 |
|
465 |
377 |
$24K |
| 64493 |
|
297 |
163 |
$22K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,415 |
1,226 |
$21K |
| 93970 |
|
379 |
344 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
379 |
353 |
$17K |
| 82962 |
|
284 |
263 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,014 |
1,803 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
193 |
188 |
$12K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,375 |
1,165 |
$12K |
| 27096 |
|
159 |
150 |
$11K |
| 73562 |
|
583 |
501 |
$11K |
| 47562 |
|
34 |
26 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
435 |
282 |
$11K |
| 99215 |
Prolong outpt/office vis |
99 |
92 |
$10K |
| 93971 |
|
253 |
231 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
676 |
598 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
320 |
297 |
$9K |
| 11043 |
|
47 |
24 |
$9K |
| 73610 |
|
457 |
409 |
$8K |
| H2010 |
Comprehensive medication services, per 15 minutes |
456 |
176 |
$8K |
| 64494 |
|
177 |
132 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
231 |
220 |
$7K |
| 76536 |
|
227 |
200 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
104 |
98 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
388 |
336 |
$6K |
| 64635 |
|
39 |
19 |
$6K |
| 25600 |
|
27 |
26 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
613 |
559 |
$6K |
| 73630 |
|
366 |
309 |
$5K |
| 94060 |
|
765 |
683 |
$5K |
| 73030 |
|
307 |
263 |
$5K |
| 59514 |
|
25 |
25 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
89 |
82 |
$5K |
| 73100 |
|
257 |
215 |
$5K |
| 94729 |
|
814 |
730 |
$5K |
| 71250 |
|
128 |
124 |
$5K |
| 99385 |
|
64 |
61 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
64 |
55 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
749 |
475 |
$4K |
| 73560 |
|
194 |
172 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
227 |
$4K |
| 76820 |
|
173 |
67 |
$4K |
| 88342 |
|
146 |
136 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
73 |
73 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
454 |
425 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
24 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
39 |
38 |
$3K |
| 99490 |
Ccm add 20min |
462 |
453 |
$3K |
| 95811 |
|
34 |
25 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
12 |
$3K |
| 94727 |
|
325 |
291 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
95 |
95 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
142 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
427 |
162 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
46 |
44 |
$2K |
| 73120 |
|
156 |
134 |
$2K |
| 64490 |
|
35 |
12 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
15 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
106 |
101 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
28 |
$2K |
| 95806 |
|
132 |
112 |
$2K |
| 88304 |
|
224 |
214 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
94 |
94 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
52 |
$2K |
| 97597 |
|
38 |
24 |
$2K |
| 90686 |
|
82 |
73 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
632 |
534 |
$2K |
| 73502 |
|
89 |
78 |
$1K |
| 10005 |
|
16 |
15 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
13 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
174 |
156 |
$1K |
| 81000 |
|
28 |
27 |
$1K |
| 99201 |
|
31 |
29 |
$1K |
| 99386 |
|
14 |
14 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
26 |
$1K |
| 83655 |
|
88 |
80 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 94618 |
|
63 |
58 |
$1K |
| 64636 |
|
23 |
13 |
$937.92 |
| 95251 |
|
743 |
704 |
$934.02 |
| 76641 |
|
33 |
32 |
$889.72 |
| 90756 |
|
16 |
16 |
$844.90 |
| 20553 |
|
29 |
26 |
$756.88 |
| 90688 |
|
16 |
15 |
$723.63 |
| 29075 |
|
12 |
12 |
$665.87 |
| 88302 |
|
91 |
87 |
$659.03 |
| 72110 |
|
64 |
63 |
$582.76 |
| 99381 |
|
12 |
12 |
$573.87 |
| 74018 |
|
81 |
72 |
$502.73 |
| 20550 |
|
17 |
15 |
$485.68 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
20 |
$466.02 |
| 92504 |
|
88 |
81 |
$464.75 |
| 88141 |
|
29 |
25 |
$455.71 |
| 95819 |
|
13 |
12 |
$415.40 |
| 73130 |
|
67 |
52 |
$357.82 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
71 |
48 |
$351.10 |
| 90677 |
|
51 |
44 |
$327.83 |
| 12001 |
|
13 |
12 |
$324.29 |
| 72100 |
|
42 |
42 |
$315.58 |
| 76770 |
|
13 |
12 |
$315.46 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
30 |
27 |
$309.11 |
| 73140 |
|
17 |
12 |
$289.08 |
| 99217 |
|
12 |
12 |
$287.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$269.74 |
| 20552 |
|
13 |
12 |
$254.37 |
| 88174 |
|
49 |
34 |
$182.64 |
| 81002 |
|
55 |
52 |
$176.52 |
| 90474 |
|
20 |
18 |
$171.14 |
| 93227 |
|
13 |
12 |
$166.14 |
| 90715 |
|
18 |
14 |
$159.55 |
| 87807 |
|
13 |
13 |
$158.71 |
| 73501 |
|
20 |
19 |
$135.81 |
| 73110 |
|
17 |
15 |
$94.16 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
74 |
62 |
$84.00 |
| 85018 |
|
34 |
32 |
$73.92 |
| 73590 |
|
16 |
12 |
$69.06 |
| 99439 |
|
13 |
13 |
$39.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
27 |
$28.46 |
| J3490 |
Unclassified drugs |
558 |
476 |
$8.33 |
| 99024 |
|
81 |
66 |
$0.10 |
| 3074F |
|
50 |
46 |
$0.06 |
| 3079F |
|
42 |
42 |
$0.05 |
| 90633 |
|
115 |
100 |
$0.00 |
| 90710 |
|
87 |
80 |
$0.00 |
| 90700 |
|
17 |
14 |
$0.00 |
| 90681 |
|
43 |
37 |
$0.00 |
| 90648 |
|
84 |
71 |
$0.00 |
| 3078F |
|
17 |
13 |
$0.00 |
| 1101F |
|
925 |
814 |
$0.00 |
| 90698 |
|
108 |
92 |
$0.00 |
| 90744 |
|
31 |
30 |
$0.00 |
| 90696 |
|
74 |
67 |
$0.00 |
| 90723 |
|
44 |
35 |
$0.00 |
| 90680 |
|
54 |
40 |
$0.00 |