| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,937 |
5,792 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
6,367 |
$315K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,919 |
1,800 |
$209K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,248 |
497 |
$190K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,299 |
2,277 |
$182K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,121 |
2,097 |
$106K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,011 |
1,011 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
616 |
615 |
$72K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
726 |
717 |
$66K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
668 |
667 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
729 |
350 |
$46K |
| 90961 |
|
335 |
335 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
546 |
545 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
867 |
867 |
$37K |
| 94060 |
|
808 |
799 |
$32K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
175 |
175 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
503 |
480 |
$29K |
| 94729 |
|
779 |
770 |
$27K |
| 99152 |
|
2,690 |
2,673 |
$26K |
| 95117 |
|
2,685 |
1,647 |
$26K |
| 94726 |
|
665 |
658 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
246 |
229 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
660 |
637 |
$20K |
| 92134 |
|
717 |
637 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
248 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
172 |
171 |
$16K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
105 |
105 |
$15K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
294 |
128 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
581 |
565 |
$14K |
| 76830 |
Ultrasound, transvaginal |
140 |
139 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
64 |
64 |
$12K |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$7K |
| 96910 |
|
146 |
82 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$5K |
| 95115 |
|
584 |
454 |
$4K |
| 80053 |
Comprehensive metabolic panel |
342 |
339 |
$3K |
| 76642 |
|
41 |
40 |
$3K |
| 92133 |
|
93 |
93 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 76536 |
|
26 |
26 |
$2K |
| 83970 |
|
53 |
53 |
$2K |
| 80305 |
|
184 |
170 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
165 |
165 |
$1K |
| 90962 |
|
12 |
12 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 95024 |
|
15 |
15 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$980.13 |
| 84156 |
|
250 |
247 |
$890.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$870.45 |
| 90686 |
|
54 |
54 |
$869.65 |
| 93971 |
|
12 |
12 |
$724.66 |
| 94010 |
|
24 |
24 |
$594.76 |
| 73630 |
|
17 |
13 |
$573.91 |
| 0011A |
|
24 |
24 |
$559.07 |
| 82728 |
|
36 |
36 |
$492.63 |
| 85027 |
|
116 |
115 |
$474.79 |
| 95816 |
|
12 |
12 |
$469.14 |
| 0012A |
|
14 |
14 |
$459.41 |
| 84100 |
|
90 |
90 |
$406.73 |
| 82570 |
|
85 |
85 |
$406.73 |
| 84466 |
|
24 |
24 |
$299.76 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
26 |
$287.87 |
| 36415 |
Collection of venous blood by venipuncture |
233 |
221 |
$266.19 |
| 93000 |
|
12 |
12 |
$185.02 |
| 90674 |
|
13 |
13 |
$169.88 |
| 92567 |
|
13 |
12 |
$146.58 |
| 83540 |
|
24 |
24 |
$125.83 |
| 81002 |
|
56 |
55 |
$96.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$89.29 |
| 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) |
13 |
13 |
$46.01 |
| 91301 |
|
21 |
21 |
$0.08 |
| 3078F |
|
47 |
45 |
$0.00 |
| 3074F |
|
76 |
72 |
$0.00 |