| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,425 |
39,253 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,047 |
51,305 |
$2.11M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,970 |
10,203 |
$389K |
| J1602 |
Injection, golimumab, 1 mg, for intravenous use |
609 |
294 |
$295K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
281 |
233 |
$274K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,900 |
2,821 |
$196K |
| 99233 |
Prolong inpt eval add15 m |
3,986 |
1,893 |
$192K |
| 95250 |
|
2,726 |
2,489 |
$173K |
| 59426 |
|
2,178 |
993 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,041 |
1,806 |
$140K |
| 76536 |
|
1,684 |
1,553 |
$89K |
| 93000 |
|
11,320 |
10,001 |
$86K |
| 95251 |
|
4,737 |
4,240 |
$82K |
| 59425 |
|
787 |
556 |
$75K |
| 93016 |
|
5,478 |
5,113 |
$65K |
| 99215 |
Prolong outpt/office vis |
430 |
375 |
$38K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
430 |
380 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,016 |
3,134 |
$35K |
| 76830 |
Ultrasound, transvaginal |
375 |
332 |
$34K |
| 20610 |
|
1,044 |
776 |
$31K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
363 |
287 |
$26K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,032 |
5,421 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
576 |
489 |
$25K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,292 |
1,084 |
$23K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
466 |
426 |
$22K |
| 93295 |
|
842 |
755 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
601 |
486 |
$17K |
| 99442 |
|
1,376 |
1,170 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
610 |
505 |
$15K |
| 93296 |
|
1,731 |
1,580 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
152 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
167 |
134 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
177 |
$11K |
| 82962 |
|
7,632 |
6,318 |
$11K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
390 |
374 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
659 |
201 |
$8K |
| 99221 |
|
221 |
202 |
$8K |
| 93018 |
|
1,070 |
1,021 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
113 |
105 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
992 |
758 |
$6K |
| 81025 |
|
891 |
775 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
650 |
$5K |
| 99443 |
|
409 |
374 |
$5K |
| 99441 |
|
618 |
518 |
$4K |
| 90674 |
|
266 |
211 |
$4K |
| 93294 |
|
456 |
430 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
205 |
187 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
40 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
273 |
242 |
$4K |
| 96415 |
|
252 |
196 |
$4K |
| 93971 |
|
388 |
355 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
394 |
353 |
$4K |
| 59430 |
|
15 |
13 |
$2K |
| 93970 |
|
177 |
158 |
$2K |
| 90688 |
|
276 |
251 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
25 |
24 |
$2K |
| 99152 |
|
228 |
196 |
$2K |
| 10005 |
|
18 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
105 |
$1K |
| 77080 |
|
99 |
70 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
88 |
$1K |
| 93925 |
|
69 |
64 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 93299 |
|
14 |
13 |
$981.61 |
| 93248 |
|
53 |
53 |
$910.08 |
| 93227 |
|
106 |
103 |
$898.91 |
| 93280 |
|
58 |
54 |
$675.99 |
| 78431 |
|
15 |
14 |
$557.74 |
| 99406 |
|
95 |
84 |
$475.23 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
222 |
$474.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
99 |
81 |
$474.55 |
| J3490 |
Unclassified drugs |
674 |
562 |
$443.28 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
14 |
$395.78 |
| 93880 |
|
12 |
12 |
$273.27 |
| 76770 |
|
12 |
12 |
$272.40 |
| 93298 |
|
14 |
13 |
$154.99 |
| 93246 |
|
12 |
12 |
$98.11 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
17 |
13 |
$86.88 |
| 93297 |
|
12 |
12 |
$76.68 |
| 81002 |
|
18 |
14 |
$3.03 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.91 |
| J1815 |
Injection, insulin, per 5 units |
579 |
386 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
26 |
$0.00 |
| 93458 |
|
77 |
68 |
$0.00 |
| 99072 |
|
854 |
770 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 93225 |
|
12 |
12 |
$0.00 |