| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,356 |
32,376 |
$2.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,554 |
11,123 |
$598K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
258 |
230 |
$415K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,180 |
5,317 |
$407K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,194 |
1,114 |
$339K |
| 99233 |
Prolong inpt eval add15 m |
5,551 |
2,335 |
$250K |
| 76830 |
Ultrasound, transvaginal |
2,144 |
1,896 |
$197K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,499 |
2,978 |
$150K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,099 |
1,029 |
$122K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
922 |
897 |
$95K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,735 |
1,598 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
974 |
918 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,153 |
1,117 |
$91K |
| 99223 |
Prolong inpt eval add15 m |
1,091 |
964 |
$87K |
| 95117 |
|
9,956 |
3,252 |
$80K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,018 |
764 |
$60K |
| 95024 |
|
516 |
461 |
$46K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
722 |
653 |
$42K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
801 |
786 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
375 |
346 |
$31K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
923 |
384 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
457 |
394 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
369 |
$25K |
| 31575 |
|
363 |
328 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
443 |
415 |
$21K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
145 |
63 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
7,690 |
6,521 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
291 |
230 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
319 |
166 |
$13K |
| 81025 |
|
1,976 |
1,668 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
116 |
106 |
$11K |
| 54150 |
|
259 |
172 |
$11K |
| 99385 |
|
126 |
114 |
$10K |
| 31231 |
|
65 |
64 |
$10K |
| 81003 |
|
4,953 |
2,901 |
$9K |
| 73630 |
|
320 |
249 |
$8K |
| 99215 |
Prolong outpt/office vis |
84 |
80 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
69 |
67 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
24 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
442 |
316 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
142 |
123 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
103 |
76 |
$5K |
| 59025 |
Fetal non-stress test |
121 |
68 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
44 |
40 |
$4K |
| S0612 |
Annual gynecological examination, established patient |
108 |
105 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
25 |
24 |
$4K |
| 90715 |
|
87 |
79 |
$3K |
| 76642 |
|
41 |
39 |
$3K |
| 76801 |
|
29 |
26 |
$2K |
| 1159F |
|
41,365 |
37,244 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
80 |
$2K |
| 90686 |
|
165 |
148 |
$2K |
| 3074F |
|
29,005 |
26,315 |
$2K |
| 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) |
229 |
206 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
29 |
$2K |
| 95806 |
|
32 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
207 |
$1K |
| 87210 |
|
303 |
287 |
$1K |
| 3078F |
|
18,765 |
17,062 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
36 |
15 |
$1K |
| 85018 |
|
508 |
494 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$1K |
| 93015 |
|
25 |
24 |
$1K |
| 93000 |
|
120 |
110 |
$992.97 |
| 11045 |
|
20 |
12 |
$941.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$939.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
33 |
$915.28 |
| 99349 |
|
15 |
15 |
$845.28 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
27 |
12 |
$762.00 |
| 94060 |
|
15 |
13 |
$538.89 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
12 |
$513.28 |
| 3079F |
|
6,643 |
6,205 |
$450.00 |
| 99217 |
|
15 |
12 |
$390.34 |
| 98926 |
|
12 |
12 |
$389.54 |
| 90688 |
|
31 |
28 |
$380.12 |
| 0502F |
|
18,358 |
12,978 |
$350.00 |
| 92557 |
|
12 |
12 |
$325.30 |
| 81002 |
|
118 |
100 |
$315.43 |
| 90658 |
|
16 |
14 |
$247.08 |
| 99173 |
|
106 |
105 |
$229.76 |
| 1125F |
|
2,098 |
1,879 |
$175.00 |
| 92550 |
|
12 |
12 |
$174.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
23 |
14 |
$157.18 |
| 69210 |
|
18 |
13 |
$147.45 |
| 99050 |
|
18 |
12 |
$135.14 |
| 0500F |
|
12 |
12 |
$111.00 |
| 99000 |
|
46 |
43 |
$82.50 |
| 96127 |
|
13 |
13 |
$65.62 |
| G0008 |
Administration of influenza virus vaccine |
38 |
32 |
$55.86 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44,157 |
38,535 |
$41.31 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
12 |
$29.96 |
| 1126F |
|
491 |
444 |
$25.00 |
| 3080F |
|
69 |
67 |
$25.00 |
| 3077F |
|
205 |
186 |
$25.00 |
| 1160F |
|
4,598 |
4,018 |
$25.00 |
| 3008F |
|
723 |
615 |
$0.00 |
| 3075F |
|
175 |
167 |
$0.00 |
| 0503F |
|
53 |
45 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$0.00 |