| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,654 |
17,705 |
$2.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,707 |
23,476 |
$1.91M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26,094 |
8,094 |
$1.45M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,930 |
10,890 |
$1.13M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,002 |
6,959 |
$1.12M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
412 |
412 |
$1.04M |
| 31231 |
|
4,327 |
4,283 |
$831K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12,754 |
10,682 |
$549K |
| 71045 |
Radiologic examination, chest; single view |
69,965 |
43,777 |
$500K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,063 |
6,869 |
$460K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,691 |
6,308 |
$410K |
| 99233 |
Prolong inpt eval add15 m |
4,001 |
1,511 |
$387K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14,414 |
13,282 |
$381K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,539 |
3,479 |
$374K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,570 |
2,526 |
$354K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,840 |
499 |
$345K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
48,916 |
42,063 |
$340K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,089 |
5,048 |
$302K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,472 |
4,407 |
$255K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,898 |
4,480 |
$249K |
| 88307 |
|
2,824 |
2,660 |
$248K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,011 |
1,585 |
$235K |
| 99215 |
Prolong outpt/office vis |
1,220 |
1,194 |
$205K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,144 |
3,055 |
$180K |
| 99223 |
Prolong inpt eval add15 m |
1,122 |
970 |
$174K |
| 99205 |
Prolong outpt/office vis |
765 |
755 |
$162K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
8,719 |
7,689 |
$153K |
| 71046 |
Radiologic examination, chest; 2 views |
17,678 |
17,218 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,915 |
2,794 |
$147K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
635 |
635 |
$143K |
| 93976 |
|
2,780 |
2,179 |
$116K |
| 31575 |
|
828 |
803 |
$104K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,444 |
1,392 |
$78K |
| 88304 |
|
4,356 |
4,114 |
$67K |
| 69210 |
|
1,256 |
1,218 |
$60K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
626 |
615 |
$59K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
77 |
51 |
$54K |
| 72082 |
|
1,328 |
1,306 |
$50K |
| 99221 |
|
668 |
622 |
$50K |
| 31579 |
|
258 |
254 |
$50K |
| 92567 |
|
4,129 |
4,108 |
$49K |
| 74018 |
|
5,910 |
4,779 |
$43K |
| 76770 |
|
1,618 |
1,518 |
$42K |
| 92557 |
|
1,551 |
1,544 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
467 |
466 |
$40K |
| 76506 |
|
1,585 |
1,278 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
319 |
317 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
289 |
284 |
$36K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
115 |
115 |
$35K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
112 |
112 |
$33K |
| 92579 |
|
1,276 |
1,272 |
$32K |
| 92504 |
|
1,691 |
1,598 |
$30K |
| 93000 |
|
1,994 |
1,975 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
803 |
802 |
$27K |
| 74183 |
|
286 |
282 |
$27K |
| 93970 |
|
687 |
641 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
373 |
373 |
$25K |
| 73610 |
|
1,629 |
1,460 |
$25K |
| 88342 |
|
1,377 |
1,235 |
$24K |
| 71250 |
|
616 |
597 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
955 |
943 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
372 |
360 |
$20K |
| 76641 |
|
609 |
553 |
$20K |
| 99442 |
|
299 |
293 |
$20K |
| 92550 |
|
1,468 |
1,463 |
$19K |
| 59425 |
|
54 |
49 |
$19K |
| 81002 |
|
12,283 |
11,127 |
$18K |
| 88112 |
|
1,005 |
913 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
601 |
593 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
196 |
193 |
$17K |
| 99441 |
|
443 |
416 |
$17K |
| 92553 |
|
585 |
584 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
219 |
212 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
389 |
380 |
$15K |
| 76775 |
|
683 |
650 |
$13K |
| 73630 |
|
936 |
873 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
549 |
548 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
485 |
485 |
$12K |
| 76830 |
Ultrasound, transvaginal |
454 |
451 |
$11K |
| 73110 |
|
577 |
520 |
$10K |
| 73562 |
|
585 |
573 |
$9K |
| 73030 |
|
751 |
711 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
426 |
393 |
$9K |
| 73560 |
|
765 |
700 |
$9K |
| 44970 |
|
12 |
12 |
$9K |
| 70496 |
|
180 |
153 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
149 |
148 |
$8K |
| 73090 |
|
619 |
545 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
109 |
109 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
83 |
82 |
$6K |
| 99219 |
|
50 |
48 |
$6K |
| 64615 |
|
37 |
37 |
$6K |
| 42830 |
|
38 |
38 |
$6K |
| 73590 |
|
464 |
401 |
$5K |
| 01922 |
|
14 |
12 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
72 |
70 |
$5K |
| 76642 |
|
207 |
192 |
$5K |
| 88341 |
|
187 |
111 |
$5K |
| 77072 |
|
409 |
409 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
43 |
$4K |
| 73502 |
|
246 |
235 |
$4K |
| 73070 |
|
300 |
261 |
$4K |
| 73130 |
|
366 |
340 |
$4K |
| 59025 |
Fetal non-stress test |
110 |
50 |
$4K |
| 72100 |
|
302 |
298 |
$3K |
| 88300 |
|
703 |
674 |
$3K |
| 92134 |
|
73 |
66 |
$3K |
| 74240 |
|
114 |
114 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$3K |
| 70498 |
|
55 |
51 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
49 |
49 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
34 |
29 |
$2K |
| 72131 |
|
70 |
69 |
$2K |
| 72141 |
|
30 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
211 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$2K |
| 99443 |
|
14 |
13 |
$2K |
| 74019 |
|
175 |
146 |
$2K |
| 92250 |
|
56 |
53 |
$2K |
| 72040 |
|
123 |
120 |
$2K |
| 70486 |
|
52 |
51 |
$2K |
| 73521 |
|
119 |
118 |
$2K |
| 95816 |
|
29 |
28 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 99417 |
Prolong home eval add 15m |
31 |
28 |
$1K |
| 92555 |
|
68 |
68 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
42 |
42 |
$1K |
| 88141 |
|
146 |
146 |
$1K |
| 94375 |
|
74 |
74 |
$1K |
| 93971 |
|
50 |
46 |
$987.30 |
| 99225 |
|
14 |
13 |
$945.08 |
| 93016 |
|
50 |
50 |
$862.88 |
| 99421 |
|
55 |
54 |
$802.14 |
| 88313 |
|
112 |
70 |
$776.29 |
| 93018 |
|
62 |
62 |
$752.88 |
| 88311 |
|
56 |
50 |
$752.58 |
| 93308 |
|
28 |
24 |
$705.61 |
| 72110 |
|
27 |
27 |
$647.39 |
| 93015 |
|
12 |
12 |
$637.86 |
| 88142 |
|
74 |
74 |
$633.38 |
| 72170 |
|
76 |
76 |
$614.27 |
| 73080 |
|
41 |
37 |
$556.13 |
| 90686 |
|
29 |
29 |
$552.14 |
| 74021 |
|
47 |
42 |
$481.44 |
| 88302 |
|
59 |
49 |
$466.24 |
| 36415 |
Collection of venous blood by venipuncture |
307 |
215 |
$434.90 |
| 76536 |
|
12 |
12 |
$417.88 |
| 74230 |
|
26 |
26 |
$406.60 |
| 84181 |
|
21 |
20 |
$372.89 |
| 72128 |
|
14 |
13 |
$337.42 |
| 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) |
24 |
24 |
$336.84 |
| 94060 |
|
13 |
13 |
$302.33 |
| 73100 |
|
13 |
12 |
$255.82 |
| 81003 |
|
118 |
113 |
$234.37 |
| 94729 |
|
30 |
30 |
$223.70 |
| 93296 |
|
12 |
12 |
$217.40 |
| 73552 |
|
16 |
15 |
$199.72 |
| 72050 |
|
18 |
12 |
$198.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$182.84 |
| 94727 |
|
15 |
15 |
$137.26 |
| 81025 |
|
61 |
60 |
$134.02 |
| 92582 |
|
57 |
56 |
$129.50 |
| 76857 |
|
12 |
12 |
$121.56 |
| 70360 |
|
21 |
15 |
$91.77 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
33 |
33 |
$82.19 |
| 99000 |
|
338 |
334 |
$30.00 |
| 82948 |
|
14 |
13 |
$22.22 |
| 99024 |
|
184 |
164 |
$0.00 |
| 59430 |
|
29 |
24 |
$0.00 |
| 36416 |
|
30 |
29 |
$0.00 |