| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
85,563 |
85,228 |
$9.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,285 |
19,198 |
$3.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,358 |
27,004 |
$2.66M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
45,954 |
45,855 |
$2.62M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
4,796 |
1,225 |
$1.77M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
11,835 |
3,386 |
$1.36M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
2,578 |
733 |
$977K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
8,044 |
2,589 |
$895K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,289 |
5,287 |
$779K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,702 |
4,473 |
$700K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
10,238 |
10,213 |
$678K |
| 99460 |
|
7,198 |
7,193 |
$584K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,769 |
9,536 |
$539K |
| 99215 |
Prolong outpt/office vis |
2,826 |
2,800 |
$394K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,166 |
10,150 |
$377K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,201 |
2,186 |
$329K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,832 |
1,789 |
$241K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,068 |
2,052 |
$241K |
| 99233 |
Prolong inpt eval add15 m |
2,487 |
1,392 |
$238K |
| 99223 |
Prolong inpt eval add15 m |
1,018 |
1,011 |
$177K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,437 |
1,430 |
$137K |
| 99205 |
Prolong outpt/office vis |
623 |
622 |
$121K |
| 76825 |
|
585 |
585 |
$113K |
| 99235 |
|
735 |
734 |
$112K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
545 |
405 |
$109K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
171 |
171 |
$94K |
| 99462 |
|
2,497 |
2,141 |
$92K |
| 93320 |
|
1,819 |
1,778 |
$76K |
| 93325 |
|
2,611 |
2,532 |
$59K |
| 93000 |
|
3,303 |
3,290 |
$55K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
401 |
401 |
$46K |
| 76827 |
|
586 |
586 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
392 |
392 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,139 |
3,136 |
$34K |
| 95782 |
|
39 |
39 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,683 |
1,283 |
$29K |
| 99236 |
Prolong inpt eval add15 m |
127 |
127 |
$23K |
| 95117 |
|
1,985 |
1,162 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,896 |
1,896 |
$20K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
275 |
274 |
$15K |
| 94010 |
|
1,302 |
1,292 |
$11K |
| 82948 |
|
3,120 |
3,117 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,092 |
1,055 |
$7K |
| 81002 |
|
2,322 |
2,219 |
$6K |
| 94060 |
|
156 |
156 |
$5K |
| 99219 |
|
40 |
40 |
$5K |
| 95115 |
|
552 |
360 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
112 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$2K |
| 99217 |
|
25 |
25 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
28 |
$1K |
| 99426 |
|
31 |
31 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
56 |
$1K |
| 93308 |
|
29 |
28 |
$1K |
| 95251 |
|
31 |
31 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$1K |
| 82270 |
|
170 |
169 |
$704.98 |
| 99417 |
Prolong home eval add 15m |
14 |
14 |
$407.17 |
| 90686 |
|
360 |
360 |
$385.81 |
| 94760 |
|
3,976 |
3,959 |
$62.76 |
| 90461 |
|
142 |
142 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |