| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,712 |
13,088 |
$514K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,799 |
3,015 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,050 |
1,998 |
$113K |
| 99233 |
Prolong inpt eval add15 m |
3,923 |
999 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,539 |
4,628 |
$103K |
| 99215 |
Prolong outpt/office vis |
1,934 |
1,242 |
$74K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
878 |
598 |
$73K |
| 93000 |
|
4,701 |
3,564 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
772 |
518 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,010 |
600 |
$36K |
| 90970 |
|
417 |
162 |
$34K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,801 |
2,464 |
$30K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,653 |
529 |
$27K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,200 |
5,273 |
$20K |
| 99205 |
Prolong outpt/office vis |
396 |
274 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
630 |
410 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
239 |
76 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
3,604 |
2,521 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
561 |
172 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
111 |
67 |
$6K |
| 99401 |
|
364 |
214 |
$5K |
| 81025 |
|
1,062 |
664 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
950 |
503 |
$3K |
| 64635 |
|
34 |
12 |
$3K |
| 64493 |
|
75 |
40 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
81 |
79 |
$3K |
| 59025 |
Fetal non-stress test |
78 |
36 |
$2K |
| 94060 |
|
65 |
55 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
87 |
$2K |
| 20610 |
|
111 |
51 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
74 |
26 |
$1K |
| 90661 |
|
40 |
39 |
$1K |
| 64495 |
|
70 |
39 |
$1K |
| 64494 |
|
70 |
40 |
$1K |
| 73564 |
|
325 |
154 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
57 |
$1K |
| 72100 |
|
282 |
187 |
$1K |
| 80053 |
Comprehensive metabolic panel |
122 |
62 |
$785.20 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
24 |
$784.38 |
| 94375 |
|
97 |
50 |
$717.05 |
| 73030 |
|
178 |
106 |
$706.22 |
| 90674 |
|
110 |
42 |
$669.69 |
| 90715 |
|
40 |
28 |
$664.12 |
| 94726 |
|
122 |
84 |
$621.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
90 |
$548.74 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
51 |
$505.10 |
| 93016 |
|
47 |
37 |
$448.80 |
| 94729 |
|
98 |
67 |
$319.70 |
| 92567 |
|
28 |
24 |
$249.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
12 |
$216.48 |
| 36591 |
|
38 |
26 |
$208.14 |
| 73130 |
|
29 |
14 |
$200.82 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
30 |
15 |
$200.75 |
| 73610 |
|
21 |
12 |
$181.25 |
| 77002 |
|
16 |
12 |
$100.06 |
| 73560 |
|
45 |
28 |
$96.43 |
| 99497 |
|
22 |
12 |
$86.38 |
| 72040 |
|
13 |
13 |
$83.38 |
| 72190 |
|
31 |
14 |
$64.08 |
| 93018 |
|
14 |
13 |
$64.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
583 |
552 |
$17.59 |
| 90723 |
|
99 |
98 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
13 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
74 |
13 |
$0.00 |
| 90648 |
|
125 |
124 |
$0.00 |
| 90681 |
|
45 |
45 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
153 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
238 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
97 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
41 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$0.00 |
| 90670 |
|
120 |
119 |
$0.00 |
| 90633 |
|
36 |
36 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
69 |
$0.00 |
| 95812 |
|
13 |
12 |
$0.00 |