| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90,700 |
83,436 |
$8.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,169 |
33,534 |
$2.92M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,162 |
12,113 |
$1.71M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,364 |
9,262 |
$1.02M |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,808 |
1,792 |
$619K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,284 |
5,161 |
$514K |
| 93351 |
|
2,221 |
2,209 |
$461K |
| 45384 |
|
2,372 |
2,363 |
$333K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,246 |
2,263 |
$305K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,743 |
1,734 |
$284K |
| 93970 |
|
1,630 |
1,557 |
$260K |
| 99215 |
Prolong outpt/office vis |
1,310 |
1,265 |
$193K |
| 99223 |
Prolong inpt eval add15 m |
2,211 |
2,163 |
$175K |
| 93925 |
|
662 |
634 |
$116K |
| 99233 |
Prolong inpt eval add15 m |
2,059 |
879 |
$108K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
2,056 |
2,042 |
$100K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
557 |
554 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,130 |
1,115 |
$76K |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
893 |
891 |
$73K |
| 46221 |
|
287 |
190 |
$71K |
| 99490 |
Ccm add 20min |
3,769 |
3,766 |
$71K |
| 93224 |
|
1,093 |
1,045 |
$63K |
| 93880 |
|
504 |
486 |
$61K |
| 99205 |
Prolong outpt/office vis |
330 |
330 |
$56K |
| 93229 |
|
38 |
38 |
$49K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,807 |
1,794 |
$46K |
| 45390 |
|
189 |
189 |
$45K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
306 |
303 |
$43K |
| 80053 |
Comprehensive metabolic panel |
4,040 |
3,977 |
$40K |
| 99091 |
|
843 |
818 |
$37K |
| 80061 |
Lipid panel |
3,026 |
2,994 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,502 |
4,404 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,050 |
1,047 |
$28K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,567 |
1,552 |
$25K |
| 99152 |
|
2,653 |
2,577 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
504 |
189 |
$22K |
| 45381 |
|
254 |
240 |
$21K |
| 93015 |
|
422 |
413 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
430 |
408 |
$19K |
| 99386 |
|
110 |
110 |
$19K |
| 80050 |
General health panel |
336 |
335 |
$17K |
| 90658 |
|
682 |
677 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,528 |
1,509 |
$14K |
| 83880 |
|
380 |
367 |
$12K |
| 93288 |
|
332 |
327 |
$10K |
| 77075 |
|
140 |
140 |
$9K |
| 93923 |
|
91 |
91 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
109 |
106 |
$7K |
| J2785 |
Injection, regadenoson, 0.1 mg |
26 |
26 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
607 |
568 |
$7K |
| 90756 |
|
211 |
210 |
$7K |
| 84153 |
|
381 |
377 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
112 |
111 |
$6K |
| 99397 |
|
26 |
26 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
69 |
64 |
$5K |
| 86769 |
|
116 |
115 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$4K |
| 99429 |
|
46 |
46 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
512 |
261 |
$3K |
| 46930 |
|
24 |
24 |
$2K |
| 77080 |
|
105 |
105 |
$2K |
| 36246 |
|
19 |
14 |
$2K |
| 83013 |
|
33 |
33 |
$2K |
| 90694 |
|
65 |
65 |
$1K |
| 84439 |
|
149 |
148 |
$1K |
| 99442 |
|
59 |
59 |
$1K |
| 95251 |
|
38 |
38 |
$767.29 |
| 90656 |
|
27 |
27 |
$738.92 |
| 11721 |
|
27 |
27 |
$729.31 |
| 80076 |
|
90 |
89 |
$631.80 |
| 93228 |
|
38 |
38 |
$535.15 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
425 |
418 |
$503.63 |
| 83014 |
|
33 |
33 |
$209.70 |
| 82043 |
|
13 |
13 |
$72.67 |
| 99307 |
|
24 |
12 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
4,792 |
3,238 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
8,052 |
3,515 |
$0.00 |
| 95250 |
|
13 |
13 |
$0.00 |