| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,177 |
12,799 |
$429K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,680 |
10,804 |
$296K |
| 59410 |
|
337 |
299 |
$195K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,681 |
5,100 |
$184K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,274 |
4,795 |
$126K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,463 |
1,315 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,251 |
1,864 |
$77K |
| 99460 |
|
825 |
704 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,004 |
858 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,372 |
1,155 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,259 |
845 |
$31K |
| 59426 |
|
968 |
437 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
7,775 |
6,480 |
$29K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,574 |
798 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,501 |
1,071 |
$27K |
| 99462 |
|
867 |
586 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,777 |
3,417 |
$23K |
| 59425 |
|
942 |
576 |
$22K |
| 11043 |
|
431 |
190 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
8,074 |
5,876 |
$17K |
| 59025 |
Fetal non-stress test |
885 |
586 |
$16K |
| 20610 |
|
555 |
529 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
582 |
529 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
554 |
479 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
543 |
253 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
743 |
538 |
$12K |
| 90651 |
|
345 |
266 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
342 |
268 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
731 |
618 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
100 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
91 |
$9K |
| 76642 |
|
428 |
398 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,229 |
2,456 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
81 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
620 |
486 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,137 |
888 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
166 |
150 |
$5K |
| 59515 |
|
43 |
12 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,653 |
1,256 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
423 |
400 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
530 |
382 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
241 |
170 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
108 |
$4K |
| 99218 |
|
65 |
55 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
190 |
149 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
162 |
157 |
$4K |
| 81025 |
|
2,165 |
1,498 |
$4K |
| 11045 |
|
82 |
25 |
$4K |
| 73560 |
|
384 |
289 |
$3K |
| 99215 |
Prolong outpt/office vis |
90 |
66 |
$3K |
| 81003 |
|
2,998 |
2,490 |
$3K |
| 99221 |
|
131 |
74 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
718 |
666 |
$3K |
| 76801 |
|
214 |
107 |
$2K |
| 77066 |
Tomosynthesis, mammo |
83 |
81 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
71 |
$1K |
| 74018 |
|
309 |
241 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
66 |
14 |
$1K |
| 73130 |
|
99 |
74 |
$977.11 |
| 99233 |
Prolong inpt eval add15 m |
27 |
12 |
$896.65 |
| 99219 |
|
13 |
13 |
$876.31 |
| 90715 |
|
131 |
87 |
$859.36 |
| 90686 |
|
204 |
170 |
$858.61 |
| 76937 |
|
267 |
243 |
$843.94 |
| 76830 |
Ultrasound, transvaginal |
98 |
55 |
$811.71 |
| 73030 |
|
135 |
110 |
$745.40 |
| 93000 |
|
368 |
312 |
$640.90 |
| 77001 |
|
123 |
109 |
$532.72 |
| 99441 |
|
78 |
54 |
$522.79 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$348.30 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$267.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
269 |
122 |
$266.06 |
| 72170 |
|
12 |
12 |
$258.67 |
| 93970 |
|
14 |
14 |
$222.55 |
| 99442 |
|
19 |
12 |
$176.00 |
| 73630 |
|
56 |
44 |
$175.41 |
| 73502 |
|
52 |
43 |
$171.58 |
| 85018 |
|
246 |
208 |
$135.65 |
| 93308 |
|
13 |
12 |
$134.84 |
| 73110 |
|
14 |
12 |
$88.11 |
| 72100 |
|
12 |
12 |
$71.93 |
| 95982 |
|
19 |
17 |
$68.95 |
| 90461 |
|
36 |
14 |
$58.90 |
| 93321 |
|
21 |
20 |
$57.73 |
| 73610 |
|
14 |
12 |
$44.04 |
| 36410 |
|
12 |
12 |
$42.64 |
| 99152 |
|
205 |
178 |
$40.00 |
| 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) |
117 |
78 |
$26.40 |
| 93325 |
|
21 |
20 |
$25.38 |
| 3074F |
|
47 |
41 |
$0.00 |
| 3079F |
|
93 |
88 |
$0.00 |
| 0500F |
|
383 |
318 |
$0.00 |
| 0503F |
|
179 |
162 |
$0.00 |
| 3075F |
|
29 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 1170F |
|
54 |
25 |
$0.00 |
| 90723 |
|
36 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 0502F |
|
2,572 |
1,709 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,220 |
941 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
51 |
51 |
$0.00 |
| 90670 |
|
88 |
86 |
$0.00 |
| 3077F |
|
60 |
56 |
$0.00 |
| 90648 |
|
97 |
93 |
$0.00 |
| 1160F |
|
42 |
13 |
$0.00 |
| 3078F |
|
93 |
71 |
$0.00 |
| 1159F |
|
42 |
13 |
$0.00 |