| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,498 |
38,058 |
$1.40M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22,393 |
22,151 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,191 |
35,171 |
$994K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12,315 |
11,792 |
$435K |
| 92134 |
|
36,589 |
34,844 |
$402K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,496 |
7,465 |
$389K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,130 |
4,125 |
$262K |
| 92015 |
Determination of refractive state |
18,046 |
17,955 |
$229K |
| 31231 |
|
4,509 |
4,392 |
$209K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,719 |
4,552 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,775 |
1,759 |
$135K |
| 31575 |
|
3,237 |
3,149 |
$115K |
| 92083 |
|
9,971 |
9,738 |
$103K |
| 92133 |
|
9,048 |
8,854 |
$99K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,268 |
1,253 |
$82K |
| 92557 |
|
1,650 |
1,648 |
$50K |
| 76512 |
|
1,929 |
1,601 |
$36K |
| 69210 |
|
1,724 |
1,706 |
$30K |
| 00142 |
|
931 |
864 |
$29K |
| 68761 |
|
257 |
255 |
$28K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
444 |
443 |
$28K |
| 92226 |
|
2,035 |
1,885 |
$26K |
| 99215 |
Prolong outpt/office vis |
531 |
507 |
$25K |
| 31579 |
|
469 |
462 |
$25K |
| 70491 |
|
840 |
826 |
$25K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
342 |
342 |
$21K |
| 92060 |
|
1,025 |
920 |
$20K |
| 92567 |
|
1,061 |
1,058 |
$16K |
| 31237 |
|
143 |
133 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
370 |
360 |
$13K |
| 92201 |
|
1,314 |
1,290 |
$12K |
| 70486 |
|
437 |
431 |
$10K |
| 92025 |
|
1,166 |
1,100 |
$10K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
389 |
174 |
$10K |
| 76536 |
|
664 |
659 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
484 |
474 |
$9K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
51 |
51 |
$8K |
| 92504 |
|
1,754 |
1,697 |
$8K |
| 92250 |
|
911 |
901 |
$8K |
| 92020 |
|
978 |
967 |
$7K |
| 70480 |
|
183 |
181 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
285 |
254 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
108 |
27 |
$4K |
| 64612 |
|
58 |
56 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
163 |
160 |
$4K |
| 95806 |
|
84 |
84 |
$4K |
| 92202 |
|
444 |
427 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
43 |
$3K |
| 92579 |
|
102 |
101 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
14 |
$2K |
| 92585 |
|
112 |
112 |
$2K |
| 31526 |
|
24 |
24 |
$2K |
| 92136 |
|
164 |
160 |
$2K |
| 92285 |
|
1,242 |
1,213 |
$2K |
| 92540 |
|
49 |
49 |
$2K |
| 74230 |
|
115 |
113 |
$2K |
| 92225 |
|
103 |
95 |
$2K |
| 70543 |
|
26 |
26 |
$2K |
| 00140 |
|
30 |
30 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
53 |
53 |
$1K |
| 95811 |
|
25 |
25 |
$1K |
| 92587 |
|
104 |
61 |
$1K |
| 88304 |
|
188 |
185 |
$1K |
| 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) |
302 |
299 |
$1K |
| 92145 |
|
197 |
192 |
$712.43 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
25 |
$555.14 |
| 76514 |
|
120 |
116 |
$483.19 |
| 76516 |
|
57 |
55 |
$407.87 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$288.22 |
| 92546 |
|
13 |
13 |
$108.25 |
| 92283 |
|
13 |
13 |
$70.68 |
| 92081 |
|
13 |
13 |
$53.62 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
413 |
312 |
$0.00 |