| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,453 |
36,958 |
$1.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,002 |
10,899 |
$659K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,693 |
2,303 |
$279K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,514 |
3,026 |
$269K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,169 |
2,744 |
$184K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,352 |
1,394 |
$150K |
| 76830 |
Ultrasound, transvaginal |
1,180 |
977 |
$85K |
| 62323 |
|
1,062 |
949 |
$81K |
| 99205 |
Prolong outpt/office vis |
441 |
348 |
$57K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
851 |
749 |
$36K |
| 20610 |
|
1,653 |
1,105 |
$31K |
| 59025 |
Fetal non-stress test |
1,432 |
1,140 |
$30K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,255 |
518 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
432 |
345 |
$28K |
| 92060 |
|
710 |
567 |
$23K |
| 81001 |
|
11,571 |
9,408 |
$18K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
869 |
346 |
$17K |
| 51798 |
|
2,933 |
2,564 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,064 |
1,742 |
$16K |
| 73562 |
|
1,494 |
1,262 |
$16K |
| 99243 |
|
174 |
165 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,269 |
3,319 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
91 |
88 |
$13K |
| 73620 |
|
1,001 |
806 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
144 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
6,355 |
4,955 |
$10K |
| 92567 |
|
1,024 |
914 |
$10K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
738 |
308 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
27 |
$10K |
| 72110 |
|
390 |
355 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
363 |
$8K |
| 73630 |
|
553 |
424 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
31 |
28 |
$7K |
| 73610 |
|
438 |
325 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
48 |
$6K |
| 81025 |
|
992 |
742 |
$6K |
| 87210 |
|
1,501 |
1,280 |
$5K |
| 73600 |
|
440 |
330 |
$5K |
| 73030 |
|
465 |
393 |
$4K |
| 99219 |
|
46 |
41 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
129 |
90 |
$4K |
| 73120 |
|
203 |
164 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
29 |
28 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
189 |
$3K |
| 99401 |
|
88 |
58 |
$2K |
| 90674 |
|
135 |
98 |
$2K |
| 99459 |
|
203 |
188 |
$2K |
| 99234 |
|
17 |
13 |
$2K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
13 |
12 |
$2K |
| 73564 |
|
79 |
76 |
$2K |
| 92511 |
|
17 |
13 |
$1K |
| 92273 |
|
31 |
26 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$875.52 |
| 73100 |
|
51 |
32 |
$843.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
51 |
$819.72 |
| 88112 |
|
32 |
24 |
$751.59 |
| 73502 |
|
75 |
61 |
$674.64 |
| 97162 |
|
12 |
12 |
$595.94 |
| 74018 |
|
45 |
37 |
$583.74 |
| 69210 |
|
29 |
24 |
$481.75 |
| 82950 |
|
91 |
86 |
$477.27 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
32 |
24 |
$436.17 |
| 72100 |
|
45 |
41 |
$417.11 |
| 97161 |
|
13 |
12 |
$406.47 |
| 92557 |
|
13 |
13 |
$356.66 |
| 92015 |
Determination of refractive state |
56 |
38 |
$351.54 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
58 |
43 |
$337.81 |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
36 |
$303.77 |
| 80053 |
Comprehensive metabolic panel |
34 |
26 |
$270.92 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$245.64 |
| 81003 |
|
264 |
245 |
$234.52 |
| 92134 |
|
33 |
27 |
$221.13 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
38 |
36 |
$155.34 |
| 80069 |
|
15 |
13 |
$94.56 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,381 |
1,243 |
$92.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
146 |
143 |
$77.98 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$70.85 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$29.85 |
| 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) |
14 |
12 |
$18.90 |
| 99000 |
|
145 |
132 |
$0.00 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
38 |
36 |
$0.00 |
| 1036F |
|
38 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19 |
17 |
$0.00 |