| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
83,868 |
79,738 |
$5.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
108,296 |
103,970 |
$3.96M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35,568 |
33,447 |
$2.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,539 |
38,145 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,093 |
27,872 |
$1.03M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,587 |
9,823 |
$790K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,589 |
6,909 |
$367K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,177 |
12,697 |
$313K |
| 31237 |
|
866 |
576 |
$167K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,097 |
2,766 |
$143K |
| 62323 |
|
817 |
759 |
$124K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,085 |
16,731 |
$123K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,143 |
683 |
$113K |
| 99233 |
Prolong inpt eval add15 m |
2,574 |
1,284 |
$107K |
| 20610 |
|
3,110 |
2,697 |
$106K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,181 |
1,132 |
$87K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
229 |
220 |
$65K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
509 |
438 |
$58K |
| 99215 |
Prolong outpt/office vis |
953 |
840 |
$46K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,299 |
769 |
$43K |
| 64493 |
|
325 |
238 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,170 |
623 |
$28K |
| 95886 |
|
673 |
636 |
$25K |
| 99205 |
Prolong outpt/office vis |
320 |
307 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
507 |
427 |
$23K |
| 27096 |
|
197 |
165 |
$23K |
| 69210 |
|
1,040 |
902 |
$21K |
| 31231 |
|
221 |
212 |
$20K |
| 92557 |
|
1,182 |
757 |
$20K |
| 62321 |
|
132 |
118 |
$19K |
| 64494 |
|
268 |
210 |
$18K |
| 92567 |
|
2,718 |
1,661 |
$17K |
| 64635 |
|
46 |
44 |
$17K |
| 92587 |
|
1,167 |
602 |
$16K |
| 95251 |
|
1,011 |
929 |
$16K |
| 20611 |
|
292 |
261 |
$15K |
| 99464 |
|
330 |
308 |
$15K |
| 64721 |
|
92 |
79 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
227 |
221 |
$14K |
| 75574 |
|
163 |
145 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
659 |
603 |
$13K |
| 88307 |
|
262 |
231 |
$13K |
| 31000 |
|
120 |
111 |
$13K |
| 20550 |
|
537 |
335 |
$11K |
| 31575 |
|
239 |
215 |
$10K |
| 88312 |
|
447 |
277 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
375 |
289 |
$9K |
| 69620 |
|
14 |
14 |
$9K |
| 99385 |
|
170 |
155 |
$9K |
| 42830 |
|
86 |
81 |
$8K |
| 20526 |
|
208 |
191 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
358 |
346 |
$7K |
| 64636 |
|
46 |
43 |
$7K |
| 00731 |
|
173 |
164 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
130 |
$5K |
| 88304 |
|
312 |
260 |
$4K |
| 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) |
3,648 |
3,404 |
$4K |
| 94729 |
|
444 |
406 |
$4K |
| 94060 |
|
383 |
348 |
$4K |
| 95909 |
|
124 |
116 |
$4K |
| 00126 |
|
83 |
80 |
$4K |
| 76801 |
|
107 |
100 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
52 |
49 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
109 |
98 |
$3K |
| 99407 |
|
506 |
414 |
$3K |
| 94727 |
|
332 |
300 |
$2K |
| 93016 |
|
152 |
143 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
26 |
$2K |
| 00840 |
|
18 |
15 |
$2K |
| 01992 |
|
44 |
39 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
26 |
$1K |
| 93018 |
|
152 |
143 |
$1K |
| 95911 |
|
24 |
24 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
108 |
58 |
$1K |
| 92579 |
|
131 |
39 |
$1K |
| 59430 |
|
12 |
12 |
$1K |
| 95816 |
|
28 |
26 |
$984.73 |
| 00811 |
|
26 |
25 |
$951.23 |
| 20605 |
|
25 |
24 |
$746.56 |
| 95908 |
|
34 |
29 |
$713.29 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$633.56 |
| 95910 |
|
16 |
15 |
$589.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$440.40 |
| 76830 |
Ultrasound, transvaginal |
17 |
17 |
$420.94 |
| 92555 |
|
66 |
37 |
$340.08 |
| 95819 |
|
16 |
14 |
$334.16 |
| 20600 |
|
14 |
12 |
$320.17 |
| 92582 |
|
32 |
12 |
$274.95 |
| 76942 |
|
22 |
13 |
$262.47 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
21 |
14 |
$175.74 |
| 99152 |
|
25 |
25 |
$131.10 |
| 99406 |
|
16 |
14 |
$102.08 |
| 3075F |
|
8,150 |
6,981 |
$4.63 |
| 3044F |
|
8,019 |
6,872 |
$0.33 |
| 3046F |
|
301 |
251 |
$0.13 |
| 3051F |
|
81 |
66 |
$0.04 |
| 3288F |
|
49,909 |
42,301 |
$0.00 |
| 3725F |
|
478 |
444 |
$0.00 |
| 2028F |
|
399 |
318 |
$0.00 |
| 0502F |
|
1,073 |
727 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$0.00 |
| 1170F |
|
16,581 |
13,055 |
$0.00 |
| 1126F |
|
25,926 |
22,497 |
$0.00 |
| 1125F |
|
24,980 |
21,078 |
$0.00 |
| 1111F |
|
826 |
664 |
$0.00 |
| 3061F |
|
25 |
16 |
$0.00 |