| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,328 |
6,614 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,743 |
6,951 |
$241K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,959 |
6,238 |
$172K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,458 |
4,926 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,047 |
1,012 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,401 |
1,253 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
858 |
769 |
$38K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,603 |
1,375 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,507 |
5,463 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
626 |
607 |
$28K |
| D7240 |
Removal of impacted tooth - completely bony |
288 |
57 |
$25K |
| 3008F |
|
2,269 |
2,204 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
838 |
328 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
387 |
345 |
$9K |
| 0002A |
|
226 |
223 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
192 |
129 |
$5K |
| 0001A |
|
151 |
148 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
187 |
164 |
$5K |
| 0003A |
|
135 |
120 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
104 |
91 |
$3K |
| 11721 |
|
212 |
208 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
119 |
104 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
39 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
25 |
$2K |
| 92557 |
|
70 |
68 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
49 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
39 |
$2K |
| 88307 |
|
28 |
25 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
263 |
239 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
78 |
19 |
$1K |
| 92567 |
|
100 |
93 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
45 |
35 |
$1K |
| 72100 |
|
125 |
119 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
13 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
91 |
88 |
$926.53 |
| 0054A |
|
29 |
29 |
$845.62 |
| 93298 |
|
77 |
73 |
$674.90 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
137 |
120 |
$661.49 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
30 |
26 |
$653.54 |
| 97597 |
|
32 |
28 |
$639.54 |
| 71045 |
Radiologic examination, chest; single view |
132 |
119 |
$573.11 |
| 73630 |
|
92 |
70 |
$524.24 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$461.38 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$389.75 |
| 90661 |
|
20 |
20 |
$331.64 |
| 93297 |
|
67 |
63 |
$320.87 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$273.24 |
| 90674 |
|
78 |
76 |
$239.75 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
12 |
$200.82 |
| 73030 |
|
18 |
14 |
$169.42 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
12 |
$123.72 |
| 72040 |
|
13 |
13 |
$84.59 |
| 94060 |
|
13 |
12 |
$57.57 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$21.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
23 |
13 |
$0.00 |