| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78,849 |
74,445 |
$4.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,551 |
55,463 |
$2.12M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
52,090 |
19,335 |
$1.70M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
9,291 |
3,737 |
$1.25M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
19,415 |
18,378 |
$941K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
10,695 |
8,818 |
$720K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,632 |
3,535 |
$304K |
| 99255 |
|
3,017 |
2,082 |
$277K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
56,345 |
40,669 |
$272K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,862 |
1,837 |
$234K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35,934 |
24,197 |
$223K |
| 99223 |
Prolong inpt eval add15 m |
2,078 |
1,961 |
$217K |
| 99233 |
Prolong inpt eval add15 m |
4,062 |
1,586 |
$208K |
| 80053 |
Comprehensive metabolic panel |
21,585 |
16,424 |
$184K |
| 93356 |
|
9,623 |
9,230 |
$174K |
| 94618 |
|
5,915 |
5,559 |
$161K |
| 94726 |
|
6,196 |
5,820 |
$148K |
| 94729 |
|
5,687 |
5,356 |
$136K |
| 94010 |
|
9,199 |
8,632 |
$128K |
| 94060 |
|
4,313 |
4,039 |
$115K |
| 93295 |
|
2,864 |
2,771 |
$72K |
| 99215 |
Prolong outpt/office vis |
1,459 |
1,328 |
$70K |
| 93296 |
|
5,672 |
5,461 |
$70K |
| 99254 |
|
450 |
432 |
$64K |
| 99245 |
|
633 |
519 |
$59K |
| 96367 |
|
2,519 |
1,968 |
$57K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,344 |
1,098 |
$52K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,646 |
2,112 |
$37K |
| 83615 |
|
5,525 |
4,105 |
$28K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,773 |
1,543 |
$26K |
| 96910 |
|
654 |
228 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
346 |
341 |
$24K |
| 36600 |
|
1,622 |
1,492 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
891 |
850 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
233 |
218 |
$20K |
| 77080 |
|
410 |
399 |
$19K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
775 |
427 |
$16K |
| 82805 |
|
744 |
663 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
921 |
888 |
$14K |
| 80061 |
Lipid panel |
1,114 |
1,049 |
$12K |
| 93000 |
|
1,081 |
1,010 |
$12K |
| 17110 |
|
166 |
165 |
$10K |
| 93299 |
|
287 |
268 |
$10K |
| 83735 |
|
2,058 |
1,325 |
$10K |
| 99252 |
|
124 |
120 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
346 |
324 |
$9K |
| 82375 |
|
1,780 |
1,636 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,530 |
1,430 |
$8K |
| 95117 |
|
623 |
432 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
160 |
147 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
27 |
26 |
$7K |
| 11900 |
|
178 |
165 |
$7K |
| 84550 |
|
1,773 |
1,208 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
101 |
95 |
$5K |
| 85027 |
|
1,051 |
770 |
$4K |
| 85045 |
|
1,372 |
1,206 |
$4K |
| 93320 |
|
383 |
364 |
$4K |
| 84439 |
|
513 |
495 |
$4K |
| 84100 |
|
1,072 |
794 |
$4K |
| 96417 |
|
101 |
81 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,850 |
4,680 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
491 |
458 |
$3K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 93325 |
|
1,294 |
1,206 |
$3K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
79 |
66 |
$3K |
| 93294 |
|
191 |
183 |
$3K |
| 93272 |
|
142 |
137 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
393 |
$3K |
| 93297 |
|
361 |
334 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$2K |
| 93308 |
|
123 |
115 |
$2K |
| 11102 |
|
40 |
40 |
$2K |
| 93015 |
|
45 |
38 |
$2K |
| 99152 |
|
86 |
82 |
$2K |
| 91200 |
|
26 |
25 |
$2K |
| 86140 |
|
391 |
386 |
$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) |
610 |
578 |
$1K |
| 95251 |
|
98 |
96 |
$1K |
| 86141 |
|
119 |
114 |
$1K |
| 82947 |
|
410 |
397 |
$1K |
| 82803 |
|
123 |
108 |
$991.56 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
26 |
$892.13 |
| 82962 |
|
567 |
513 |
$798.05 |
| 85007 |
|
395 |
173 |
$708.07 |
| 93350 |
|
14 |
14 |
$656.54 |
| 93321 |
|
117 |
107 |
$590.99 |
| 96415 |
|
33 |
25 |
$567.30 |
| 84403 |
|
17 |
17 |
$512.94 |
| 11721 |
|
96 |
88 |
$470.00 |
| 49082 |
|
12 |
12 |
$428.44 |
| 93016 |
|
38 |
38 |
$419.25 |
| 99225 |
|
18 |
17 |
$392.34 |
| 93018 |
|
38 |
38 |
$343.18 |
| 91010 |
|
16 |
14 |
$319.57 |
| 82670 |
|
13 |
13 |
$308.40 |
| 93244 |
|
28 |
27 |
$281.25 |
| 93750 |
|
12 |
12 |
$221.29 |
| 83690 |
|
50 |
41 |
$210.83 |
| 82043 |
|
42 |
41 |
$206.21 |
| 93352 |
|
13 |
13 |
$200.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
88 |
$181.57 |
| 76604 |
|
14 |
12 |
$157.82 |
| 81002 |
|
130 |
123 |
$139.37 |
| 82150 |
|
31 |
26 |
$122.02 |
| 82570 |
|
27 |
27 |
$120.74 |
| 93228 |
|
15 |
15 |
$110.18 |
| 99418 |
Prolong nursin fac eval 15m |
68 |
24 |
$106.60 |
| 99443 |
|
12 |
12 |
$72.14 |
| 82550 |
|
13 |
13 |
$66.89 |
| 81003 |
|
98 |
93 |
$39.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$4.21 |
| 90674 |
|
64 |
64 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
113 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |