| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,146 |
55,769 |
$3.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,643 |
47,003 |
$1.80M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,886 |
26,314 |
$1.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,055 |
15,969 |
$1.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,287 |
10,324 |
$1.00M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
6,072 |
5,925 |
$942K |
| H1000 |
Prenatal care, at-risk assessment |
13,075 |
11,487 |
$698K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,546 |
3,436 |
$449K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,902 |
4,579 |
$387K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,915 |
4,790 |
$377K |
| 99215 |
Prolong outpt/office vis |
3,632 |
3,499 |
$302K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,409 |
8,337 |
$256K |
| 99243 |
|
2,086 |
2,031 |
$228K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,303 |
1,289 |
$212K |
| 99205 |
Prolong outpt/office vis |
1,343 |
1,297 |
$206K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,926 |
1,795 |
$178K |
| 99233 |
Prolong inpt eval add15 m |
4,424 |
1,780 |
$178K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,762 |
1,017 |
$142K |
| 99223 |
Prolong inpt eval add15 m |
1,799 |
1,627 |
$142K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
391 |
366 |
$103K |
| 95117 |
|
7,725 |
4,124 |
$100K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,839 |
1,097 |
$93K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,745 |
1,597 |
$91K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,557 |
13,491 |
$84K |
| 81003 |
|
18,100 |
16,199 |
$69K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
496 |
488 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
623 |
605 |
$68K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
150 |
44 |
$65K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,197 |
2,139 |
$60K |
| 99245 |
|
262 |
259 |
$45K |
| H2000 |
Comprehensive multidisciplinary evaluation |
195 |
163 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,633 |
1,549 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
806 |
793 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
395 |
373 |
$36K |
| 99460 |
|
1,361 |
1,305 |
$35K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
323 |
311 |
$34K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
210 |
195 |
$30K |
| 90670 |
|
321 |
320 |
$27K |
| 95782 |
|
80 |
78 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
263 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
330 |
313 |
$24K |
| 59430 |
|
199 |
181 |
$23K |
| 90686 |
|
706 |
702 |
$22K |
| 87428 |
|
1,564 |
1,511 |
$21K |
| 92015 |
Determination of refractive state |
253 |
252 |
$21K |
| 99242 |
|
251 |
249 |
$21K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
93 |
91 |
$20K |
| 95115 |
|
1,718 |
942 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
150 |
86 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
137 |
134 |
$15K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
63 |
33 |
$15K |
| 93304 |
|
197 |
191 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,546 |
2,510 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
181 |
165 |
$13K |
| 0012A |
|
708 |
599 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
377 |
304 |
$11K |
| 54300 |
|
12 |
12 |
$11K |
| 96401 |
|
145 |
114 |
$9K |
| 99471 |
|
13 |
13 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,871 |
2,768 |
$8K |
| 99254 |
|
96 |
94 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
143 |
132 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,093 |
2,017 |
$8K |
| 0001A |
|
204 |
200 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
162 |
96 |
$8K |
| 95816 |
|
54 |
54 |
$7K |
| 81025 |
|
404 |
386 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
340 |
311 |
$6K |
| 0002A |
|
170 |
162 |
$6K |
| 95170 |
|
437 |
279 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
79 |
$6K |
| 90685 |
|
181 |
180 |
$6K |
| 0011A |
|
311 |
261 |
$5K |
| 20610 |
|
170 |
144 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,312 |
2,273 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
61 |
$5K |
| 76801 |
|
42 |
41 |
$4K |
| 93308 |
|
66 |
64 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$4K |
| 99157 |
|
88 |
84 |
$3K |
| 95951 |
|
21 |
18 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
14 |
14 |
$3K |
| 82962 |
|
1,208 |
1,065 |
$3K |
| 99349 |
|
224 |
124 |
$2K |
| 59025 |
Fetal non-stress test |
249 |
210 |
$2K |
| 59514 |
|
14 |
12 |
$2K |
| 99155 |
|
16 |
15 |
$2K |
| 99217 |
|
12 |
12 |
$2K |
| 94010 |
|
458 |
451 |
$2K |
| 95911 |
|
15 |
15 |
$2K |
| 95910 |
|
16 |
15 |
$2K |
| 95886 |
|
337 |
219 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
633 |
$1K |
| 90698 |
|
295 |
293 |
$1K |
| 64493 |
|
15 |
13 |
$1K |
| 93000 |
|
332 |
300 |
$1K |
| 93320 |
|
690 |
668 |
$1K |
| 99253 |
|
27 |
27 |
$1K |
| 94060 |
|
60 |
57 |
$969.76 |
| 80305 |
|
195 |
174 |
$945.41 |
| 93325 |
|
1,984 |
1,887 |
$934.47 |
| 90461 |
|
641 |
632 |
$852.00 |
| 0031A |
|
36 |
29 |
$788.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
60 |
42 |
$781.91 |
| 20611 |
|
16 |
14 |
$728.94 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
38 |
34 |
$670.01 |
| 93321 |
|
501 |
485 |
$509.12 |
| 99462 |
|
12 |
12 |
$403.32 |
| 45384 |
|
15 |
12 |
$355.61 |
| 85018 |
|
311 |
276 |
$296.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
15 |
$294.32 |
| 90715 |
|
35 |
32 |
$273.34 |
| 80053 |
Comprehensive metabolic panel |
43 |
28 |
$261.70 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
176 |
163 |
$227.78 |
| 99442 |
|
12 |
12 |
$197.68 |
| 99316 |
|
19 |
12 |
$183.46 |
| 92551 |
|
1,085 |
1,056 |
$181.80 |
| 99307 |
|
109 |
86 |
$177.59 |
| 99188 |
|
65 |
65 |
$143.28 |
| 90680 |
|
131 |
131 |
$96.02 |
| 99406 |
|
29 |
25 |
$89.67 |
| 99173 |
|
262 |
249 |
$84.82 |
| 94727 |
|
75 |
70 |
$81.18 |
| 95251 |
|
62 |
62 |
$70.51 |
| 51798 |
|
58 |
48 |
$44.03 |
| 94760 |
|
122 |
120 |
$42.97 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$39.63 |
| H2010 |
Comprehensive medication services, per 15 minutes |
13 |
12 |
$30.00 |
| 94729 |
|
89 |
83 |
$21.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
245 |
243 |
$0.00 |
| 36416 |
|
884 |
800 |
$0.00 |
| 91301 |
|
37 |
33 |
$0.00 |
| 64494 |
|
14 |
12 |
$0.00 |
| 96127 |
|
100 |
95 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 96415 |
|
14 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51 |
34 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
28 |
18 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
41 |
27 |
$0.00 |
| 99177 |
|
97 |
97 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
15 |
12 |
$0.00 |
| 99221 |
|
16 |
13 |
$0.00 |