| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,225 |
35,024 |
$2.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,513 |
10,802 |
$506K |
| 99223 |
Prolong inpt eval add15 m |
4,586 |
4,349 |
$279K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,712 |
4,536 |
$245K |
| 99233 |
Prolong inpt eval add15 m |
7,582 |
4,621 |
$241K |
| 99215 |
Prolong outpt/office vis |
2,722 |
2,583 |
$210K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,663 |
4,823 |
$187K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,424 |
3,264 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,323 |
1,300 |
$98K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
530 |
515 |
$84K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,744 |
1,700 |
$53K |
| 88342 |
|
2,277 |
2,220 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
477 |
457 |
$40K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,111 |
7,557 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
278 |
$19K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
86 |
82 |
$18K |
| 20610 |
|
426 |
390 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
133 |
133 |
$16K |
| 88307 |
|
221 |
218 |
$14K |
| 96127 |
|
4,743 |
4,623 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
205 |
$9K |
| 93000 |
|
919 |
869 |
$8K |
| 88313 |
|
431 |
426 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
106 |
71 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
92 |
$4K |
| 87428 |
|
79 |
71 |
$4K |
| 99406 |
|
517 |
510 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
307 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
82 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 88304 |
|
202 |
196 |
$3K |
| 95886 |
|
42 |
41 |
$3K |
| 95251 |
|
153 |
146 |
$2K |
| 99220 |
|
26 |
26 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$2K |
| 51700 |
|
33 |
12 |
$2K |
| 99386 |
|
26 |
26 |
$1K |
| 95806 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
78 |
$1K |
| 94060 |
|
105 |
105 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
204 |
198 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 99385 |
|
24 |
24 |
$1K |
| 46600 |
|
15 |
14 |
$836.65 |
| 90686 |
|
43 |
43 |
$734.08 |
| 99441 |
|
26 |
26 |
$644.74 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$635.68 |
| 90682 |
|
12 |
12 |
$630.68 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$572.50 |
| 94727 |
|
105 |
105 |
$528.87 |
| 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) |
297 |
279 |
$475.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
56 |
$412.13 |
| 94729 |
|
105 |
105 |
$363.41 |
| 90674 |
|
13 |
13 |
$274.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
18 |
$274.13 |
| 95816 |
|
15 |
14 |
$225.30 |
| 99459 |
|
13 |
13 |
$187.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
134 |
$57.50 |
| 82962 |
|
62 |
58 |
$3.38 |
| 3074F |
|
127 |
113 |
$0.00 |
| 3078F |
|
46 |
38 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
19 |
$0.00 |