| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222,081 |
207,858 |
$14.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183,100 |
170,890 |
$8.14M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30,562 |
30,229 |
$2.75M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
63,630 |
19,772 |
$2.65M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,457 |
3,408 |
$2.60M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
23,518 |
23,388 |
$1.93M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
17,875 |
1,965 |
$1.88M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24,943 |
24,764 |
$1.84M |
| 99223 |
Prolong inpt eval add15 m |
16,933 |
14,672 |
$1.81M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30,312 |
28,905 |
$1.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,424 |
25,290 |
$1.65M |
| 99233 |
Prolong inpt eval add15 m |
24,929 |
10,637 |
$1.48M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26,258 |
25,991 |
$1.43M |
| 59426 |
|
1,761 |
1,743 |
$1.28M |
| 99222 |
Initial hospital care, per day, moderate complexity |
16,608 |
14,555 |
$1.25M |
| 99215 |
Prolong outpt/office vis |
12,941 |
12,590 |
$1.20M |
| 59514 |
|
1,653 |
1,522 |
$1.12M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
2,942 |
435 |
$1.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,088 |
16,070 |
$1.03M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
7,971 |
1,353 |
$814K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,647 |
10,620 |
$754K |
| 99385 |
|
8,778 |
8,720 |
$753K |
| 99460 |
|
12,066 |
12,008 |
$672K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
11,061 |
10,696 |
$667K |
| 99205 |
Prolong outpt/office vis |
5,718 |
5,628 |
$653K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13,050 |
12,785 |
$568K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,516 |
12,814 |
$479K |
| 99386 |
|
3,962 |
3,940 |
$405K |
| 99381 |
|
4,599 |
4,582 |
$344K |
| 59430 |
|
1,715 |
1,707 |
$312K |
| 59025 |
Fetal non-stress test |
17,203 |
9,616 |
$303K |
| 99496 |
|
2,812 |
2,800 |
$300K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,888 |
10,520 |
$283K |
| 99220 |
|
2,723 |
2,655 |
$271K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,035 |
3,989 |
$258K |
| 47562 |
|
613 |
610 |
$232K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,723 |
4,681 |
$226K |
| 43775 |
|
349 |
329 |
$210K |
| 99383 |
|
2,745 |
2,737 |
$201K |
| 88307 |
|
3,501 |
3,237 |
$198K |
| 99495 |
|
2,496 |
2,481 |
$191K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,706 |
4,169 |
$184K |
| 99384 |
|
2,170 |
2,161 |
$183K |
| 99468 |
|
217 |
215 |
$181K |
| 20610 |
|
5,742 |
5,423 |
$180K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,894 |
16,672 |
$170K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,570 |
2,399 |
$169K |
| 95886 |
|
1,978 |
1,900 |
$158K |
| 99221 |
|
2,989 |
2,900 |
$156K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,889 |
3,623 |
$156K |
| 99464 |
|
3,586 |
3,575 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,406 |
3,395 |
$150K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,385 |
1,380 |
$147K |
| 54150 |
|
2,558 |
2,525 |
$145K |
| 99462 |
|
5,943 |
4,602 |
$145K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,429 |
1,097 |
$134K |
| 99382 |
|
1,796 |
1,790 |
$129K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,955 |
4,502 |
$125K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,981 |
5,666 |
$123K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,529 |
3,505 |
$121K |
| 90791 |
Psychiatric diagnostic evaluation |
1,773 |
1,443 |
$118K |
| 99219 |
|
1,399 |
1,380 |
$103K |
| 99442 |
|
3,234 |
3,160 |
$100K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,813 |
1,810 |
$99K |
| 99443 |
|
1,948 |
1,877 |
$96K |
| 99217 |
|
2,443 |
2,393 |
$95K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
533 |
531 |
$82K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
774 |
769 |
$80K |
| 90715 |
|
2,992 |
2,964 |
$77K |
| 90686 |
|
5,194 |
5,175 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,239 |
7,472 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,293 |
2,292 |
$67K |
| 90651 |
|
1,412 |
1,404 |
$61K |
| 0012A |
|
1,546 |
1,544 |
$59K |
| 59425 |
|
133 |
133 |
$57K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
882 |
878 |
$56K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
464 |
199 |
$54K |
| 17110 |
|
1,163 |
1,063 |
$53K |
| 99254 |
|
593 |
553 |
$51K |
| 99463 |
|
797 |
794 |
$51K |
| 58300 |
|
1,229 |
1,204 |
$48K |
| 87428 |
|
1,155 |
1,134 |
$47K |
| 76801 |
|
1,572 |
1,537 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,335 |
9,189 |
$43K |
| 90732 |
|
513 |
512 |
$43K |
| 99478 |
|
502 |
54 |
$43K |
| 88141 |
|
2,727 |
2,713 |
$42K |
| 0011A |
|
1,149 |
1,149 |
$41K |
| 93000 |
|
5,018 |
4,949 |
$39K |
| 90677 |
|
348 |
346 |
$38K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
499 |
497 |
$36K |
| 88342 |
|
1,644 |
1,507 |
$35K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
580 |
568 |
$33K |
| 88341 |
|
811 |
724 |
$33K |
| 99406 |
|
4,750 |
4,622 |
$33K |
| 93458 |
|
227 |
223 |
$32K |
| 76830 |
Ultrasound, transvaginal |
1,024 |
988 |
$32K |
| 90671 |
|
1,012 |
1,008 |
$31K |
| 90670 |
|
1,155 |
1,143 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,578 |
1,444 |
$31K |
| 95811 |
|
409 |
409 |
$30K |
| 77014 |
|
1,075 |
227 |
$30K |
| 95908 |
|
443 |
442 |
$29K |
| 93016 |
|
2,298 |
2,288 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,148 |
958 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
947 |
913 |
$26K |
| 99441 |
|
1,402 |
1,361 |
$25K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
750 |
203 |
$25K |
| 90682 |
|
468 |
468 |
$24K |
| 88112 |
|
1,484 |
1,369 |
$24K |
| 99477 |
|
90 |
88 |
$23K |
| 88304 |
|
3,148 |
3,047 |
$22K |
| 58301 |
|
482 |
468 |
$22K |
| 57454 |
|
241 |
239 |
$20K |
| 93018 |
|
2,298 |
2,285 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
8,213 |
8,030 |
$19K |
| 88312 |
|
996 |
949 |
$19K |
| 99497 |
|
596 |
557 |
$19K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
26 |
26 |
$19K |
| 81025 |
|
2,863 |
2,816 |
$18K |
| 76820 |
|
1,110 |
554 |
$16K |
| 95910 |
|
165 |
163 |
$16K |
| 85060 |
|
1,593 |
1,409 |
$16K |
| 90734 |
|
849 |
833 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,879 |
1,872 |
$15K |
| 93351 |
|
221 |
219 |
$15K |
| 99253 |
|
233 |
228 |
$14K |
| 90656 |
|
1,298 |
1,298 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
169 |
166 |
$14K |
| 91322 |
|
113 |
113 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,135 |
2,111 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
589 |
292 |
$14K |
| 88173 |
|
259 |
244 |
$13K |
| 99465 |
|
158 |
156 |
$13K |
| 81002 |
|
4,985 |
3,863 |
$12K |
| 20611 |
|
271 |
207 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
524 |
484 |
$12K |
| 58558 |
|
65 |
65 |
$11K |
| 29075 |
|
289 |
262 |
$11K |
| 83655 |
|
1,053 |
1,042 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,304 |
1,046 |
$10K |
| 69210 |
|
517 |
504 |
$10K |
| 90473 |
|
535 |
532 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
736 |
727 |
$9K |
| 84165 |
|
820 |
816 |
$8K |
| 25600 |
|
40 |
40 |
$8K |
| 90632 |
|
136 |
134 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
102 |
96 |
$7K |
| 99397 |
|
104 |
104 |
$7K |
| 77427 |
|
58 |
26 |
$7K |
| 76942 |
|
367 |
341 |
$7K |
| 92587 |
|
600 |
600 |
$7K |
| 99236 |
Prolong inpt eval add15 m |
52 |
51 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
265 |
90 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
168 |
128 |
$6K |
| 88311 |
|
746 |
692 |
$6K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
48 |
48 |
$6K |
| 93320 |
|
364 |
361 |
$6K |
| 99243 |
|
102 |
101 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,167 |
1,129 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
369 |
357 |
$5K |
| 11981 |
|
98 |
97 |
$5K |
| 99235 |
|
53 |
52 |
$5K |
| 95909 |
|
55 |
53 |
$5K |
| 88360 |
|
102 |
82 |
$4K |
| 81003 |
|
2,893 |
2,644 |
$4K |
| 99245 |
|
39 |
39 |
$4K |
| 90480 |
|
156 |
156 |
$4K |
| 90688 |
|
271 |
271 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,018 |
2,814 |
$4K |
| 92928 |
|
12 |
12 |
$4K |
| 99225 |
|
747 |
581 |
$4K |
| 88188 |
|
132 |
121 |
$4K |
| 96127 |
|
1,350 |
1,273 |
$4K |
| 90746 |
|
62 |
62 |
$4K |
| 88302 |
|
603 |
585 |
$4K |
| 95806 |
|
130 |
129 |
$3K |
| 20550 |
|
144 |
129 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
17 |
17 |
$3K |
| 99418 |
Prolong nursin fac eval 15m |
77 |
54 |
$3K |
| 0064A |
|
75 |
75 |
$3K |
| 92250 |
|
268 |
255 |
$3K |
| 0124A |
|
129 |
129 |
$3K |
| 96116 |
|
68 |
68 |
$3K |
| 99255 |
|
26 |
25 |
$3K |
| 98966 |
|
675 |
650 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
526 |
508 |
$3K |
| 99234 |
|
38 |
38 |
$3K |
| 96381 |
|
112 |
110 |
$2K |
| 99152 |
|
351 |
342 |
$2K |
| 92558 |
|
788 |
786 |
$2K |
| 86334 |
|
218 |
217 |
$2K |
| 93325 |
|
598 |
591 |
$2K |
| 73560 |
|
385 |
320 |
$2K |
| 90662 |
|
317 |
313 |
$2K |
| 85018 |
|
1,030 |
1,021 |
$2K |
| 0001A |
|
55 |
54 |
$2K |
| 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) |
1,122 |
1,086 |
$2K |
| 58100 |
|
37 |
37 |
$2K |
| 82962 |
|
706 |
607 |
$2K |
| 88313 |
|
141 |
117 |
$2K |
| 84166 |
|
149 |
146 |
$2K |
| 0004A |
|
43 |
43 |
$2K |
| 20552 |
|
70 |
65 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,113 |
1,073 |
$1K |
| 99177 |
|
667 |
665 |
$1K |
| 76825 |
|
29 |
28 |
$1K |
| 90620 |
|
185 |
185 |
$1K |
| 99201 |
|
78 |
78 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
677 |
675 |
$1K |
| 32551 |
|
17 |
13 |
$1K |
| 90716 |
|
696 |
692 |
$1K |
| 88108 |
|
87 |
84 |
$1K |
| 90474 |
|
150 |
149 |
$1K |
| 99422 |
|
84 |
79 |
$1K |
| 73565 |
|
188 |
186 |
$1K |
| 36556 |
|
21 |
15 |
$1K |
| 99226 |
|
116 |
99 |
$987.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
66 |
$841.25 |
| 99459 |
|
157 |
157 |
$819.58 |
| 36416 |
|
1,141 |
1,123 |
$756.70 |
| 87807 |
|
79 |
76 |
$737.38 |
| 90707 |
|
712 |
707 |
$714.57 |
| 92551 |
|
213 |
212 |
$678.23 |
| 10060 |
|
14 |
12 |
$669.50 |
| 92201 |
|
50 |
28 |
$660.71 |
| G0008 |
Administration of influenza virus vaccine |
835 |
834 |
$648.87 |
| 0013A |
|
16 |
16 |
$628.34 |
| 99252 |
|
18 |
18 |
$627.00 |
| 90653 |
|
98 |
98 |
$617.83 |
| 76818 |
|
18 |
13 |
$584.83 |
| 0002A |
|
14 |
14 |
$564.01 |
| 43235 |
|
12 |
12 |
$550.09 |
| 76821 |
|
26 |
13 |
$547.29 |
| 88344 |
|
12 |
12 |
$501.17 |
| 73030 |
|
75 |
66 |
$490.73 |
| 76813 |
|
14 |
14 |
$485.32 |
| 76827 |
|
29 |
28 |
$452.49 |
| 93015 |
|
12 |
12 |
$426.58 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
131 |
128 |
$412.40 |
| 92553 |
|
13 |
13 |
$392.65 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
30 |
$387.84 |
| 86580 |
|
71 |
64 |
$380.92 |
| 99401 |
|
25 |
25 |
$380.16 |
| 29125 |
|
13 |
13 |
$324.70 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
22 |
16 |
$308.72 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
64 |
54 |
$306.75 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
53 |
50 |
$294.74 |
| 92226 |
|
20 |
13 |
$214.00 |
| 93244 |
|
15 |
15 |
$209.16 |
| 0054A |
|
12 |
12 |
$194.40 |
| 90658 |
|
20 |
20 |
$186.70 |
| 96160 |
|
39 |
34 |
$171.59 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
52 |
52 |
$169.01 |
| 82044 |
|
38 |
37 |
$161.46 |
| 73562 |
|
12 |
12 |
$138.97 |
| J3411 |
Injection, thiamine hcl, 100 mg |
70 |
70 |
$137.41 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
28 |
$132.63 |
| 93242 |
|
14 |
14 |
$102.66 |
| 80503 |
|
13 |
13 |
$97.96 |
| 76937 |
|
13 |
12 |
$97.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$75.73 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
25 |
25 |
$38.92 |
| 88300 |
|
16 |
16 |
$37.63 |
| 98967 |
|
94 |
89 |
$15.44 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
18 |
$4.50 |
| 3051F |
|
309 |
305 |
$0.40 |
| 3008F |
|
1,744 |
1,666 |
$0.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34,733 |
33,365 |
$0.01 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
5,473 |
5,370 |
$0.01 |
| 90381 |
|
98 |
96 |
$0.00 |
| 1123F |
|
84 |
81 |
$0.00 |
| 3074F |
|
75,312 |
67,715 |
$0.00 |
| 3079F |
|
29,707 |
27,861 |
$0.00 |
| 3080F |
|
6,975 |
6,526 |
$0.00 |
| 90680 |
|
1,785 |
1,776 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
278 |
278 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
48,261 |
43,968 |
$0.00 |
| 3075F |
|
16,796 |
15,898 |
$0.00 |
| 91301 |
|
621 |
616 |
$0.00 |
| 90647 |
|
1,419 |
1,413 |
$0.00 |
| 3044F |
|
782 |
776 |
$0.00 |
| 90723 |
|
2,122 |
2,109 |
$0.00 |
| 1036F |
|
164 |
152 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
27 |
25 |
$0.00 |
| 90696 |
|
455 |
455 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 3052F |
|
25 |
25 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 3077F |
|
13,339 |
12,399 |
$0.00 |
| 90700 |
|
672 |
672 |
$0.00 |
| 99173 |
|
1,099 |
1,092 |
$0.00 |
| 90710 |
|
498 |
498 |
$0.00 |
| 90461 |
|
231 |
230 |
$0.00 |
| 3078F |
|
67,062 |
60,526 |
$0.00 |
| 1124F |
|
50 |
49 |
$0.00 |
| 90380 |
|
31 |
31 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,607 |
2,582 |
$0.00 |
| 90648 |
|
640 |
637 |
$0.00 |
| 90633 |
|
1,368 |
1,364 |
$0.00 |
| 3046F |
|
16 |
16 |
$0.00 |
| 1159F |
|
23 |
22 |
$0.00 |
| 91321 |
|
25 |
25 |
$0.00 |
| 91300 |
|
38 |
37 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
100 |
93 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
19 |
13 |
$0.00 |
| 90713 |
|
30 |
30 |
$0.00 |