| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72,010 |
65,569 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,236 |
67,010 |
$1.24M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,518 |
9,071 |
$208K |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,407 |
2,448 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,529 |
1,366 |
$109K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,201 |
3,038 |
$87K |
| 99215 |
Prolong outpt/office vis |
2,840 |
2,510 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,641 |
5,309 |
$67K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,878 |
3,651 |
$66K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,506 |
4,311 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,925 |
9,631 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,810 |
2,636 |
$41K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19,507 |
15,805 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
1,510 |
674 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,546 |
2,402 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,812 |
1,738 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,486 |
1,441 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
897 |
445 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,108 |
650 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
937 |
863 |
$13K |
| 90461 |
|
940 |
896 |
$13K |
| 90838 |
|
302 |
279 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
793 |
725 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,369 |
1,325 |
$10K |
| 90480 |
|
245 |
241 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
854 |
591 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
748 |
321 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
754 |
716 |
$7K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
190 |
179 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
134 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
183 |
169 |
$5K |
| 90686 |
|
7,973 |
7,678 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
872 |
830 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
779 |
651 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
264 |
109 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
120 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
108 |
96 |
$3K |
| 95251 |
|
718 |
597 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
296 |
294 |
$2K |
| 91322 |
|
30 |
30 |
$2K |
| 80305 |
|
908 |
717 |
$1K |
| 92504 |
|
470 |
404 |
$1K |
| 91321 |
|
87 |
85 |
$1K |
| 96127 |
|
1,956 |
1,835 |
$902.02 |
| 92567 |
|
333 |
332 |
$859.26 |
| 90836 |
|
25 |
24 |
$852.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
331 |
$736.79 |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
25 |
$684.29 |
| 0111A |
|
19 |
13 |
$520.00 |
| 92588 |
|
100 |
96 |
$509.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
63 |
$487.01 |
| 31231 |
|
12 |
12 |
$484.11 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
24 |
$439.87 |
| 95886 |
|
54 |
39 |
$411.76 |
| 20610 |
|
46 |
42 |
$364.84 |
| 81025 |
|
63 |
63 |
$336.21 |
| 80061 |
Lipid panel |
172 |
145 |
$318.87 |
| 99443 |
|
17 |
14 |
$278.82 |
| 36415 |
Collection of venous blood by venipuncture |
161 |
152 |
$254.49 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$248.21 |
| 92557 |
|
26 |
26 |
$216.92 |
| 99442 |
|
33 |
27 |
$171.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$108.24 |
| 93000 |
|
29 |
28 |
$94.00 |
| 99307 |
|
18 |
15 |
$75.56 |
| 93016 |
|
28 |
26 |
$73.45 |
| 81003 |
|
41 |
41 |
$72.02 |
| T1018 |
School-based individualized education program (iep) services, bundled |
141 |
101 |
$64.65 |
| 93018 |
|
28 |
26 |
$64.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$47.95 |
| 96160 |
|
241 |
226 |
$42.65 |
| 31575 |
|
12 |
12 |
$39.77 |
| 85018 |
|
41 |
40 |
$22.89 |
| 92551 |
|
25 |
25 |
$18.74 |
| 99173 |
|
90 |
89 |
$9.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$8.67 |
| 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) |
861 |
825 |
$3.19 |
| 91311 |
|
54 |
43 |
$0.43 |
| 3074F |
|
9,918 |
9,214 |
$0.00 |
| 36416 |
|
1,611 |
1,404 |
$0.00 |
| 3079F |
|
371 |
362 |
$0.00 |
| 90656 |
|
653 |
645 |
$0.00 |
| 90651 |
|
138 |
132 |
$0.00 |
| 90698 |
|
417 |
406 |
$0.00 |
| 3075F |
|
50 |
50 |
$0.00 |
| 82962 |
|
178 |
108 |
$0.00 |
| 90697 |
|
42 |
41 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 3078F |
|
9,899 |
9,166 |
$0.00 |
| 90670 |
|
467 |
453 |
$0.00 |
| 90671 |
|
81 |
74 |
$0.00 |
| 90685 |
|
223 |
218 |
$0.00 |
| 3077F |
|
53 |
52 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
38 |
37 |
$0.00 |
| 91300 |
|
30 |
26 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90633 |
|
38 |
37 |
$0.00 |