| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,484 |
25,886 |
$2.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,601 |
8,369 |
$1.02M |
| 76830 |
Ultrasound, transvaginal |
1,185 |
1,159 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
904 |
902 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
699 |
697 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
949 |
947 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,372 |
1,327 |
$83K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,554 |
7,664 |
$75K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,059 |
390 |
$65K |
| 36415 |
Collection of venous blood by venipuncture |
30,569 |
29,442 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
455 |
454 |
$55K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,046 |
567 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
273 |
266 |
$47K |
| 94729 |
|
800 |
798 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
548 |
526 |
$46K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
563 |
558 |
$45K |
| 94727 |
|
746 |
745 |
$33K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
166 |
138 |
$31K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
533 |
470 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
371 |
340 |
$31K |
| 94060 |
|
706 |
703 |
$29K |
| 81002 |
|
9,594 |
7,801 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,146 |
1,114 |
$26K |
| 99442 |
|
300 |
266 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
132 |
130 |
$21K |
| 64615 |
|
170 |
168 |
$21K |
| 99459 |
|
816 |
812 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
120 |
120 |
$19K |
| 81025 |
|
2,531 |
2,500 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
140 |
132 |
$17K |
| 94010 |
|
437 |
436 |
$14K |
| 59025 |
Fetal non-stress test |
185 |
123 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
132 |
77 |
$10K |
| 99385 |
|
74 |
74 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
156 |
88 |
$8K |
| 90686 |
|
411 |
409 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
567 |
559 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
29 |
29 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
70 |
70 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
40 |
40 |
$6K |
| 94726 |
|
96 |
95 |
$6K |
| 99221 |
|
60 |
60 |
$5K |
| 93264 |
|
189 |
189 |
$4K |
| 76801 |
|
29 |
26 |
$4K |
| 99441 |
|
90 |
76 |
$4K |
| 93000 |
|
180 |
175 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$2K |
| 95886 |
|
14 |
14 |
$2K |
| 99386 |
|
12 |
12 |
$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) |
143 |
138 |
$2K |
| 95806 |
|
46 |
46 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
24 |
$2K |
| 85018 |
|
347 |
248 |
$723.99 |
| 90661 |
|
15 |
15 |
$479.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$395.38 |
| 99406 |
|
14 |
13 |
$192.94 |
| 90694 |
|
12 |
12 |
$156.27 |
| 94664 |
|
26 |
26 |
$139.79 |
| 81000 |
|
17 |
15 |
$68.78 |
| 82962 |
|
29 |
29 |
$59.62 |
| 82947 |
|
13 |
13 |
$54.21 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
28 |
$3.25 |
| 99024 |
|
27 |
24 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 36416 |
|
110 |
57 |
$0.00 |
| 0502F |
|
1,977 |
1,569 |
$0.00 |