| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251,181 |
242,441 |
$13.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,194 |
84,587 |
$3.35M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26,949 |
26,632 |
$2.16M |
| 99215 |
Prolong outpt/office vis |
16,557 |
15,893 |
$1.41M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,329 |
18,114 |
$986K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,734 |
5,706 |
$399K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,519 |
3,883 |
$395K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,396 |
4,242 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,591 |
3,576 |
$251K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,841 |
2,828 |
$214K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,171 |
6,104 |
$182K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45,762 |
41,077 |
$174K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,791 |
2,758 |
$129K |
| 64615 |
|
2,322 |
2,283 |
$128K |
| 99205 |
Prolong outpt/office vis |
1,253 |
1,241 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,032 |
11,638 |
$87K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,413 |
2,387 |
$78K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,569 |
1,348 |
$78K |
| 96127 |
|
15,389 |
14,058 |
$65K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
628 |
622 |
$55K |
| 17110 |
|
1,430 |
1,403 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,759 |
2,683 |
$50K |
| 0001A |
|
1,315 |
1,271 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
1,294 |
345 |
$40K |
| 0011A |
|
1,118 |
1,112 |
$37K |
| 0012A |
|
841 |
835 |
$34K |
| 99443 |
|
512 |
490 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
402 |
347 |
$28K |
| 90961 |
|
505 |
488 |
$23K |
| 69210 |
|
1,208 |
1,131 |
$23K |
| 90688 |
|
1,888 |
1,882 |
$22K |
| 95115 |
|
3,849 |
1,849 |
$21K |
| 90686 |
|
1,994 |
1,983 |
$21K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,051 |
623 |
$19K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
377 |
375 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,820 |
1,681 |
$17K |
| 99442 |
|
432 |
429 |
$17K |
| 11721 |
|
3,000 |
2,919 |
$17K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
210 |
203 |
$17K |
| 92567 |
|
1,941 |
1,921 |
$16K |
| 92557 |
|
863 |
851 |
$16K |
| 99245 |
|
138 |
138 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,059 |
973 |
$15K |
| 17000 |
|
682 |
662 |
$15K |
| 95886 |
|
454 |
440 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
242 |
235 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
170 |
169 |
$13K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
204 |
202 |
$12K |
| 90670 |
|
1,148 |
1,137 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
115 |
113 |
$11K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
68 |
67 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
209 |
206 |
$8K |
| 92587 |
|
716 |
710 |
$8K |
| 92504 |
|
579 |
564 |
$7K |
| 98927 |
|
233 |
216 |
$7K |
| 92015 |
Determination of refractive state |
657 |
630 |
$6K |
| 99499 |
|
231 |
230 |
$6K |
| 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) |
6,628 |
6,356 |
$6K |
| 0064A |
|
129 |
128 |
$6K |
| 11102 |
|
355 |
348 |
$5K |
| 99429 |
|
220 |
220 |
$5K |
| 11901 |
|
208 |
206 |
$5K |
| 90962 |
|
103 |
103 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
436 |
222 |
$5K |
| 90685 |
|
387 |
382 |
$5K |
| 99441 |
|
178 |
176 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
315 |
$4K |
| 92551 |
|
491 |
490 |
$4K |
| 17004 |
|
166 |
159 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,416 |
3,060 |
$4K |
| 97597 |
|
491 |
264 |
$3K |
| 90648 |
|
330 |
326 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
69 |
$3K |
| 94060 |
|
604 |
595 |
$3K |
| 94726 |
|
560 |
552 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
79 |
55 |
$3K |
| 31231 |
|
36 |
36 |
$3K |
| 95811 |
|
54 |
54 |
$3K |
| 90633 |
|
291 |
288 |
$3K |
| 94729 |
|
590 |
583 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
27 |
27 |
$2K |
| 31575 |
|
41 |
41 |
$2K |
| 90651 |
|
299 |
297 |
$2K |
| 90680 |
|
229 |
225 |
$2K |
| 90734 |
|
259 |
258 |
$2K |
| 0071A |
|
47 |
46 |
$2K |
| 11100 |
|
80 |
77 |
$2K |
| 96161 |
|
2,017 |
1,917 |
$2K |
| 98928 |
|
66 |
62 |
$2K |
| 90656 |
|
312 |
310 |
$2K |
| 99255 |
|
13 |
13 |
$1K |
| 95874 |
|
244 |
242 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
36 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
180 |
167 |
$1K |
| 20610 |
|
55 |
52 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$1K |
| 99173 |
|
548 |
547 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
76 |
76 |
$1K |
| 0002A |
|
29 |
29 |
$969.92 |
| 99401 |
|
130 |
125 |
$952.04 |
| 99243 |
|
13 |
13 |
$845.29 |
| 90715 |
|
120 |
119 |
$804.09 |
| 98929 |
|
33 |
28 |
$799.18 |
| 90698 |
|
85 |
83 |
$760.04 |
| 99381 |
|
12 |
12 |
$667.67 |
| 52000 |
|
13 |
13 |
$604.30 |
| 90620 |
|
83 |
81 |
$578.49 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
14 |
$523.17 |
| 43235 |
|
12 |
12 |
$504.78 |
| 90723 |
|
52 |
51 |
$476.52 |
| 99497 |
|
18 |
12 |
$476.36 |
| 95806 |
|
19 |
19 |
$457.60 |
| 93294 |
|
50 |
50 |
$397.37 |
| 95251 |
|
28 |
28 |
$379.09 |
| 64616 |
|
12 |
12 |
$368.94 |
| 93000 |
|
63 |
61 |
$368.86 |
| G0454 |
Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
51 |
51 |
$361.76 |
| 95117 |
|
90 |
49 |
$321.12 |
| 99221 |
|
13 |
12 |
$305.55 |
| 90677 |
|
25 |
25 |
$297.26 |
| 20550 |
|
15 |
13 |
$276.19 |
| 11055 |
|
62 |
61 |
$242.05 |
| 11900 |
|
12 |
12 |
$198.74 |
| 93018 |
|
26 |
26 |
$185.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$182.42 |
| 90461 |
|
43 |
12 |
$181.32 |
| 90744 |
|
13 |
12 |
$165.00 |
| 11056 |
|
43 |
39 |
$159.78 |
| 90700 |
|
24 |
24 |
$154.21 |
| 98925 |
|
13 |
13 |
$153.09 |
| 93297 |
|
12 |
12 |
$149.22 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
13 |
12 |
$141.89 |
| 3044F |
|
690 |
638 |
$125.00 |
| 81025 |
|
13 |
13 |
$111.52 |
| 17003 |
|
47 |
46 |
$109.82 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$101.47 |
| 90716 |
|
12 |
12 |
$76.61 |
| 81002 |
|
14 |
12 |
$49.13 |
| 81000 |
|
16 |
14 |
$45.00 |
| 81001 |
|
12 |
12 |
$19.00 |
| 3078F |
|
265 |
260 |
$0.00 |
| 0502F |
|
232 |
193 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 3074F |
|
381 |
373 |
$0.00 |
| 3008F |
|
783 |
757 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
43 |
42 |
$0.00 |
| 3079F |
|
48 |
47 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
28 |
27 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |