| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
33,199 |
26,793 |
$2.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,245 |
28,974 |
$2.00M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,383 |
22,761 |
$1.30M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49,821 |
12,357 |
$959K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,185 |
15,847 |
$795K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,419 |
17,339 |
$572K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18,534 |
7,051 |
$245K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,823 |
1,854 |
$213K |
| 99233 |
Prolong inpt eval add15 m |
8,331 |
3,245 |
$200K |
| 99223 |
Prolong inpt eval add15 m |
3,773 |
2,609 |
$151K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,205 |
1,103 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,930 |
2,561 |
$141K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,401 |
4,033 |
$115K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,727 |
2,945 |
$88K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,890 |
2,132 |
$84K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,920 |
1,897 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
487 |
433 |
$56K |
| 99254 |
|
601 |
486 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
643 |
564 |
$44K |
| 96127 |
|
6,121 |
5,252 |
$41K |
| 99221 |
|
880 |
743 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,673 |
957 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,344 |
1,187 |
$27K |
| 90674 |
|
2,327 |
1,431 |
$25K |
| 76801 |
|
868 |
797 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
718 |
614 |
$23K |
| 76813 |
|
782 |
720 |
$23K |
| 59025 |
Fetal non-stress test |
497 |
221 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
231 |
208 |
$19K |
| 99243 |
|
237 |
214 |
$19K |
| 99219 |
|
724 |
528 |
$18K |
| 99220 |
|
542 |
369 |
$17K |
| 99215 |
Prolong outpt/office vis |
341 |
250 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
340 |
221 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
954 |
570 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
659 |
587 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
508 |
282 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
486 |
271 |
$15K |
| 98968 |
|
724 |
233 |
$14K |
| 99242 |
|
239 |
230 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
309 |
231 |
$11K |
| 99442 |
|
293 |
265 |
$11K |
| 99460 |
|
225 |
205 |
$10K |
| 93000 |
|
560 |
483 |
$7K |
| 99306 |
Prolong nursin fac eval 15m |
191 |
109 |
$6K |
| 90686 |
|
661 |
396 |
$6K |
| 90715 |
|
472 |
288 |
$6K |
| 90656 |
|
474 |
375 |
$5K |
| 91320 |
|
48 |
48 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
39 |
$4K |
| 99443 |
|
80 |
68 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
119 |
$4K |
| 20610 |
|
149 |
119 |
$4K |
| 99245 |
|
26 |
26 |
$4K |
| 0124A |
|
110 |
106 |
$4K |
| 99406 |
|
424 |
348 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,977 |
1,988 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
657 |
523 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
72 |
$3K |
| 92541 |
|
431 |
290 |
$2K |
| 98967 |
|
312 |
190 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
24 |
$2K |
| 99252 |
|
56 |
41 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
140 |
121 |
$2K |
| 82947 |
|
829 |
730 |
$2K |
| 99217 |
|
142 |
97 |
$2K |
| 76830 |
Ultrasound, transvaginal |
123 |
105 |
$2K |
| 99255 |
|
17 |
17 |
$2K |
| 99201 |
|
84 |
75 |
$2K |
| 99385 |
|
14 |
12 |
$2K |
| 90750 |
|
49 |
30 |
$1K |
| 99253 |
|
19 |
12 |
$1K |
| 43775 |
|
22 |
15 |
$1K |
| 0054A |
|
51 |
35 |
$1K |
| 90746 |
|
18 |
16 |
$1K |
| 0003A |
|
26 |
26 |
$960.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
51 |
46 |
$944.58 |
| 90662 |
|
138 |
91 |
$903.51 |
| 99462 |
|
32 |
28 |
$816.90 |
| 0004A |
|
23 |
23 |
$720.00 |
| 83037 |
|
151 |
122 |
$704.52 |
| 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 |
270 |
153 |
$532.26 |
| 72100 |
|
29 |
27 |
$466.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
38 |
$465.46 |
| 0064A |
|
15 |
15 |
$440.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
36 |
$278.36 |
| 73560 |
|
16 |
13 |
$268.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,986 |
2,172 |
$239.52 |
| 73562 |
|
15 |
13 |
$200.13 |
| 90732 |
|
22 |
13 |
$175.00 |
| 80061 |
Lipid panel |
14 |
14 |
$139.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
15 |
$134.03 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
100 |
81 |
$122.04 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$94.95 |
| 81003 |
|
926 |
722 |
$73.44 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$58.99 |
| 99441 |
|
215 |
177 |
$50.15 |
| 82962 |
|
30 |
25 |
$31.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
112 |
$7.80 |
| 81002 |
|
17 |
15 |
$4.53 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
40 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
701 |
455 |
$0.00 |
| 96040 |
|
443 |
407 |
$0.00 |
| 91305 |
|
114 |
82 |
$0.00 |
| 1101F |
|
63 |
43 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
20 |
12 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
15 |
13 |
$0.00 |
| 3300F |
|
326 |
248 |
$0.00 |
| 11721 |
|
26 |
26 |
$0.00 |
| 11056 |
|
183 |
181 |
$0.00 |
| 91300 |
|
78 |
77 |
$0.00 |
| 91312 |
|
108 |
106 |
$0.00 |