| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,661 |
44,214 |
$4.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,309 |
36,391 |
$1.82M |
| 99215 |
Prolong outpt/office vis |
5,959 |
5,802 |
$901K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,960 |
6,922 |
$706K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,134 |
2,573 |
$400K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,362 |
1,362 |
$331K |
| 99443 |
|
2,343 |
2,331 |
$266K |
| J0490 |
Injection, belimumab, 10 mg |
59 |
48 |
$235K |
| 99233 |
Prolong inpt eval add15 m |
2,318 |
1,092 |
$224K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,859 |
1,857 |
$192K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
945 |
330 |
$191K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,580 |
1,428 |
$180K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,218 |
1,115 |
$163K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,293 |
2,159 |
$126K |
| 99222 |
Initial hospital care, per day, moderate complexity |
746 |
744 |
$90K |
| 95251 |
|
2,063 |
2,061 |
$75K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
384 |
371 |
$62K |
| Q5104 |
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
12 |
12 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
360 |
359 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
360 |
$55K |
| 93000 |
|
2,884 |
2,869 |
$43K |
| 99205 |
Prolong outpt/office vis |
221 |
221 |
$38K |
| 11721 |
|
1,021 |
1,019 |
$36K |
| 99442 |
|
506 |
506 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
715 |
695 |
$31K |
| 93299 |
|
156 |
156 |
$31K |
| 96367 |
|
670 |
623 |
$31K |
| 99221 |
|
329 |
327 |
$30K |
| 90686 |
|
1,808 |
1,808 |
$27K |
| 20610 |
|
376 |
304 |
$24K |
| 93298 |
|
873 |
848 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,646 |
2,638 |
$21K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
182 |
182 |
$19K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
359 |
131 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
145 |
142 |
$14K |
| 96415 |
|
376 |
345 |
$13K |
| 99217 |
|
210 |
209 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
166 |
166 |
$11K |
| 76536 |
|
93 |
93 |
$11K |
| 0001A |
|
238 |
215 |
$7K |
| 91322 |
|
77 |
77 |
$7K |
| 94060 |
|
465 |
460 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
92 |
$7K |
| 99220 |
|
37 |
37 |
$6K |
| 93272 |
|
240 |
240 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
120 |
110 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
61 |
25 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
181 |
175 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
24 |
24 |
$3K |
| 99305 |
|
13 |
13 |
$2K |
| 90656 |
|
126 |
126 |
$1K |
| 90480 |
|
76 |
76 |
$1K |
| 93244 |
|
61 |
61 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
38 |
$1K |
| 94729 |
|
107 |
107 |
$853.82 |
| 93015 |
|
12 |
12 |
$831.02 |
| 0004A |
|
22 |
22 |
$830.48 |
| 99441 |
|
15 |
15 |
$772.62 |
| 93308 |
|
28 |
25 |
$671.13 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
37 |
37 |
$637.20 |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
12 |
12 |
$634.32 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
39 |
38 |
$563.38 |
| 0054A |
|
14 |
14 |
$546.41 |
| 95806 |
|
12 |
12 |
$498.83 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
16 |
15 |
$476.98 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
236 |
218 |
$330.95 |
| 93016 |
|
14 |
14 |
$269.61 |
| 93296 |
|
12 |
12 |
$190.75 |
| 93018 |
|
14 |
14 |
$178.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$177.64 |
| 36415 |
Collection of venous blood by venipuncture |
208 |
203 |
$142.18 |
| 94760 |
|
4,119 |
4,066 |
$118.17 |
| 94010 |
|
14 |
14 |
$94.85 |
| 90713 |
|
12 |
12 |
$75.77 |
| 3044F |
|
138 |
136 |
$0.00 |