| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,051 |
17,909 |
$643K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,877 |
6,613 |
$490K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16,209 |
6,952 |
$375K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
49,368 |
46,555 |
$358K |
| 99223 |
Prolong inpt eval add15 m |
3,308 |
3,185 |
$309K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,163 |
2,113 |
$243K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,399 |
2,231 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,390 |
5,842 |
$178K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,755 |
1,738 |
$168K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,374 |
2,256 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,153 |
1,137 |
$92K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,762 |
1,680 |
$86K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
399 |
371 |
$73K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
641 |
590 |
$66K |
| 64643 |
|
1,030 |
1,004 |
$55K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,414 |
609 |
$54K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
129 |
39 |
$45K |
| 64644 |
|
861 |
830 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
739 |
468 |
$39K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
291 |
77 |
$31K |
| 93000 |
|
1,457 |
1,404 |
$31K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,046 |
1,685 |
$26K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
227 |
87 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
445 |
433 |
$25K |
| 99215 |
Prolong outpt/office vis |
367 |
348 |
$20K |
| 95886 |
|
591 |
584 |
$18K |
| 99152 |
|
1,829 |
1,667 |
$17K |
| 95874 |
|
1,724 |
1,662 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
137 |
132 |
$13K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
93 |
76 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
134 |
131 |
$12K |
| 64642 |
|
191 |
190 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
944 |
833 |
$6K |
| 99460 |
|
81 |
81 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
93 |
$6K |
| 0002A |
|
153 |
153 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
186 |
69 |
$5K |
| 0001A |
|
179 |
175 |
$5K |
| 93294 |
|
219 |
215 |
$4K |
| 99217 |
|
66 |
66 |
$4K |
| 96127 |
|
100 |
85 |
$3K |
| 99170 |
|
46 |
43 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
206 |
135 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
13 |
$3K |
| 93295 |
|
72 |
68 |
$3K |
| 64645 |
|
68 |
65 |
$2K |
| 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) |
343 |
338 |
$2K |
| 99219 |
|
14 |
14 |
$1K |
| 93296 |
|
41 |
40 |
$1K |
| 95910 |
|
13 |
12 |
$870.39 |
| 99221 |
|
39 |
38 |
$863.85 |
| 93227 |
|
37 |
37 |
$820.80 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
386 |
381 |
$779.28 |
| 93244 |
|
44 |
42 |
$718.95 |
| 99218 |
|
13 |
12 |
$714.56 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$578.64 |
| 0031A |
|
23 |
19 |
$511.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
16 |
$430.92 |
| 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) |
65 |
65 |
$401.89 |
| 99497 |
|
13 |
13 |
$327.81 |
| 99075 |
|
100 |
91 |
$115.14 |
| 3078F |
|
25 |
25 |
$0.00 |
| 91300 |
|
238 |
203 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |