| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,678 |
8,122 |
$876K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,539 |
6,401 |
$790K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,916 |
5,380 |
$555K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,159 |
1,978 |
$209K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,597 |
1,397 |
$140K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,074 |
996 |
$96K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,635 |
930 |
$96K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
315 |
315 |
$79K |
| 99442 |
|
759 |
721 |
$75K |
| 99443 |
|
549 |
518 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
4,938 |
4,877 |
$51K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
404 |
372 |
$36K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
413 |
411 |
$35K |
| 92250 |
|
3,168 |
3,130 |
$21K |
| 73630 |
|
2,142 |
2,064 |
$18K |
| 99441 |
|
172 |
163 |
$17K |
| 99024 |
|
130 |
100 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$11K |
| 99215 |
Prolong outpt/office vis |
79 |
77 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
101 |
100 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
66 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
86 |
56 |
$6K |
| 73610 |
|
619 |
604 |
$5K |
| 73562 |
|
623 |
614 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
146 |
145 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
103 |
102 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
416 |
401 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 72100 |
|
217 |
214 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
27 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$1K |
| 73130 |
|
148 |
146 |
$1K |
| 73030 |
|
135 |
130 |
$996.46 |
| 73110 |
|
124 |
117 |
$905.03 |
| 99460 |
|
12 |
12 |
$816.24 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$792.57 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$745.81 |
| 20610 |
|
13 |
13 |
$246.48 |
| 92285 |
|
263 |
263 |
$219.80 |
| 73502 |
|
27 |
27 |
$191.62 |
| 73590 |
|
24 |
24 |
$173.25 |
| 72040 |
|
16 |
16 |
$143.90 |
| 90653 |
|
194 |
193 |
$81.00 |
| 0124A |
|
32 |
32 |
$38.80 |
| 90480 |
|
88 |
88 |
$19.41 |
| 90686 |
|
363 |
358 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
883 |
873 |
$0.00 |
| 0001A |
|
13 |
12 |
$0.00 |
| 90674 |
|
34 |
34 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90694 |
|
30 |
30 |
$0.00 |
| 0003A |
|
14 |
14 |
$0.00 |
| 90662 |
|
102 |
101 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |