| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,214 |
25,770 |
$2.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,510 |
20,946 |
$1.34M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,088 |
1,817 |
$248K |
| 99233 |
Prolong inpt eval add15 m |
3,015 |
614 |
$226K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,233 |
1,722 |
$146K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,059 |
590 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
729 |
632 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
527 |
454 |
$61K |
| 99310 |
Prolong nursin fac eval 15m |
1,350 |
940 |
$55K |
| 99215 |
Prolong outpt/office vis |
348 |
278 |
$48K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
40 |
39 |
$42K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,716 |
1,104 |
$35K |
| 95251 |
|
1,207 |
1,027 |
$29K |
| 94010 |
|
2,409 |
2,217 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
422 |
247 |
$26K |
| J2357 |
Injection, omalizumab, 5 mg |
16 |
12 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,183 |
1,058 |
$22K |
| 64615 |
|
155 |
139 |
$19K |
| 99205 |
Prolong outpt/office vis |
107 |
94 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
201 |
173 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
317 |
227 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
137 |
134 |
$13K |
| 94060 |
|
374 |
337 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
51 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
204 |
$6K |
| 92557 |
|
345 |
294 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
836 |
666 |
$5K |
| 90686 |
|
388 |
367 |
$5K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
860 |
860 |
$4K |
| 92567 |
|
467 |
408 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
77 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
27 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
248 |
229 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
34 |
26 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
188 |
121 |
$2K |
| 99442 |
|
68 |
57 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
45 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 99406 |
|
90 |
82 |
$864.43 |
| 71046 |
Radiologic examination, chest; 2 views |
65 |
63 |
$766.01 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
14 |
$763.49 |
| 20611 |
|
23 |
12 |
$662.87 |
| 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) |
51 |
47 |
$625.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
25 |
$524.02 |
| 99307 |
|
50 |
37 |
$509.16 |
| 98967 |
|
12 |
12 |
$345.51 |
| 94729 |
|
28 |
24 |
$147.13 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$97.58 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
52 |
51 |
$0.00 |
| 76801 |
|
12 |
12 |
$0.00 |