| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,445 |
8,846 |
$391K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,003 |
1,927 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,978 |
3,665 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
255 |
239 |
$26K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
922 |
490 |
$23K |
| 99460 |
|
308 |
265 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
288 |
248 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
326 |
$10K |
| 20610 |
|
186 |
168 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
37 |
37 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
833 |
749 |
$3K |
| 11721 |
|
325 |
304 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,159 |
1,018 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
107 |
61 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
40 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
39 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
44 |
$1K |
| 81025 |
|
216 |
209 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$1K |
| 0011A |
|
31 |
27 |
$880.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
67 |
$728.66 |
| 0002A |
|
30 |
25 |
$720.00 |
| 87428 |
|
32 |
31 |
$599.46 |
| 0012A |
|
15 |
13 |
$400.00 |
| 0001A |
|
18 |
16 |
$360.00 |
| 73560 |
|
13 |
12 |
$189.56 |
| 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) |
29 |
29 |
$180.95 |
| 90715 |
|
25 |
24 |
$142.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$79.86 |
| 99153 |
Mod sedat endo service >5yrs |
28 |
28 |
$43.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
13 |
$38.05 |
| 81003 |
|
16 |
14 |
$23.08 |
| 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) |
14 |
13 |
$14.52 |
| 3078F |
|
601 |
567 |
$0.00 |
| 91300 |
|
79 |
55 |
$0.00 |
| 3074F |
|
651 |
621 |
$0.00 |
| 3075F |
|
54 |
53 |
$0.00 |
| 3079F |
|
169 |
169 |
$0.00 |
| 3044F |
|
25 |
24 |
$0.00 |
| 99024 |
|
13 |
13 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |