| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,760 |
9,283 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,535 |
8,063 |
$756K |
| 99233 |
Prolong inpt eval add15 m |
2,328 |
1,056 |
$252K |
| 99223 |
Prolong inpt eval add15 m |
1,401 |
1,246 |
$225K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,273 |
1,252 |
$225K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
945 |
928 |
$154K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,526 |
1,484 |
$152K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,145 |
1,031 |
$132K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,053 |
1,046 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,144 |
1,099 |
$112K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
522 |
178 |
$108K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,180 |
1,177 |
$94K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,104 |
1,101 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
488 |
488 |
$58K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,933 |
6,035 |
$56K |
| 99460 |
|
593 |
592 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
466 |
463 |
$55K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
357 |
353 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
326 |
$42K |
| 99462 |
|
896 |
760 |
$37K |
| 99441 |
|
391 |
377 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,130 |
1,124 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
407 |
378 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
111 |
108 |
$15K |
| 99221 |
|
153 |
147 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,326 |
1,317 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
159 |
91 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
111 |
54 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
118 |
$7K |
| 93000 |
|
465 |
454 |
$7K |
| 90670 |
|
184 |
184 |
$7K |
| 73562 |
|
208 |
180 |
$6K |
| 99443 |
|
39 |
38 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,187 |
1,158 |
$4K |
| 99442 |
|
59 |
57 |
$4K |
| 59025 |
Fetal non-stress test |
62 |
39 |
$3K |
| 99220 |
|
49 |
48 |
$3K |
| 90698 |
|
95 |
95 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
124 |
121 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
70 |
52 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
204 |
201 |
$2K |
| 99217 |
|
73 |
73 |
$2K |
| 76801 |
|
14 |
14 |
$2K |
| 81003 |
|
992 |
929 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 20610 |
|
27 |
27 |
$2K |
| 90674 |
|
55 |
55 |
$2K |
| 90686 |
|
120 |
120 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
16 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
13 |
$1K |
| 90461 |
|
144 |
143 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
138 |
137 |
$1K |
| 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) |
92 |
91 |
$1K |
| 90474 |
|
79 |
79 |
$586.07 |
| 98966 |
|
37 |
36 |
$568.93 |
| 99219 |
|
13 |
13 |
$535.60 |
| 81025 |
|
149 |
147 |
$415.31 |
| 51798 |
|
25 |
25 |
$307.87 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$190.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$95.96 |
| 94726 |
|
12 |
12 |
$95.95 |
| 94010 |
|
12 |
12 |
$84.46 |
| 96127 |
|
16 |
14 |
$78.95 |
| 94729 |
|
12 |
12 |
$68.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$3.75 |
| 99173 |
|
184 |
184 |
$0.00 |
| 3008F |
|
17 |
16 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99024 |
|
19 |
13 |
$0.00 |