| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,965 |
3,431 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,777 |
1,613 |
$108K |
| 64493 |
|
758 |
681 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
186 |
$20K |
| 20553 |
|
508 |
453 |
$19K |
| 64635 |
|
93 |
89 |
$15K |
| 99220 |
|
113 |
113 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
164 |
$13K |
| 62323 |
|
100 |
97 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
165 |
161 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
64 |
64 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
389 |
332 |
$8K |
| 64494 |
|
177 |
160 |
$7K |
| 95251 |
|
207 |
203 |
$6K |
| 99205 |
Prolong outpt/office vis |
51 |
39 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,329 |
1,162 |
$6K |
| 99217 |
|
104 |
104 |
$5K |
| 20610 |
|
173 |
113 |
$5K |
| 64450 |
|
184 |
66 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
308 |
299 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
230 |
$3K |
| 95911 |
|
15 |
14 |
$3K |
| 95886 |
|
15 |
14 |
$3K |
| 99215 |
Prolong outpt/office vis |
22 |
21 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$2K |
| 64640 |
|
70 |
24 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
134 |
124 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$1K |
| 20552 |
|
30 |
28 |
$1K |
| 64495 |
|
25 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$451.61 |
| T1015 |
Clinic visit/encounter, all-inclusive |
91 |
89 |
$300.30 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
26 |
26 |
$137.51 |
| 96127 |
|
12 |
12 |
$59.60 |
| 3074F |
|
27 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
115 |
110 |
$0.00 |
| 87428 |
|
44 |
43 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
81 |
78 |
$0.00 |
| 2014F |
|
74 |
73 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |