| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,265 |
4,962 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,363 |
3,081 |
$209K |
| 43775 |
|
271 |
271 |
$192K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,387 |
1,386 |
$190K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,431 |
1,431 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,501 |
$147K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
526 |
517 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
794 |
790 |
$57K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,613 |
475 |
$43K |
| 99462 |
|
952 |
876 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
674 |
586 |
$22K |
| 76818 |
|
503 |
214 |
$19K |
| 43202 |
|
177 |
176 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
138 |
121 |
$15K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
236 |
235 |
$14K |
| 76820 |
|
877 |
447 |
$14K |
| 99221 |
|
113 |
112 |
$9K |
| 99219 |
|
82 |
82 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
169 |
138 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
66 |
$5K |
| 99443 |
|
40 |
40 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
473 |
463 |
$4K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
18 |
12 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
41 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 99218 |
|
15 |
15 |
$1K |
| 99217 |
|
27 |
27 |
$961.61 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
29 |
$927.48 |
| 99381 |
|
31 |
30 |
$649.60 |
| 43235 |
|
14 |
12 |
$548.44 |
| 99464 |
|
12 |
12 |
$476.71 |
| 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) |
26 |
26 |
$288.59 |
| 3074F |
|
924 |
920 |
$60.00 |
| 3078F |
|
1,368 |
1,363 |
$57.50 |
| 1159F |
|
5,097 |
4,841 |
$0.00 |
| 1160F |
|
5,100 |
4,844 |
$0.00 |
| 3077F |
|
88 |
88 |
$0.00 |
| 3008F |
|
6,895 |
6,592 |
$0.00 |
| 2000F |
|
3,471 |
3,441 |
$0.00 |
| 1101F |
|
2,129 |
2,114 |
$0.00 |
| 3079F |
|
40 |
40 |
$0.00 |
| 3075F |
|
134 |
134 |
$0.00 |