| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,620 |
15,580 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,001 |
8,891 |
$539K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
460 |
450 |
$61K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
317 |
314 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
859 |
798 |
$29K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
952 |
951 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
281 |
180 |
$16K |
| 99443 |
|
190 |
174 |
$13K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
161 |
158 |
$12K |
| 99215 |
Prolong outpt/office vis |
78 |
76 |
$12K |
| 99441 |
|
391 |
313 |
$12K |
| 96127 |
|
3,016 |
2,841 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
198 |
186 |
$8K |
| 99442 |
|
182 |
171 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
109 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
146 |
146 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
120 |
120 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
124 |
104 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
167 |
132 |
$7K |
| 99307 |
|
182 |
67 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
685 |
656 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
70 |
68 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
95 |
24 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
33 |
30 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$1K |
| 88141 |
|
49 |
49 |
$846.81 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
16 |
13 |
$751.13 |
| 11721 |
|
38 |
38 |
$369.74 |
| 99201 |
|
14 |
14 |
$362.10 |
| 3074F |
|
1,836 |
1,663 |
$202.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
26 |
$158.20 |
| 3078F |
|
1,907 |
1,736 |
$140.00 |
| 1126F |
|
4,585 |
4,092 |
$93.67 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,834 |
1,700 |
$31.35 |
| 1125F |
|
2,878 |
2,611 |
$7.33 |
| 3008F |
|
3,994 |
3,619 |
$2.45 |
| 1036F |
|
7,348 |
6,396 |
$2.45 |
| 1159F |
|
7,253 |
6,136 |
$2.45 |
| 3044F |
|
1,940 |
1,643 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,809 |
2,620 |
$0.00 |
| 4000F |
|
48 |
45 |
$0.00 |
| 1170F |
|
2,559 |
2,210 |
$0.00 |
| 3061F |
|
720 |
574 |
$0.00 |
| 3014F |
|
83 |
80 |
$0.00 |
| 3079F |
|
246 |
204 |
$0.00 |
| 3049F |
|
136 |
105 |
$0.00 |
| 4010F |
|
349 |
286 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
148 |
123 |
$0.00 |
| 1034F |
|
152 |
111 |
$0.00 |
| 3075F |
|
233 |
215 |
$0.00 |
| 3017F |
|
26 |
24 |
$0.00 |
| 1000F |
|
32 |
31 |
$0.00 |
| 3048F |
|
80 |
59 |
$0.00 |
| 1160F |
|
7,649 |
6,750 |
$0.00 |
| 3725F |
|
1,991 |
1,871 |
$0.00 |
| 3077F |
|
327 |
290 |
$0.00 |
| 3288F |
|
2,216 |
1,904 |
$0.00 |
| 1033F |
|
861 |
731 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,653 |
1,569 |
$0.00 |
| 3062F |
|
608 |
487 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
243 |
234 |
$0.00 |
| 1158F |
|
156 |
148 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
43 |
41 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
66 |
62 |
$0.00 |
| 1032F |
|
179 |
130 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
47 |
46 |
$0.00 |
| 3046F |
|
124 |
101 |
$0.00 |
| 3016F |
|
156 |
143 |
$0.00 |