| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,520 |
9,051 |
$489K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
10,239 |
8,616 |
$398K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,927 |
2,741 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,425 |
1,416 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
127 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
27 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
90 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
47 |
43 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
256 |
241 |
$4K |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$4K |
| 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) |
224 |
215 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$3K |
| 99173 |
|
155 |
153 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
200 |
188 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 74240 |
|
13 |
13 |
$705.87 |
| 90674 |
|
49 |
48 |
$509.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$416.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$407.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$268.10 |
| G0008 |
Administration of influenza virus vaccine |
32 |
30 |
$212.94 |
| 96127 |
|
44 |
41 |
$193.07 |
| 81003 |
|
13 |
13 |
$29.67 |
| 99177 |
|
80 |
79 |
$8.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
39 |
$1.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
17 |
16 |
$1.28 |
| J2704 |
Injection, propofol, 10 mg |
15 |
12 |
$0.00 |
| 3008F |
|
300 |
292 |
$0.00 |
| 1160F |
|
54 |
54 |
$0.00 |
| 1159F |
|
202 |
196 |
$0.00 |