| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,337 |
54,019 |
$2.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,141 |
41,335 |
$1.54M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44,022 |
17,192 |
$841K |
| 99233 |
Prolong inpt eval add15 m |
15,003 |
5,609 |
$415K |
| 99223 |
Prolong inpt eval add15 m |
4,332 |
3,946 |
$261K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12,401 |
10,814 |
$202K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,224 |
5,431 |
$134K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,963 |
3,645 |
$132K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,559 |
402 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,421 |
1,367 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,175 |
1,145 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,961 |
1,487 |
$49K |
| 95811 |
|
677 |
629 |
$43K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
666 |
630 |
$40K |
| 99442 |
|
1,800 |
1,626 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
432 |
406 |
$30K |
| 99305 |
|
783 |
713 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,180 |
1,123 |
$19K |
| 90674 |
|
861 |
786 |
$15K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
186 |
165 |
$13K |
| 99254 |
|
205 |
197 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
823 |
428 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
238 |
217 |
$10K |
| 99215 |
Prolong outpt/office vis |
157 |
145 |
$10K |
| 99443 |
|
419 |
376 |
$10K |
| 99251 |
|
509 |
474 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
302 |
273 |
$8K |
| 95251 |
|
392 |
318 |
$7K |
| 90686 |
|
629 |
611 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
623 |
570 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,353 |
1,204 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
95 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
77 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
416 |
395 |
$5K |
| 99255 |
|
70 |
69 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
392 |
247 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,214 |
1,145 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
78 |
75 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
39 |
$2K |
| 99385 |
|
28 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
25 |
$2K |
| 0011A |
|
15 |
15 |
$1K |
| 99307 |
|
176 |
159 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18 |
18 |
$1K |
| 90661 |
|
120 |
111 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
567 |
527 |
$802.47 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
13 |
$729.27 |
| 99421 |
|
52 |
48 |
$580.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
73 |
$578.93 |
| 99318 |
|
28 |
28 |
$518.08 |
| 0012A |
|
13 |
13 |
$516.54 |
| 94060 |
|
29 |
25 |
$503.87 |
| 99252 |
|
18 |
18 |
$502.71 |
| 81002 |
|
216 |
155 |
$460.78 |
| 90756 |
|
20 |
20 |
$434.48 |
| 83037 |
|
106 |
103 |
$431.15 |
| 94729 |
|
30 |
26 |
$347.63 |
| 99349 |
|
13 |
12 |
$335.62 |
| 94726 |
|
41 |
36 |
$251.39 |
| 99221 |
|
15 |
12 |
$209.85 |
| 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) |
129 |
124 |
$206.78 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$143.22 |
| 99441 |
|
12 |
12 |
$90.16 |
| 99406 |
|
13 |
13 |
$49.03 |
| 3044F |
|
594 |
520 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
31 |
$35.05 |
| 90685 |
|
14 |
13 |
$10.00 |
| 3078F |
|
18,563 |
17,102 |
$0.00 |
| 1160F |
|
392 |
368 |
$0.00 |
| 1159F |
|
403 |
368 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 90461 |
|
18 |
17 |
$0.00 |
| 3008F |
|
42,831 |
39,138 |
$0.00 |
| 3074F |
|
28,480 |
26,231 |
$0.00 |
| 3066F |
|
2,541 |
2,399 |
$0.00 |
| 3079F |
|
2,111 |
1,987 |
$0.00 |
| 4010F |
|
187 |
179 |
$0.00 |
| 1123F |
|
181 |
86 |
$0.00 |
| 91301 |
|
81 |
76 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |