| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,651 |
14,644 |
$861K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30,439 |
13,988 |
$706K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,754 |
14,012 |
$570K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
707 |
678 |
$463K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,208 |
2,087 |
$162K |
| 99233 |
Prolong inpt eval add15 m |
4,634 |
2,133 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,677 |
2,598 |
$142K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,364 |
2,255 |
$87K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,717 |
2,642 |
$85K |
| 17110 |
|
1,403 |
1,326 |
$73K |
| 59514 |
|
106 |
96 |
$71K |
| 95951 |
|
602 |
255 |
$69K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,861 |
1,818 |
$64K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,043 |
1,533 |
$62K |
| 59025 |
Fetal non-stress test |
2,093 |
1,944 |
$48K |
| 11102 |
|
1,044 |
998 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,315 |
1,479 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,351 |
1,320 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
564 |
523 |
$25K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
350 |
116 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
366 |
344 |
$22K |
| 96910 |
|
1,040 |
390 |
$20K |
| 54150 |
|
225 |
197 |
$12K |
| 99215 |
Prolong outpt/office vis |
151 |
144 |
$12K |
| 93970 |
|
495 |
456 |
$11K |
| 99217 |
|
267 |
257 |
$9K |
| 95720 |
|
91 |
47 |
$9K |
| 95819 |
|
441 |
420 |
$9K |
| 76536 |
|
157 |
148 |
$8K |
| 11100 |
|
187 |
178 |
$7K |
| 93971 |
|
463 |
435 |
$7K |
| 99201 |
|
297 |
291 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
69 |
67 |
$5K |
| 90686 |
|
306 |
290 |
$4K |
| 99254 |
|
51 |
49 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
167 |
$3K |
| 99219 |
|
57 |
52 |
$3K |
| 0012A |
|
72 |
72 |
$3K |
| 0011A |
|
75 |
75 |
$3K |
| 95816 |
|
133 |
125 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
119 |
116 |
$2K |
| 17000 |
|
83 |
83 |
$2K |
| 11900 |
|
68 |
67 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
118 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
39 |
27 |
$2K |
| 99225 |
|
74 |
37 |
$1K |
| 95718 |
|
18 |
15 |
$1K |
| 99442 |
|
48 |
45 |
$1K |
| 99235 |
|
12 |
12 |
$942.70 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
13 |
$896.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
12 |
$689.25 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$681.33 |
| 99349 |
|
33 |
27 |
$670.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
35 |
27 |
$550.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
66 |
$159.78 |
| 80305 |
|
26 |
25 |
$142.58 |
| 95930 |
|
27 |
27 |
$128.84 |
| 83037 |
|
12 |
12 |
$68.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$63.90 |
| 1036F |
|
3,576 |
3,274 |
$21.01 |
| 91301 |
|
145 |
145 |
$1.43 |
| 1160F |
|
2,769 |
2,527 |
$0.00 |
| 3078F |
|
1,605 |
1,475 |
$0.00 |
| 3725F |
|
299 |
284 |
$0.00 |
| 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) |
24 |
24 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 3008F |
|
4,280 |
3,882 |
$0.00 |
| 3074F |
|
2,609 |
2,377 |
$0.00 |
| 1034F |
|
223 |
217 |
$0.00 |
| 3079F |
|
454 |
400 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |