| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,061 |
6,437 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,923 |
4,544 |
$314K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,311 |
3,276 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
939 |
929 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,058 |
1,000 |
$33K |
| 73630 |
|
1,475 |
1,167 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
191 |
190 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
161 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
108 |
103 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
122 |
113 |
$8K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
76 |
75 |
$7K |
| 99215 |
Prolong outpt/office vis |
82 |
60 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
828 |
799 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96 |
56 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
79 |
$4K |
| 73610 |
|
197 |
173 |
$4K |
| 76801 |
|
60 |
58 |
$2K |
| 92567 |
|
261 |
259 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
135 |
$2K |
| 97597 |
|
90 |
43 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
40 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$2K |
| 59025 |
Fetal non-stress test |
68 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
199 |
$2K |
| 81025 |
|
199 |
195 |
$1K |
| 90686 |
|
74 |
74 |
$1K |
| 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) |
405 |
359 |
$867.36 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
26 |
24 |
$854.82 |
| 92553 |
|
37 |
37 |
$797.38 |
| 96127 |
|
274 |
272 |
$688.52 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$684.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
14 |
$682.87 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
15 |
$538.20 |
| 87210 |
|
107 |
103 |
$488.11 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
105 |
72 |
$453.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$430.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$424.39 |
| 90715 |
|
12 |
12 |
$351.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$301.62 |
| 73110 |
|
17 |
12 |
$286.29 |
| 81002 |
|
111 |
107 |
$259.90 |
| 90656 |
|
12 |
12 |
$245.85 |
| 82962 |
|
16 |
14 |
$35.23 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$0.00 |