| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,539 |
16,662 |
$2.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,354 |
19,226 |
$1.83M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,968 |
3,922 |
$724K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,881 |
2,873 |
$361K |
| 31231 |
|
1,428 |
1,363 |
$298K |
| 99215 |
Prolong outpt/office vis |
686 |
656 |
$118K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
828 |
828 |
$103K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
654 |
649 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
690 |
689 |
$67K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,643 |
6,654 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
658 |
656 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,053 |
989 |
$55K |
| 93000 |
|
3,320 |
3,302 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
413 |
411 |
$51K |
| 20610 |
|
673 |
592 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
561 |
559 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
478 |
471 |
$36K |
| 99205 |
Prolong outpt/office vis |
147 |
146 |
$35K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
207 |
207 |
$28K |
| 99385 |
|
172 |
172 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
9,296 |
8,996 |
$22K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
84 |
84 |
$18K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
12 |
12 |
$14K |
| 73630 |
|
278 |
236 |
$9K |
| 31579 |
|
39 |
39 |
$8K |
| 99386 |
|
42 |
42 |
$7K |
| 73110 |
|
166 |
152 |
$7K |
| 93298 |
|
294 |
289 |
$6K |
| 0012A |
|
125 |
125 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
362 |
360 |
$5K |
| 73610 |
|
145 |
134 |
$4K |
| 0011A |
|
135 |
135 |
$4K |
| 99442 |
|
42 |
40 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
170 |
155 |
$4K |
| 90686 |
|
163 |
163 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$3K |
| 99459 |
|
127 |
126 |
$3K |
| 73564 |
|
64 |
50 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
556 |
532 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$2K |
| 73562 |
|
78 |
55 |
$2K |
| 64615 |
|
12 |
12 |
$2K |
| 46600 |
|
13 |
13 |
$2K |
| 99443 |
|
15 |
13 |
$2K |
| 96127 |
|
311 |
301 |
$2K |
| 17110 |
|
14 |
12 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
126 |
122 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
13 |
$1K |
| 72110 |
|
28 |
27 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 73130 |
|
28 |
24 |
$1K |
| 0031A |
|
23 |
23 |
$1K |
| 51798 |
|
76 |
76 |
$955.57 |
| 97803 |
|
76 |
76 |
$911.67 |
| 20550 |
|
12 |
12 |
$822.73 |
| 73030 |
|
27 |
25 |
$619.19 |
| 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) |
46 |
43 |
$580.03 |
| 0001A |
|
12 |
12 |
$531.34 |
| 0002A |
|
12 |
12 |
$491.34 |
| 90656 |
|
12 |
12 |
$225.86 |
| 81003 |
|
118 |
109 |
$225.41 |
| 92551 |
|
13 |
13 |
$203.41 |
| 94727 |
|
16 |
16 |
$193.73 |
| 94060 |
|
16 |
16 |
$173.29 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
18 |
$159.46 |
| 94729 |
|
16 |
16 |
$145.94 |
| 99173 |
|
12 |
12 |
$34.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
67 |
$23.56 |
| 99349 |
|
88 |
84 |
$0.00 |