| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,990 |
49,546 |
$4.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,907 |
24,670 |
$1.43M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,216 |
5,200 |
$496K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,788 |
4,775 |
$410K |
| 99215 |
Prolong outpt/office vis |
2,690 |
2,608 |
$297K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,037 |
2,023 |
$216K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,910 |
2,897 |
$196K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32,757 |
26,301 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,694 |
1,693 |
$142K |
| 90651 |
|
1,394 |
1,392 |
$116K |
| 90677 |
|
420 |
420 |
$110K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,733 |
2,719 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,386 |
1,385 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,547 |
9,454 |
$90K |
| 90732 |
|
805 |
800 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,048 |
1,046 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,245 |
4,208 |
$79K |
| 36415 |
Collection of venous blood by venipuncture |
23,895 |
23,200 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,013 |
986 |
$68K |
| 90750 |
|
449 |
448 |
$62K |
| 90682 |
|
1,030 |
1,028 |
$60K |
| 99385 |
|
558 |
557 |
$55K |
| 90715 |
|
1,946 |
1,936 |
$46K |
| 90688 |
|
2,826 |
2,818 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,481 |
1,439 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,498 |
3,894 |
$36K |
| 90620 |
|
612 |
612 |
$31K |
| 93000 |
|
3,188 |
3,179 |
$27K |
| 90670 |
|
781 |
781 |
$24K |
| 90686 |
|
2,142 |
2,139 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,776 |
1,764 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,500 |
1,476 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
392 |
155 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
137 |
130 |
$14K |
| 99406 |
|
1,805 |
1,705 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
301 |
299 |
$13K |
| 99386 |
|
89 |
88 |
$10K |
| 81025 |
|
1,599 |
1,556 |
$10K |
| 90632 |
|
180 |
180 |
$9K |
| 99443 |
|
186 |
174 |
$9K |
| 81003 |
|
5,069 |
4,947 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
112 |
110 |
$8K |
| 91320 |
|
55 |
55 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
107 |
37 |
$7K |
| 90739 |
|
37 |
37 |
$6K |
| 99421 |
|
528 |
502 |
$5K |
| 90656 |
|
265 |
264 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
106 |
105 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
139 |
78 |
$3K |
| 90480 |
|
68 |
68 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
153 |
153 |
$3K |
| 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) |
1,530 |
1,440 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,474 |
1,274 |
$2K |
| 90734 |
|
331 |
331 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
200 |
193 |
$2K |
| 93018 |
|
231 |
229 |
$2K |
| 90707 |
|
258 |
258 |
$2K |
| 99442 |
|
120 |
118 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90658 |
|
144 |
144 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
902 |
872 |
$1K |
| 90716 |
|
208 |
208 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| G9488 |
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
59 |
55 |
$1K |
| 0054A |
|
31 |
31 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$760.74 |
| 94010 |
|
37 |
37 |
$670.97 |
| 99462 |
|
24 |
24 |
$576.98 |
| 86580 |
|
123 |
120 |
$546.39 |
| 99051 |
|
83 |
83 |
$515.00 |
| 0124A |
|
14 |
14 |
$475.19 |
| 0004A |
|
12 |
12 |
$465.57 |
| 90662 |
|
12 |
12 |
$371.98 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
28 |
28 |
$325.30 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
40 |
40 |
$320.90 |
| 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 |
48 |
48 |
$318.64 |
| 99441 |
|
35 |
34 |
$237.08 |
| 93308 |
|
13 |
12 |
$203.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$166.03 |
| 93016 |
|
12 |
12 |
$140.02 |
| 96127 |
|
30 |
30 |
$96.31 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$86.80 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$64.17 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$39.26 |
| 82962 |
|
12 |
12 |
$32.52 |
| 3079F |
|
15,400 |
14,851 |
$10.46 |
| 3074F |
|
38,471 |
36,292 |
$9.02 |
| 3351F |
|
14,444 |
14,143 |
$4.74 |
| 3077F |
|
4,047 |
3,862 |
$2.23 |
| 3078F |
|
33,295 |
31,619 |
$0.79 |
| 3353F |
|
150 |
146 |
$0.00 |
| 3075F |
|
8,980 |
8,763 |
$0.00 |
| 90647 |
|
350 |
350 |
$0.00 |
| 3352F |
|
415 |
413 |
$0.00 |
| 3080F |
|
2,802 |
2,703 |
$0.00 |
| 3022F |
|
500 |
491 |
$0.00 |
| 1101F |
|
115 |
114 |
$0.00 |
| 90723 |
|
148 |
148 |
$0.00 |
| 3044F |
|
37 |
37 |
$0.00 |
| 1111F |
|
16 |
16 |
$0.00 |
| 90633 |
|
215 |
215 |
$0.00 |
| 90700 |
|
147 |
147 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90461 |
|
901 |
899 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |