| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,665 |
20,682 |
$554K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,123 |
23,207 |
$343K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,702 |
1,454 |
$118K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,480 |
2,359 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,580 |
2,381 |
$42K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,390 |
3,142 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,662 |
9,054 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
903 |
680 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,200 |
1,141 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
556 |
523 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,237 |
1,163 |
$11K |
| 90480 |
|
251 |
222 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
496 |
391 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
158 |
152 |
$5K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
182 |
171 |
$5K |
| 0071A |
|
110 |
109 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
397 |
388 |
$4K |
| 0072A |
|
103 |
102 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
568 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,467 |
2,064 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
154 |
148 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
105 |
62 |
$3K |
| 92567 |
|
900 |
752 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
385 |
383 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
152 |
67 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
132 |
91 |
$2K |
| 90686 |
|
4,607 |
4,411 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
385 |
383 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
85 |
73 |
$1K |
| 92557 |
|
193 |
193 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
534 |
483 |
$923.26 |
| 0124A |
|
25 |
24 |
$880.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
16 |
$846.48 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
25 |
$614.52 |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$601.37 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
24 |
$559.44 |
| 99223 |
Prolong inpt eval add15 m |
17 |
13 |
$544.75 |
| 95117 |
|
648 |
224 |
$503.53 |
| 0154A |
|
12 |
12 |
$480.00 |
| 99442 |
|
39 |
36 |
$456.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
158 |
$310.71 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$307.34 |
| 92551 |
|
323 |
321 |
$287.75 |
| 90473 |
|
28 |
26 |
$280.79 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$268.51 |
| 92579 |
|
26 |
26 |
$264.74 |
| 20610 |
|
16 |
15 |
$241.70 |
| 96127 |
|
622 |
543 |
$230.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
73 |
$229.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$208.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
24 |
$187.03 |
| 92587 |
|
33 |
33 |
$161.54 |
| 73630 |
|
51 |
48 |
$135.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
53 |
$122.77 |
| 99188 |
|
26 |
24 |
$121.85 |
| 90688 |
|
15 |
15 |
$103.80 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
130 |
$91.02 |
| 92555 |
|
38 |
27 |
$85.49 |
| 92588 |
|
18 |
12 |
$83.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
16 |
$82.90 |
| 99173 |
|
267 |
260 |
$66.32 |
| 93000 |
|
19 |
17 |
$63.46 |
| 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) |
1,251 |
1,176 |
$57.44 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$38.13 |
| 96161 |
|
12 |
12 |
$28.08 |
| 81025 |
|
13 |
12 |
$25.32 |
| 92550 |
|
21 |
15 |
$18.29 |
| 90670 |
|
314 |
308 |
$0.01 |
| 90685 |
|
122 |
120 |
$0.01 |
| 3078F |
|
2,732 |
2,562 |
$0.00 |
| 90648 |
|
255 |
252 |
$0.00 |
| 91300 |
|
13 |
12 |
$0.00 |
| 90671 |
|
85 |
80 |
$0.00 |
| 90633 |
|
37 |
25 |
$0.00 |
| 91308 |
|
168 |
145 |
$0.00 |
| 91312 |
|
27 |
25 |
$0.00 |
| 92504 |
|
16 |
13 |
$0.00 |
| 3074F |
|
3,850 |
3,580 |
$0.00 |
| 91307 |
|
262 |
237 |
$0.00 |
| 90723 |
|
105 |
103 |
$0.00 |
| 36416 |
|
99 |
87 |
$0.00 |
| 90656 |
|
492 |
458 |
$0.00 |
| 3079F |
|
337 |
307 |
$0.00 |
| 90677 |
|
43 |
39 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |