| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98,864 |
94,335 |
$4.19M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45,677 |
44,737 |
$3.82M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37,820 |
37,000 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,937 |
57,349 |
$1.83M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,621 |
17,332 |
$1.30M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,204 |
8,985 |
$1.20M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,179 |
27,533 |
$1.18M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
10,564 |
3,130 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,595 |
14,677 |
$1.04M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,536 |
1,082 |
$968K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,447 |
11,330 |
$859K |
| 99215 |
Prolong outpt/office vis |
10,116 |
9,230 |
$686K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
7,035 |
1,801 |
$659K |
| 96112 |
|
4,863 |
4,381 |
$438K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,398 |
5,255 |
$436K |
| 96127 |
|
9,251 |
8,465 |
$350K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,312 |
5,147 |
$301K |
| 99205 |
Prolong outpt/office vis |
2,925 |
2,834 |
$272K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,679 |
2,616 |
$208K |
| 99460 |
|
3,173 |
3,079 |
$201K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
599 |
206 |
$187K |
| 90461 |
|
12,541 |
12,294 |
$141K |
| 95251 |
|
1,674 |
1,658 |
$136K |
| 95813 |
|
1,881 |
1,784 |
$135K |
| 54150 |
|
1,435 |
1,362 |
$132K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,653 |
1,601 |
$125K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,766 |
2,551 |
$121K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,643 |
1,565 |
$119K |
| 90686 |
|
12,569 |
12,304 |
$100K |
| 90791 |
Psychiatric diagnostic evaluation |
740 |
708 |
$88K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,841 |
904 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,483 |
1,422 |
$73K |
| 96111 |
|
868 |
747 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,171 |
1,133 |
$61K |
| 99468 |
|
97 |
91 |
$59K |
| 94010 |
|
4,471 |
4,315 |
$58K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
440 |
365 |
$58K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
577 |
565 |
$53K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
362 |
351 |
$43K |
| 96113 |
|
87 |
82 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
661 |
374 |
$39K |
| 90677 |
|
833 |
831 |
$38K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,651 |
1,554 |
$37K |
| 01922 |
|
174 |
172 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
223 |
214 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
384 |
212 |
$24K |
| 99471 |
|
34 |
33 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
996 |
963 |
$21K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
480 |
459 |
$20K |
| 99462 |
|
608 |
497 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
200 |
98 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,561 |
1,511 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,542 |
1,492 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
357 |
345 |
$14K |
| 95012 |
|
1,077 |
1,008 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,471 |
4,167 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
70 |
67 |
$10K |
| 90620 |
|
290 |
268 |
$10K |
| 90651 |
|
286 |
283 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
679 |
612 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
76 |
75 |
$7K |
| 90670 |
|
5,151 |
5,027 |
$7K |
| 99188 |
|
483 |
467 |
$6K |
| 99384 |
|
63 |
61 |
$6K |
| 0002A |
|
134 |
132 |
$5K |
| 99417 |
Prolong home eval add 15m |
105 |
83 |
$5K |
| 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) |
373 |
365 |
$5K |
| 90734 |
|
435 |
405 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
66 |
$4K |
| 0001A |
|
109 |
104 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
60 |
60 |
$3K |
| 94060 |
|
173 |
167 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
89 |
87 |
$2K |
| 90698 |
|
864 |
852 |
$2K |
| 90633 |
|
1,171 |
1,146 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
90 |
89 |
$2K |
| 96130 |
|
36 |
36 |
$2K |
| A4617 |
Mouth piece |
946 |
897 |
$2K |
| 90656 |
|
1,799 |
1,797 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
125 |
$2K |
| 90647 |
|
2,206 |
2,157 |
$1K |
| 96139 |
|
18 |
12 |
$984.32 |
| 99464 |
|
13 |
13 |
$973.57 |
| 90723 |
|
2,263 |
2,207 |
$960.12 |
| 0124A |
|
23 |
23 |
$920.00 |
| 81003 |
|
335 |
317 |
$769.29 |
| 96138 |
|
36 |
36 |
$767.37 |
| 0054A |
|
18 |
18 |
$720.00 |
| 90672 |
|
169 |
169 |
$690.00 |
| 95812 |
|
14 |
14 |
$631.53 |
| 90680 |
|
2,890 |
2,832 |
$542.42 |
| 99173 |
|
305 |
297 |
$525.46 |
| 69210 |
|
19 |
18 |
$490.20 |
| 90716 |
|
113 |
113 |
$430.68 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
12 |
$422.70 |
| 90710 |
|
15 |
15 |
$394.59 |
| 87807 |
|
35 |
28 |
$383.67 |
| 96102 |
|
13 |
13 |
$369.06 |
| 90707 |
|
99 |
99 |
$251.16 |
| 90696 |
|
15 |
15 |
$202.33 |
| 90715 |
|
28 |
28 |
$160.96 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
15 |
13 |
$135.59 |
| 90474 |
|
17 |
17 |
$116.62 |
| 97803 |
|
14 |
13 |
$116.10 |
| 90744 |
|
179 |
177 |
$105.56 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
19 |
15 |
$96.32 |
| 90685 |
|
171 |
168 |
$84.80 |
| 90700 |
|
27 |
26 |
$62.88 |
| 90480 |
|
12 |
12 |
$55.99 |
| 99177 |
|
147 |
144 |
$21.24 |
| 90688 |
|
21 |
20 |
$15.05 |
| 36416 |
|
17 |
16 |
$6.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$6.06 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
14 |
$5.85 |
| 91312 |
|
23 |
23 |
$0.00 |
| 91300 |
|
278 |
260 |
$0.00 |
| 3008F |
|
8,318 |
8,174 |
$0.00 |
| 90697 |
|
421 |
421 |
$0.00 |
| 91305 |
|
105 |
103 |
$0.00 |
| 91307 |
|
60 |
60 |
$0.00 |