| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,712 |
12,843 |
$742K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,222 |
14,133 |
$570K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,245 |
2,966 |
$310K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,920 |
2,525 |
$287K |
| 99223 |
Prolong inpt eval add15 m |
1,545 |
1,222 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,033 |
1,849 |
$128K |
| 99233 |
Prolong inpt eval add15 m |
3,655 |
881 |
$124K |
| 99222 |
Initial hospital care, per day, moderate complexity |
823 |
569 |
$52K |
| 99215 |
Prolong outpt/office vis |
425 |
376 |
$41K |
| 90837 |
Psychotherapy, 53 minutes with patient |
316 |
219 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
763 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
248 |
85 |
$21K |
| 92557 |
|
948 |
871 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
226 |
183 |
$16K |
| 93000 |
|
949 |
887 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
681 |
289 |
$8K |
| 95886 |
|
84 |
79 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
104 |
102 |
$5K |
| 92567 |
|
303 |
287 |
$3K |
| 69210 |
|
191 |
149 |
$2K |
| 90962 |
|
338 |
313 |
$2K |
| 90686 |
|
133 |
86 |
$2K |
| 95806 |
|
162 |
143 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
13 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$1K |
| 99152 |
|
163 |
138 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$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) |
636 |
530 |
$864.65 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$642.96 |
| 93016 |
|
47 |
42 |
$617.06 |
| 92504 |
|
59 |
51 |
$614.52 |
| 94010 |
|
140 |
114 |
$530.13 |
| 93018 |
|
47 |
42 |
$396.89 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
12 |
$388.48 |
| 90656 |
|
18 |
12 |
$349.86 |
| 94726 |
|
40 |
37 |
$337.53 |
| 99490 |
Ccm add 20min |
52 |
51 |
$283.73 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$279.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
15 |
$183.20 |
| 94729 |
|
18 |
16 |
$182.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
16 |
$144.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60 |
55 |
$83.84 |
| 3288F |
|
3,440 |
3,124 |
$0.00 |
| 1090F |
|
701 |
632 |
$0.00 |
| 1160F |
|
4,202 |
3,886 |
$0.00 |
| 3725F |
|
5,085 |
4,355 |
$0.00 |
| 1159F |
|
3,766 |
3,495 |
$0.00 |
| 3078F |
|
1,106 |
1,035 |
$0.00 |
| 3077F |
|
206 |
187 |
$0.00 |
| 92133 |
|
13 |
12 |
$0.00 |
| 1126F |
|
1,945 |
1,715 |
$0.00 |
| 1036F |
|
908 |
792 |
$0.00 |
| 1111F |
|
857 |
689 |
$0.00 |
| 3008F |
|
10,670 |
9,670 |
$0.00 |
| 1101F |
|
3,731 |
3,372 |
$0.00 |
| 3351F |
|
2,989 |
2,778 |
$0.00 |
| 1000F |
|
1,931 |
1,759 |
$0.00 |
| 3074F |
|
1,222 |
1,135 |
$0.00 |
| 3075F |
|
274 |
255 |
$0.00 |
| 1125F |
|
1,336 |
1,179 |
$0.00 |
| 3079F |
|
615 |
561 |
$0.00 |
| 3080F |
|
84 |
75 |
$0.00 |
| 1034F |
|
171 |
154 |
$0.00 |
| 3352F |
|
16 |
14 |
$0.00 |