| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,445 |
14,948 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,706 |
16,555 |
$851K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,284 |
1,283 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,724 |
1,722 |
$119K |
| 59425 |
|
885 |
714 |
$97K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,749 |
1,746 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,548 |
1,548 |
$81K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,225 |
9,541 |
$70K |
| 59426 |
|
571 |
329 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
749 |
749 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
433 |
431 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
239 |
239 |
$23K |
| 69210 |
|
714 |
687 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
530 |
504 |
$19K |
| 99221 |
|
235 |
235 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
280 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
241 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
100 |
$12K |
| 93018 |
|
561 |
554 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
55 |
55 |
$7K |
| 93016 |
|
361 |
359 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
167 |
161 |
$5K |
| 99442 |
|
107 |
105 |
$5K |
| 59514 |
|
12 |
12 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$4K |
| 97597 |
|
107 |
84 |
$3K |
| 99441 |
|
90 |
87 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 99443 |
|
21 |
21 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
40 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$1K |
| 76801 |
|
26 |
26 |
$1K |
| 90785 |
|
90 |
88 |
$977.19 |
| 88307 |
|
52 |
52 |
$973.44 |
| 93227 |
|
26 |
26 |
$931.56 |
| 31231 |
|
13 |
13 |
$885.09 |
| 20610 |
|
25 |
25 |
$783.75 |
| 31575 |
|
12 |
12 |
$748.48 |
| 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) |
88 |
84 |
$671.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$626.72 |
| 88304 |
|
27 |
27 |
$588.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$446.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
40 |
$244.20 |
| 93356 |
|
42 |
41 |
$39.80 |
| 81025 |
|
24 |
24 |
$10.15 |