| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,793 |
27,801 |
$2.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,429 |
29,449 |
$2.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,576 |
3,563 |
$274K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,368 |
9,121 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,261 |
3,053 |
$218K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,856 |
2,840 |
$215K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,341 |
2,325 |
$197K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,707 |
1,690 |
$139K |
| 95886 |
|
946 |
902 |
$131K |
| 99215 |
Prolong outpt/office vis |
1,163 |
1,065 |
$128K |
| 95911 |
|
713 |
686 |
$127K |
| 90461 |
|
4,984 |
4,363 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
883 |
882 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
611 |
606 |
$72K |
| 90686 |
|
6,670 |
6,610 |
$51K |
| 99188 |
|
3,351 |
3,335 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
364 |
364 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
887 |
418 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
728 |
711 |
$30K |
| 92551 |
|
3,374 |
3,346 |
$30K |
| 99219 |
|
417 |
396 |
$30K |
| 99177 |
|
5,616 |
5,573 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
290 |
272 |
$26K |
| 59025 |
Fetal non-stress test |
1,120 |
788 |
$25K |
| 99460 |
|
292 |
281 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
171 |
162 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
243 |
239 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,036 |
1,028 |
$13K |
| 90670 |
|
1,823 |
1,818 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,000 |
971 |
$12K |
| 90651 |
|
1,159 |
1,155 |
$11K |
| 93971 |
|
615 |
596 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
123 |
115 |
$11K |
| 90715 |
|
872 |
866 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
575 |
569 |
$10K |
| 90647 |
|
1,482 |
1,472 |
$9K |
| 90723 |
|
1,474 |
1,472 |
$9K |
| 90677 |
|
336 |
320 |
$8K |
| 90633 |
|
1,203 |
1,198 |
$7K |
| 90474 |
|
673 |
673 |
$7K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$7K |
| T1001 |
Nursing assessment / evaluation |
26 |
26 |
$6K |
| 93970 |
|
186 |
175 |
$5K |
| 96127 |
|
1,191 |
1,185 |
$5K |
| 90680 |
|
896 |
890 |
$5K |
| 90734 |
|
1,006 |
967 |
$5K |
| 20610 |
|
110 |
89 |
$4K |
| 99218 |
|
65 |
65 |
$3K |
| 90710 |
|
545 |
543 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
94 |
92 |
$3K |
| 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 |
227 |
220 |
$3K |
| 90620 |
|
353 |
352 |
$3K |
| 99385 |
|
26 |
26 |
$3K |
| 90732 |
|
26 |
26 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
234 |
217 |
$2K |
| 90746 |
|
37 |
36 |
$2K |
| 90696 |
|
373 |
372 |
$2K |
| 90700 |
|
362 |
359 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
112 |
111 |
$2K |
| 90672 |
|
235 |
235 |
$2K |
| 99381 |
|
39 |
39 |
$2K |
| 95909 |
|
15 |
15 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
51 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
106 |
39 |
$2K |
| 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) |
93 |
89 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 73610 |
|
55 |
49 |
$1K |
| 90707 |
|
231 |
231 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$914.80 |
| 46600 |
|
12 |
12 |
$899.40 |
| 90716 |
|
237 |
232 |
$870.00 |
| 90685 |
|
91 |
91 |
$620.00 |
| 0002A |
|
15 |
14 |
$563.62 |
| 73564 |
|
20 |
14 |
$551.52 |
| 99462 |
|
15 |
13 |
$510.32 |
| 96161 |
|
269 |
268 |
$438.62 |
| 90473 |
|
25 |
25 |
$329.83 |
| 90674 |
|
12 |
12 |
$329.34 |
| 83655 |
|
1,746 |
1,739 |
$298.41 |
| 73630 |
|
14 |
13 |
$252.66 |
| 90630 |
|
14 |
14 |
$241.01 |
| 90681 |
|
36 |
36 |
$230.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
124 |
97 |
$206.41 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
171 |
152 |
$124.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
24 |
$108.66 |
| 99441 |
|
23 |
13 |
$101.94 |
| 86580 |
|
28 |
24 |
$90.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$23.59 |
| 99024 |
|
330 |
264 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
23 |
14 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
32 |
27 |
$0.00 |
| 0502F |
|
13 |
12 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |