| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,052 |
11,401 |
$877K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,888 |
9,741 |
$641K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,603 |
1,920 |
$207K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,416 |
3,138 |
$138K |
| 99223 |
Prolong inpt eval add15 m |
1,623 |
1,221 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,828 |
3,187 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
945 |
924 |
$112K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,100 |
1,613 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,057 |
1,014 |
$88K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
752 |
200 |
$83K |
| 93000 |
|
2,343 |
2,220 |
$53K |
| 99215 |
Prolong outpt/office vis |
1,320 |
1,134 |
$51K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
4,627 |
3,293 |
$47K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
392 |
390 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
1,576 |
750 |
$41K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,561 |
5,131 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
347 |
323 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
442 |
413 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
111 |
111 |
$14K |
| 95806 |
|
124 |
122 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
508 |
164 |
$5K |
| 93244 |
|
274 |
263 |
$5K |
| 93016 |
|
383 |
365 |
$5K |
| 99221 |
|
58 |
55 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$4K |
| 93018 |
|
383 |
365 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
217 |
205 |
$3K |
| 99255 |
|
15 |
15 |
$3K |
| 99205 |
Prolong outpt/office vis |
53 |
47 |
$3K |
| 94727 |
|
472 |
446 |
$2K |
| 94729 |
|
471 |
443 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
12 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 99443 |
|
72 |
55 |
$1K |
| 99442 |
|
140 |
101 |
$1K |
| 81025 |
|
142 |
136 |
$941.10 |
| 94060 |
|
119 |
115 |
$792.82 |
| 90961 |
|
110 |
110 |
$551.49 |
| 93227 |
|
27 |
27 |
$547.15 |
| 99454 |
|
35 |
27 |
$401.48 |
| 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 |
89 |
86 |
$316.40 |
| 95251 |
|
12 |
12 |
$290.41 |
| 99406 |
|
13 |
12 |
$288.03 |
| 93308 |
|
58 |
50 |
$213.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$160.43 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$158.78 |
| 93280 |
|
12 |
12 |
$79.02 |
| 99441 |
|
13 |
13 |
$65.00 |
| 93294 |
|
13 |
13 |
$60.27 |
| 0298T |
|
13 |
13 |
$5.26 |
| 90962 |
|
45 |
45 |
$0.00 |
| 90682 |
|
18 |
18 |
$0.00 |