| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,665 |
29,635 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,443 |
20,222 |
$659K |
| 99215 |
Prolong outpt/office vis |
3,173 |
2,724 |
$225K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,131 |
2,056 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,667 |
1,588 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,447 |
2,330 |
$100K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
977 |
757 |
$59K |
| 99243 |
|
1,080 |
1,043 |
$58K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,610 |
10,489 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,035 |
1,005 |
$48K |
| 99349 |
|
338 |
320 |
$26K |
| 90836 |
|
443 |
388 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,280 |
1,181 |
$19K |
| 99443 |
|
442 |
363 |
$18K |
| 99442 |
|
545 |
492 |
$17K |
| V5261 |
Hearing aid, digital, binaural, bte |
15 |
13 |
$12K |
| 99607 |
|
307 |
275 |
$11K |
| 99205 |
Prolong outpt/office vis |
88 |
88 |
$10K |
| 99348 |
|
220 |
208 |
$10K |
| 99605 |
|
218 |
204 |
$10K |
| 95886 |
|
168 |
151 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
183 |
73 |
$6K |
| 11721 |
|
452 |
428 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
418 |
404 |
$5K |
| 99335 |
|
106 |
95 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
62 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
30 |
25 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,553 |
1,140 |
$3K |
| 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) |
453 |
419 |
$3K |
| V5266 |
Battery for use in hearing device |
253 |
224 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
95 |
70 |
$3K |
| 99336 |
|
45 |
41 |
$3K |
| V5160 |
Dispensing fee, binaural |
15 |
13 |
$2K |
| 99350 |
Prolong home eval add 15m |
16 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
90 |
$2K |
| 95251 |
|
105 |
103 |
$2K |
| 94060 |
|
232 |
219 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
24 |
24 |
$2K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
653 |
629 |
$2K |
| 94726 |
|
174 |
165 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
31 |
$1K |
| 94729 |
|
166 |
157 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
21 |
12 |
$861.03 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$841.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$388.70 |
| 99606 |
|
15 |
12 |
$351.50 |
| 90480 |
|
14 |
14 |
$345.78 |
| 90461 |
|
29 |
24 |
$338.49 |
| 99441 |
|
13 |
12 |
$230.13 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
113 |
103 |
$149.34 |
| 96127 |
|
34 |
30 |
$79.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$60.09 |
| 90662 |
|
13 |
13 |
$50.45 |
| 90686 |
|
249 |
247 |
$42.96 |
| 90656 |
|
17 |
17 |
$23.47 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$20.81 |
| 85610 |
|
82 |
25 |
$0.00 |
| 99242 |
|
12 |
12 |
$0.00 |
| 90715 |
|
61 |
56 |
$0.00 |
| 99173 |
|
16 |
14 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 93016 |
|
13 |
13 |
$0.00 |
| 92551 |
|
20 |
18 |
$0.00 |