| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,427 |
76,862 |
$6.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,201 |
46,473 |
$3.55M |
| 99215 |
Prolong outpt/office vis |
4,949 |
4,363 |
$572K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,699 |
4,493 |
$388K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,884 |
2,784 |
$385K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,341 |
3,228 |
$323K |
| 99460 |
|
2,755 |
2,661 |
$240K |
| 99233 |
Prolong inpt eval add15 m |
3,066 |
1,761 |
$224K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,122 |
1,105 |
$206K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,144 |
3,004 |
$199K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,449 |
385 |
$189K |
| 99253 |
|
2,236 |
2,132 |
$184K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,808 |
1,788 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,655 |
4,317 |
$164K |
| 99205 |
Prolong outpt/office vis |
775 |
747 |
$147K |
| 20610 |
|
1,371 |
1,060 |
$65K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
133 |
39 |
$65K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
952 |
928 |
$49K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
702 |
441 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
334 |
330 |
$33K |
| 11721 |
|
6,554 |
6,395 |
$29K |
| 99221 |
|
767 |
668 |
$24K |
| 99462 |
|
548 |
458 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
374 |
284 |
$21K |
| 95251 |
|
731 |
721 |
$21K |
| 90723 |
|
382 |
375 |
$18K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
102 |
25 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
383 |
313 |
$14K |
| 99252 |
|
191 |
183 |
$13K |
| 31575 |
|
154 |
148 |
$13K |
| 54150 |
|
81 |
81 |
$12K |
| 99464 |
|
168 |
166 |
$12K |
| 99243 |
|
81 |
77 |
$10K |
| 20553 |
|
152 |
152 |
$7K |
| 93295 |
|
221 |
208 |
$7K |
| 11720 |
|
2,337 |
2,248 |
$7K |
| 99406 |
|
500 |
355 |
$6K |
| 99381 |
|
45 |
43 |
$4K |
| 11056 |
|
96 |
93 |
$3K |
| 90670 |
|
320 |
318 |
$3K |
| 90647 |
|
314 |
308 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$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) |
1,240 |
1,193 |
$1K |
| 99383 |
|
14 |
12 |
$1K |
| 93298 |
|
66 |
45 |
$1K |
| 69210 |
|
64 |
53 |
$1K |
| 92504 |
|
79 |
75 |
$1K |
| 90681 |
|
128 |
122 |
$915.48 |
| 90677 |
|
85 |
85 |
$873.74 |
| 29581 |
|
34 |
12 |
$803.16 |
| 93294 |
|
41 |
39 |
$774.14 |
| 20550 |
|
12 |
12 |
$505.81 |
| 11055 |
|
18 |
13 |
$376.57 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$317.15 |
| 91200 |
|
26 |
25 |
$237.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$165.24 |
| 97602 |
|
30 |
12 |
$160.00 |
| G9920 |
Screening performed and negative |
10,565 |
9,993 |
$0.00 |
| 1124F |
|
35 |
34 |
$0.00 |
| 1123F |
|
62 |
59 |
$0.00 |