| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
31,249 |
12,830 |
$13.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68,163 |
61,228 |
$4.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,353 |
69,862 |
$3.87M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
84,356 |
28,626 |
$3.03M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,448 |
23,093 |
$2.37M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17,109 |
16,170 |
$2.25M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17,537 |
16,499 |
$2.17M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15,683 |
14,762 |
$1.26M |
| 99233 |
Prolong inpt eval add15 m |
19,560 |
7,820 |
$1.11M |
| 99222 |
Initial hospital care, per day, moderate complexity |
9,727 |
9,217 |
$950K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,837 |
14,109 |
$869K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,181 |
1,169 |
$648K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15,492 |
13,130 |
$533K |
| 76818 |
|
12,391 |
8,101 |
$509K |
| 99215 |
Prolong outpt/office vis |
3,933 |
3,532 |
$368K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,857 |
4,204 |
$354K |
| 59025 |
Fetal non-stress test |
19,115 |
16,414 |
$331K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
5,063 |
3,398 |
$212K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,641 |
3,126 |
$211K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,228 |
3,277 |
$209K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,101 |
2,999 |
$194K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,990 |
3,331 |
$181K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,400 |
4,073 |
$159K |
| 90791 |
Psychiatric diagnostic evaluation |
1,641 |
1,519 |
$151K |
| 99460 |
|
2,385 |
2,012 |
$133K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,468 |
648 |
$132K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,413 |
300 |
$132K |
| 92587 |
|
2,401 |
2,331 |
$109K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,846 |
2,692 |
$100K |
| 97803 |
|
1,648 |
1,598 |
$97K |
| 99223 |
Prolong inpt eval add15 m |
2,372 |
1,848 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,903 |
1,793 |
$82K |
| 99221 |
|
902 |
859 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,243 |
999 |
$55K |
| 99468 |
|
274 |
175 |
$54K |
| 90836 |
|
759 |
460 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,758 |
5,213 |
$45K |
| 92567 |
|
1,833 |
1,765 |
$41K |
| 99464 |
|
651 |
560 |
$39K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
663 |
66 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,084 |
1,042 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
418 |
414 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,707 |
1,578 |
$32K |
| 90834 |
Psychotherapy, 45 minutes with patient |
546 |
378 |
$32K |
| 01961 |
|
84 |
84 |
$31K |
| 80305 |
|
1,984 |
1,721 |
$29K |
| 20611 |
|
371 |
329 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
307 |
$25K |
| 99205 |
Prolong outpt/office vis |
436 |
422 |
$24K |
| 97802 |
|
261 |
233 |
$22K |
| 97597 |
|
501 |
283 |
$22K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
642 |
464 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
515 |
398 |
$19K |
| 99462 |
|
666 |
510 |
$19K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
384 |
346 |
$18K |
| 90870 |
|
222 |
93 |
$17K |
| 92579 |
|
319 |
305 |
$16K |
| 76825 |
|
224 |
205 |
$13K |
| 76813 |
|
308 |
292 |
$13K |
| 76820 |
|
583 |
427 |
$13K |
| 99152 |
|
217 |
214 |
$11K |
| 76801 |
|
239 |
230 |
$10K |
| 90461 |
|
345 |
174 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
24 |
24 |
$9K |
| 3078F |
|
37,654 |
29,247 |
$8K |
| 90838 |
|
75 |
70 |
$7K |
| 1036F |
|
19,481 |
17,602 |
$7K |
| 93325 |
|
290 |
273 |
$7K |
| 3074F |
|
42,947 |
33,798 |
$7K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
277 |
93 |
$6K |
| 76827 |
|
226 |
207 |
$6K |
| 59020 |
|
221 |
206 |
$5K |
| 00840 |
|
38 |
38 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
173 |
91 |
$5K |
| 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) |
385 |
373 |
$4K |
| 95251 |
|
115 |
113 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
152 |
79 |
$4K |
| 4010F |
|
1,851 |
1,583 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
362 |
148 |
$4K |
| 81002 |
|
810 |
588 |
$4K |
| 92588 |
|
139 |
126 |
$3K |
| 77080 |
|
166 |
144 |
$3K |
| 3079F |
|
4,424 |
4,028 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
78 |
$2K |
| 3077F |
|
799 |
703 |
$2K |
| 3075F |
|
1,097 |
1,026 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 92550 |
|
80 |
80 |
$2K |
| 99201 |
|
44 |
42 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
242 |
209 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
38 |
$905.58 |
| 81025 |
|
83 |
83 |
$724.19 |
| 99307 |
|
48 |
39 |
$652.69 |
| 20610 |
|
27 |
24 |
$625.23 |
| 94729 |
|
36 |
33 |
$421.46 |
| 72100 |
|
25 |
25 |
$402.47 |
| 94726 |
|
35 |
31 |
$398.41 |
| 99478 |
|
25 |
12 |
$391.68 |
| 73030 |
|
25 |
24 |
$377.33 |
| 3080F |
|
136 |
131 |
$376.65 |
| 96127 |
|
79 |
73 |
$375.85 |
| 87660 |
|
12 |
12 |
$349.68 |
| 87480 |
|
12 |
12 |
$349.68 |
| 87510 |
|
12 |
12 |
$349.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$232.75 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
181 |
167 |
$173.36 |
| 94060 |
|
14 |
13 |
$166.90 |
| 73560 |
|
12 |
12 |
$125.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$119.43 |
| 3044F |
|
13 |
13 |
$98.29 |
| 90785 |
|
16 |
15 |
$84.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$49.56 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
229 |
96 |
$29.72 |
| 4004F |
|
8,124 |
6,492 |
$27.17 |
| 99220 |
|
119 |
106 |
$11.88 |
| 93294 |
|
12 |
12 |
$3.24 |
| 90686 |
|
25 |
25 |
$0.24 |
| 99442 |
|
733 |
661 |
$0.00 |
| 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 |
86 |
82 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 99443 |
|
620 |
568 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
56 |
$0.00 |
| 99217 |
|
75 |
67 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
18 |
16 |
$0.00 |
| 99441 |
|
21 |
17 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |