| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,989 |
15,298 |
$615K |
| 99233 |
Prolong inpt eval add15 m |
25,580 |
11,805 |
$564K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,597 |
12,562 |
$482K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,209 |
16,214 |
$464K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
10,212 |
4,228 |
$395K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15,168 |
10,487 |
$217K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19,632 |
16,570 |
$217K |
| 99223 |
Prolong inpt eval add15 m |
3,513 |
3,304 |
$138K |
| 11721 |
|
6,159 |
5,605 |
$53K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,076 |
1,019 |
$52K |
| 95117 |
|
6,001 |
2,550 |
$45K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,645 |
1,478 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,896 |
1,763 |
$35K |
| 99307 |
|
6,275 |
5,536 |
$35K |
| 99305 |
|
1,612 |
1,458 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
821 |
760 |
$30K |
| 99254 |
|
439 |
416 |
$29K |
| 99255 |
|
278 |
268 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
813 |
767 |
$23K |
| 95811 |
|
410 |
390 |
$23K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,014 |
288 |
$20K |
| 94060 |
|
2,346 |
2,157 |
$18K |
| 99334 |
|
1,680 |
1,527 |
$16K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
294 |
281 |
$15K |
| 11720 |
|
3,401 |
3,026 |
$14K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
111 |
105 |
$14K |
| 99215 |
Prolong outpt/office vis |
261 |
225 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
200 |
$10K |
| 92557 |
|
339 |
311 |
$9K |
| 11719 |
|
2,997 |
2,656 |
$9K |
| 94729 |
|
2,644 |
2,452 |
$7K |
| 99243 |
|
105 |
103 |
$5K |
| 99335 |
|
425 |
267 |
$5K |
| 20610 |
|
215 |
154 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
322 |
181 |
$4K |
| 94727 |
|
1,144 |
1,059 |
$4K |
| 92567 |
|
331 |
305 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
301 |
271 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
353 |
167 |
$3K |
| 31575 |
|
48 |
48 |
$3K |
| 95886 |
|
209 |
194 |
$3K |
| 99347 |
|
295 |
280 |
$2K |
| 90961 |
|
39 |
37 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
113 |
100 |
$2K |
| 99336 |
|
146 |
90 |
$2K |
| 94726 |
|
416 |
395 |
$1K |
| 99205 |
Prolong outpt/office vis |
18 |
15 |
$1K |
| 99318 |
|
83 |
67 |
$1K |
| 17110 |
|
27 |
24 |
$1K |
| 31231 |
|
14 |
14 |
$989.30 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
97 |
27 |
$965.80 |
| 99442 |
|
56 |
54 |
$708.71 |
| 94375 |
|
112 |
103 |
$643.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
128 |
121 |
$618.09 |
| 97597 |
|
79 |
40 |
$580.81 |
| 73562 |
|
32 |
25 |
$489.28 |
| 97162 |
|
14 |
12 |
$442.05 |
| 72114 |
|
15 |
12 |
$300.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$277.98 |
| 95816 |
|
13 |
12 |
$250.59 |
| 72170 |
|
32 |
25 |
$248.89 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
113 |
$199.58 |
| 99306 |
Prolong nursin fac eval 15m |
14 |
12 |
$193.89 |
| 90686 |
|
14 |
14 |
$171.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$135.64 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
29 |
25 |
$87.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$78.37 |
| 99443 |
|
14 |
13 |
$74.49 |
| 82044 |
|
30 |
27 |
$73.96 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$41.40 |
| G0127 |
Trimming of dystrophic nails, any number |
58 |
51 |
$33.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
40 |
$24.83 |
| 1125F |
|
13 |
13 |
$0.00 |
| 97010 |
|
25 |
12 |
$0.00 |
| 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) |
45 |
40 |
$0.00 |