| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,239 |
38,213 |
$2.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,547 |
22,711 |
$1.16M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,390 |
5,786 |
$593K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
726 |
710 |
$391K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,705 |
2,637 |
$255K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,132 |
6,471 |
$218K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42,383 |
36,401 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,780 |
1,743 |
$136K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,178 |
1,085 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,460 |
1,289 |
$120K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
750 |
693 |
$120K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,410 |
1,397 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,574 |
1,457 |
$80K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
124 |
119 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,001 |
986 |
$66K |
| 99386 |
|
784 |
775 |
$61K |
| 59025 |
Fetal non-stress test |
3,309 |
2,098 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
1,737 |
624 |
$52K |
| 99385 |
|
662 |
656 |
$45K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
926 |
880 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
629 |
572 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
345 |
336 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
489 |
466 |
$23K |
| 99205 |
Prolong outpt/office vis |
162 |
162 |
$18K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,232 |
1,150 |
$18K |
| 59514 |
|
12 |
12 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
555 |
546 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,144 |
1,003 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
518 |
413 |
$9K |
| 54160 |
|
39 |
37 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
170 |
136 |
$6K |
| 77427 |
|
89 |
38 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
39 |
39 |
$4K |
| 93018 |
|
398 |
397 |
$4K |
| 93016 |
|
399 |
398 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
95 |
93 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
149 |
68 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
91 |
42 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
29 |
$2K |
| 99221 |
|
45 |
39 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
166 |
$2K |
| 99307 |
|
207 |
183 |
$1K |
| 77334 |
|
21 |
14 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
772 |
640 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
44 |
42 |
$1K |
| 99219 |
|
25 |
25 |
$961.64 |
| 0002A |
|
23 |
23 |
$931.70 |
| 99234 |
|
13 |
13 |
$798.71 |
| 96103 |
|
73 |
72 |
$716.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$486.25 |
| 99406 |
|
41 |
40 |
$333.47 |
| 90686 |
|
15 |
14 |
$223.50 |
| 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 |
34 |
34 |
$139.66 |
| 93000 |
|
15 |
15 |
$85.00 |
| 96127 |
|
220 |
185 |
$70.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
498 |
380 |
$54.56 |
| 96161 |
|
202 |
184 |
$32.99 |
| 99024 |
|
453 |
283 |
$30.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
1,564 |
1,482 |
$0.00 |
| 0521F |
|
818 |
740 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,955 |
8,236 |
$0.00 |
| 1124F |
|
98 |
95 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,055 |
2,790 |
$0.00 |
| 90461 |
|
42 |
41 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
60 |
$0.00 |
| 1123F |
|
2,236 |
2,070 |
$0.00 |
| 1036F |
|
4,633 |
4,292 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,487 |
4,161 |
$0.00 |
| 1125F |
|
526 |
474 |
$0.00 |
| 1126F |
|
828 |
780 |
$0.00 |
| G9827 |
Her2-targeted therapies not administered during the initial course of treatment |
12 |
12 |
$0.00 |