| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104,898 |
99,748 |
$3.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,003 |
75,594 |
$2.65M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,228 |
21,822 |
$1.43M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,805 |
5,660 |
$516K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,488 |
11,274 |
$404K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,999 |
3,924 |
$334K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,011 |
4,949 |
$271K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,334 |
4,220 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,790 |
3,753 |
$206K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,546 |
4,446 |
$171K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32,983 |
26,902 |
$144K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,022 |
4,932 |
$115K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,458 |
3,138 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,463 |
4,368 |
$110K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,682 |
1,852 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,629 |
1,594 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,479 |
3,941 |
$75K |
| 99233 |
Prolong inpt eval add15 m |
1,725 |
791 |
$60K |
| 64493 |
|
1,621 |
1,488 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
731 |
704 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
892 |
890 |
$50K |
| 98928 |
|
1,586 |
1,435 |
$44K |
| 64494 |
|
2,093 |
1,496 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
846 |
812 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
486 |
460 |
$33K |
| 20610 |
|
1,727 |
1,607 |
$31K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,284 |
909 |
$28K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,261 |
850 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,087 |
993 |
$27K |
| 64495 |
|
1,194 |
906 |
$27K |
| 98929 |
|
980 |
757 |
$27K |
| 99215 |
Prolong outpt/office vis |
497 |
479 |
$26K |
| 99205 |
Prolong outpt/office vis |
235 |
231 |
$19K |
| 90870 |
|
520 |
162 |
$19K |
| 27096 |
|
590 |
569 |
$18K |
| 96158 |
|
581 |
479 |
$18K |
| 97803 |
|
706 |
674 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
289 |
278 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
242 |
240 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
269 |
249 |
$13K |
| D0145 |
Oral evaluation for a patient under three years of age |
264 |
254 |
$11K |
| 99443 |
|
343 |
313 |
$9K |
| 98927 |
|
432 |
392 |
$9K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
150 |
109 |
$9K |
| 20611 |
|
420 |
389 |
$9K |
| 64635 |
|
105 |
94 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
445 |
226 |
$8K |
| 95886 |
|
235 |
231 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
54 |
53 |
$8K |
| 64615 |
|
166 |
163 |
$7K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
229 |
216 |
$7K |
| 92551 |
|
554 |
554 |
$6K |
| 99234 |
|
108 |
31 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
225 |
209 |
$6K |
| 64636 |
|
171 |
94 |
$5K |
| 99221 |
|
136 |
120 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
95 |
93 |
$5K |
| 99442 |
|
343 |
332 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
203 |
189 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
42 |
42 |
$4K |
| 96132 |
|
68 |
66 |
$4K |
| 51798 |
|
1,065 |
1,026 |
$4K |
| 73600 |
|
878 |
767 |
$4K |
| 73630 |
|
831 |
686 |
$3K |
| 99173 |
|
694 |
694 |
$3K |
| 96139 |
|
32 |
32 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
460 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
284 |
237 |
$2K |
| 73562 |
|
577 |
467 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
52 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
52 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 96127 |
|
566 |
476 |
$2K |
| 64490 |
|
43 |
39 |
$1K |
| 97597 |
|
205 |
141 |
$1K |
| 99459 |
|
91 |
86 |
$1K |
| 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) |
1,058 |
1,004 |
$961.39 |
| 64491 |
|
49 |
39 |
$960.59 |
| 99441 |
|
129 |
125 |
$877.03 |
| 62323 |
|
25 |
25 |
$859.75 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
30 |
12 |
$798.68 |
| 00104 |
|
23 |
13 |
$754.47 |
| 95811 |
|
14 |
14 |
$645.98 |
| 96138 |
|
32 |
32 |
$613.39 |
| 94060 |
|
92 |
90 |
$594.66 |
| 94660 |
|
41 |
41 |
$549.50 |
| 43235 |
|
12 |
12 |
$547.31 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
37 |
$545.58 |
| 81003 |
|
458 |
434 |
$520.59 |
| 64492 |
|
30 |
25 |
$457.09 |
| 93350 |
|
12 |
12 |
$398.39 |
| 98967 |
|
18 |
14 |
$393.72 |
| 0001A |
|
13 |
13 |
$372.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
47 |
$324.01 |
| 73030 |
|
80 |
68 |
$287.30 |
| 93018 |
|
46 |
45 |
$259.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
31 |
$224.26 |
| 93016 |
|
25 |
24 |
$218.44 |
| 29581 |
|
18 |
12 |
$192.40 |
| 94729 |
|
24 |
24 |
$150.54 |
| 93227 |
|
13 |
13 |
$138.22 |
| 98968 |
|
15 |
13 |
$136.95 |
| 93325 |
|
70 |
67 |
$114.17 |
| 94726 |
|
13 |
13 |
$99.72 |
| 73100 |
|
13 |
12 |
$69.00 |
| 73620 |
|
14 |
12 |
$51.35 |
| 93321 |
|
15 |
15 |
$50.90 |
| 81000 |
|
335 |
320 |
$46.35 |
| 94010 |
|
12 |
12 |
$45.69 |
| 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) |
215 |
211 |
$29.96 |
| 81001 |
|
93 |
87 |
$1.26 |
| 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 |
12 |
12 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 97804 |
|
36 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |