| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95,590 |
84,765 |
$6.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,572 |
31,830 |
$1.94M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,712 |
8,053 |
$743K |
| 99233 |
Prolong inpt eval add15 m |
10,874 |
4,958 |
$568K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,804 |
3,552 |
$462K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,626 |
1,487 |
$439K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
55,292 |
44,853 |
$275K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,785 |
5,895 |
$242K |
| 99223 |
Prolong inpt eval add15 m |
1,659 |
1,518 |
$193K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,838 |
1,000 |
$177K |
| 99215 |
Prolong outpt/office vis |
1,568 |
1,365 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
782 |
761 |
$106K |
| 20610 |
|
2,418 |
1,463 |
$95K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
909 |
828 |
$84K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,463 |
1,289 |
$77K |
| 90837 |
Psychotherapy, 53 minutes with patient |
537 |
254 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,398 |
585 |
$54K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
385 |
350 |
$50K |
| 99442 |
|
943 |
841 |
$33K |
| 93971 |
|
1,949 |
1,755 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
275 |
267 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
727 |
381 |
$23K |
| 99220 |
|
159 |
140 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
821 |
402 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
8,886 |
8,128 |
$15K |
| 90686 |
|
850 |
818 |
$14K |
| 99307 |
|
1,163 |
507 |
$13K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,452 |
1,098 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
182 |
176 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,350 |
2,210 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
729 |
698 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
230 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
834 |
786 |
$9K |
| 93970 |
|
419 |
365 |
$8K |
| 93000 |
|
859 |
773 |
$8K |
| 97802 |
|
69 |
67 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
99 |
78 |
$5K |
| 97803 |
|
72 |
68 |
$4K |
| 97597 |
|
332 |
176 |
$4K |
| 99460 |
|
62 |
51 |
$4K |
| 77080 |
|
872 |
800 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
205 |
98 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
53 |
38 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
27 |
25 |
$3K |
| 81002 |
|
1,028 |
970 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
210 |
$2K |
| 93296 |
|
224 |
192 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
12 |
$2K |
| 73110 |
|
73 |
66 |
$2K |
| 99441 |
|
81 |
69 |
$2K |
| 82962 |
|
1,165 |
1,042 |
$2K |
| 93294 |
|
172 |
139 |
$2K |
| 93458 |
|
15 |
13 |
$2K |
| 73562 |
|
57 |
51 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
291 |
271 |
$1K |
| 73564 |
|
50 |
25 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 73130 |
|
37 |
28 |
$1K |
| 90662 |
|
143 |
133 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
117 |
103 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$1K |
| 73030 |
|
47 |
39 |
$971.53 |
| 99443 |
|
15 |
14 |
$846.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
37 |
$740.47 |
| 99221 |
|
15 |
13 |
$669.45 |
| 73502 |
|
30 |
29 |
$629.66 |
| 93016 |
|
70 |
60 |
$555.83 |
| 98926 |
|
16 |
14 |
$545.88 |
| 90750 |
|
14 |
14 |
$536.40 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$488.68 |
| 20550 |
|
14 |
12 |
$488.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
56 |
$453.52 |
| G0008 |
Administration of influenza virus vaccine |
224 |
211 |
$434.42 |
| 95806 |
|
12 |
12 |
$430.07 |
| 98968 |
|
18 |
12 |
$420.27 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
32 |
30 |
$390.64 |
| 99152 |
|
42 |
37 |
$387.84 |
| 93018 |
|
70 |
60 |
$370.35 |
| 91200 |
|
12 |
12 |
$246.42 |
| 0296T |
|
13 |
12 |
$235.09 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$211.59 |
| 95251 |
|
12 |
12 |
$197.98 |
| 81003 |
|
12 |
12 |
$17.40 |
| 99024 |
|
379 |
349 |
$0.00 |