| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,558 |
9,935 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,712 |
10,725 |
$1.21M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,125 |
1,057 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
690 |
671 |
$120K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,727 |
1,279 |
$95K |
| 99233 |
Prolong inpt eval add15 m |
1,638 |
750 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
659 |
464 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
185 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,066 |
478 |
$32K |
| 76818 |
|
57 |
27 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
587 |
536 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
540 |
270 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$15K |
| 99337 |
|
100 |
83 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
14 |
$9K |
| 97597 |
|
204 |
108 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
120 |
116 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
107 |
88 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
136 |
123 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$3K |
| 99381 |
|
13 |
13 |
$2K |
| 99336 |
|
17 |
13 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
107 |
62 |
$2K |
| 99307 |
|
15 |
14 |
$668.78 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$572.42 |
| 81003 |
|
173 |
125 |
$286.21 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
20 |
12 |
$234.40 |