| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,239 |
11,954 |
$681K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,523 |
7,977 |
$299K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
933 |
919 |
$67K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
502 |
489 |
$50K |
| G0400 |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
132 |
98 |
$10K |
| 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 |
64 |
51 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
82 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
46 |
44 |
$2K |
| 99607 |
|
49 |
45 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$1K |
| 99606 |
|
34 |
28 |
$1K |
| 99443 |
|
18 |
15 |
$872.70 |
| 99605 |
|
16 |
16 |
$824.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
68 |
$721.26 |
| 99442 |
|
16 |
14 |
$563.00 |
| 90461 |
|
12 |
12 |
$331.12 |
| 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) |
126 |
118 |
$221.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$148.41 |
| 90686 |
|
200 |
197 |
$143.16 |
| 96127 |
|
13 |
12 |
$0.00 |