| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
108,117 |
105,532 |
$6.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37,098 |
33,274 |
$2.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,882 |
52,864 |
$2.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,893 |
33,127 |
$2.15M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,034 |
10,773 |
$1.17M |
| 99215 |
Prolong outpt/office vis |
9,917 |
9,189 |
$1.01M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,917 |
2,716 |
$992K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,166 |
11,896 |
$853K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,251 |
6,001 |
$678K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,415 |
5,282 |
$643K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,527 |
619 |
$553K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15,602 |
13,544 |
$465K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,561 |
6,296 |
$428K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15,009 |
10,024 |
$407K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
7,313 |
6,870 |
$376K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,106 |
4,063 |
$335K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,371 |
5,189 |
$317K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,171 |
2,948 |
$313K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,869 |
3,796 |
$288K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,360 |
2,262 |
$244K |
| 99292 |
|
1,709 |
871 |
$223K |
| 99245 |
|
1,278 |
1,254 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,315 |
2,297 |
$200K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,230 |
1,158 |
$179K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
682 |
676 |
$163K |
| 95813 |
|
2,399 |
2,149 |
$159K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,633 |
1,579 |
$128K |
| 99243 |
|
1,560 |
1,523 |
$126K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,092 |
1,045 |
$126K |
| 99205 |
Prolong outpt/office vis |
922 |
901 |
$114K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,146 |
1,139 |
$113K |
| 99460 |
|
1,339 |
1,294 |
$105K |
| 93320 |
|
6,872 |
6,435 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
821 |
789 |
$92K |
| 95782 |
|
838 |
821 |
$82K |
| 01922 |
|
349 |
339 |
$82K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,371 |
10,884 |
$73K |
| 76818 |
|
1,630 |
989 |
$62K |
| 99471 |
|
80 |
77 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
625 |
617 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,112 |
1,909 |
$57K |
| 99417 |
Prolong home eval add 15m |
2,076 |
1,715 |
$57K |
| 99219 |
|
592 |
574 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
862 |
834 |
$51K |
| 99217 |
|
940 |
893 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
480 |
349 |
$48K |
| 76820 |
|
2,555 |
1,341 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
639 |
268 |
$43K |
| 92250 |
|
653 |
624 |
$40K |
| 95720 |
|
307 |
191 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
529 |
489 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
540 |
421 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,109 |
3,024 |
$35K |
| 25600 |
|
130 |
115 |
$28K |
| 93325 |
|
8,770 |
8,075 |
$23K |
| 92060 |
|
388 |
368 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
143 |
138 |
$18K |
| 99476 |
|
73 |
36 |
$18K |
| 99254 |
|
154 |
136 |
$17K |
| 76825 |
|
297 |
273 |
$15K |
| 96450 |
|
243 |
192 |
$13K |
| 99381 |
|
189 |
179 |
$12K |
| 59025 |
Fetal non-stress test |
544 |
493 |
$11K |
| 69210 |
|
555 |
516 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
117 |
110 |
$11K |
| 99462 |
|
272 |
226 |
$10K |
| 64643 |
|
168 |
164 |
$10K |
| 94010 |
|
1,407 |
1,352 |
$10K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
121 |
108 |
$10K |
| 64642 |
|
127 |
126 |
$9K |
| 99358 |
Prolong nursin fac eval 15m |
128 |
123 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
145 |
$7K |
| 92015 |
Determination of refractive state |
476 |
458 |
$7K |
| 99255 |
|
42 |
38 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
151 |
150 |
$6K |
| 96112 |
|
73 |
65 |
$6K |
| 76827 |
|
309 |
283 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
148 |
146 |
$5K |
| 44970 |
|
15 |
12 |
$5K |
| 96133 |
|
43 |
40 |
$5K |
| 99253 |
|
62 |
47 |
$4K |
| 93321 |
|
638 |
569 |
$4K |
| 96132 |
|
43 |
40 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
100 |
$3K |
| 93227 |
|
143 |
139 |
$3K |
| 99242 |
|
44 |
40 |
$2K |
| 96137 |
|
70 |
64 |
$2K |
| 92504 |
|
133 |
133 |
$2K |
| 94621 |
|
26 |
26 |
$2K |
| 96136 |
|
70 |
64 |
$2K |
| 99348 |
|
26 |
19 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
47 |
24 |
$1K |
| 94060 |
|
117 |
114 |
$1K |
| 62252 |
|
26 |
25 |
$1K |
| 96160 |
|
494 |
490 |
$1K |
| 99334 |
|
28 |
24 |
$989.78 |
| 93304 |
|
35 |
26 |
$848.37 |
| 99221 |
|
15 |
13 |
$770.57 |
| 31231 |
|
25 |
25 |
$759.83 |
| 31575 |
|
12 |
12 |
$618.16 |
| 99225 |
|
14 |
12 |
$551.49 |
| 76801 |
|
14 |
13 |
$518.03 |
| 93000 |
|
39 |
38 |
$432.16 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$388.58 |
| 93272 |
|
22 |
20 |
$384.99 |
| 93018 |
|
20 |
20 |
$247.01 |
| 95251 |
|
14 |
14 |
$186.08 |
| 96040 |
|
18 |
18 |
$135.89 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$110.00 |
| 93356 |
|
1,840 |
1,759 |
$93.67 |
| 95012 |
|
15 |
15 |
$82.40 |
| 95805 |
|
12 |
12 |
$43.38 |
| 99499 |
|
15 |
13 |
$0.00 |
| 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) |
55 |
52 |
$0.00 |