| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,145 |
18,457 |
$834K |
| 99233 |
Prolong inpt eval add15 m |
9,864 |
4,050 |
$378K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,760 |
7,173 |
$264K |
| 99223 |
Prolong inpt eval add15 m |
1,463 |
1,236 |
$101K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,633 |
1,482 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
867 |
819 |
$62K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,470 |
1,301 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,253 |
960 |
$52K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,111 |
441 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
524 |
503 |
$21K |
| 99215 |
Prolong outpt/office vis |
361 |
309 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
414 |
357 |
$15K |
| 99221 |
|
372 |
325 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
234 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
236 |
227 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
177 |
174 |
$10K |
| 93000 |
|
968 |
913 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
951 |
899 |
$10K |
| 94060 |
|
550 |
535 |
$9K |
| 92250 |
|
582 |
546 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,813 |
1,404 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
193 |
157 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
77 |
$7K |
| 94729 |
|
499 |
484 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
129 |
126 |
$6K |
| 94727 |
|
416 |
407 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
378 |
365 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
285 |
274 |
$5K |
| 95117 |
|
588 |
252 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
182 |
173 |
$4K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
27 |
25 |
$4K |
| 20610 |
|
79 |
76 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
48 |
43 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
56 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
178 |
170 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
28 |
$2K |
| 00142 |
|
104 |
84 |
$1K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
26 |
25 |
$1K |
| 99305 |
|
31 |
28 |
$1K |
| 93296 |
|
92 |
83 |
$991.85 |
| 95012 |
|
163 |
159 |
$943.12 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
14 |
14 |
$872.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$843.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
120 |
$668.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
107 |
103 |
$515.78 |
| 93295 |
|
26 |
25 |
$494.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$361.92 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
52 |
50 |
$313.54 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21 |
16 |
$291.90 |
| 73562 |
|
12 |
12 |
$271.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
12 |
$265.33 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
190 |
$255.96 |
| 93016 |
|
15 |
12 |
$194.85 |
| 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) |
706 |
657 |
$174.90 |
| 3074F |
|
1,087 |
982 |
$150.00 |
| 93018 |
|
15 |
12 |
$140.31 |
| 3078F |
|
1,190 |
1,083 |
$100.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$72.21 |
| 3066F |
|
1,354 |
1,209 |
$45.00 |
| 85610 |
|
17 |
12 |
$31.12 |
| 3062F |
|
182 |
164 |
$30.00 |
| 81002 |
|
15 |
15 |
$25.12 |
| 3079F |
|
132 |
122 |
$25.00 |
| 1160F |
|
376 |
325 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
36 |
30 |
$0.00 |
| 3077F |
|
74 |
66 |
$0.00 |
| 3008F |
|
4,185 |
3,798 |
$0.00 |
| 3048F |
|
94 |
84 |
$0.00 |
| 1036F |
|
21 |
12 |
$0.00 |
| 4010F |
|
122 |
113 |
$0.00 |
| 3044F |
|
28 |
25 |
$0.00 |
| 1125F |
|
14 |
13 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
37 |
34 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |