| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,278 |
16,761 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,669 |
8,830 |
$443K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,139 |
1,071 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
588 |
552 |
$49K |
| 99460 |
|
618 |
589 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,685 |
3,454 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
628 |
598 |
$35K |
| 54150 |
|
309 |
294 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
268 |
$24K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
109 |
106 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,090 |
1,020 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
290 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
131 |
$12K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
142 |
135 |
$11K |
| 99462 |
|
317 |
241 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
90 |
88 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
125 |
114 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
206 |
107 |
$5K |
| 90686 |
|
783 |
752 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
92 |
$4K |
| 43235 |
|
21 |
16 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
50 |
45 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
49 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
80 |
54 |
$1K |
| 90474 |
|
67 |
65 |
$959.32 |
| 92557 |
|
27 |
26 |
$668.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
174 |
158 |
$632.41 |
| 59430 |
|
29 |
25 |
$453.76 |
| 0004A |
|
33 |
12 |
$334.89 |
| 83037 |
|
46 |
40 |
$201.95 |
| 92567 |
|
28 |
26 |
$137.90 |
| 96127 |
|
29 |
27 |
$105.91 |
| 99173 |
|
31 |
31 |
$78.90 |
| 81003 |
|
108 |
69 |
$63.37 |
| 90744 |
|
12 |
12 |
$26.09 |
| 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) |
459 |
412 |
$15.60 |
| 90670 |
|
142 |
135 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90633 |
|
16 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 90698 |
|
154 |
150 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90680 |
|
67 |
65 |
$0.00 |