| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,866 |
78,505 |
$4.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104,772 |
95,418 |
$3.87M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,945 |
10,781 |
$821K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,007 |
1,004 |
$741K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,201 |
10,172 |
$735K |
| 59426 |
|
1,060 |
1,051 |
$728K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,245 |
15,972 |
$726K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,239 |
8,221 |
$613K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,494 |
7,446 |
$530K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,181 |
8,133 |
$508K |
| 99215 |
Prolong outpt/office vis |
6,279 |
5,998 |
$491K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,718 |
9,127 |
$469K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,095 |
5,083 |
$340K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,655 |
13,111 |
$283K |
| 99205 |
Prolong outpt/office vis |
1,700 |
1,692 |
$169K |
| 59430 |
|
829 |
829 |
$125K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,544 |
1,017 |
$118K |
| 64615 |
|
1,677 |
1,663 |
$105K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,666 |
1,656 |
$103K |
| 20610 |
|
4,242 |
3,232 |
$95K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,316 |
3,285 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,502 |
11,934 |
$93K |
| 95886 |
|
2,085 |
2,047 |
$93K |
| 99460 |
|
1,427 |
1,423 |
$79K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
779 |
773 |
$77K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,632 |
1,621 |
$71K |
| 59025 |
Fetal non-stress test |
3,482 |
1,963 |
$59K |
| 17110 |
|
1,479 |
1,316 |
$58K |
| 99381 |
|
807 |
803 |
$43K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
223 |
223 |
$29K |
| 92557 |
|
1,388 |
1,381 |
$29K |
| 99383 |
|
381 |
381 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
481 |
362 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
390 |
354 |
$27K |
| 99221 |
|
495 |
428 |
$23K |
| 92567 |
|
2,559 |
2,541 |
$22K |
| 99442 |
|
982 |
939 |
$21K |
| 99188 |
|
2,988 |
2,979 |
$19K |
| 99443 |
|
389 |
379 |
$18K |
| 92550 |
|
2,278 |
2,269 |
$18K |
| 99385 |
|
264 |
263 |
$18K |
| 54150 |
|
303 |
303 |
$17K |
| 99406 |
|
2,163 |
2,119 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
404 |
207 |
$13K |
| 99382 |
|
171 |
170 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,849 |
2,752 |
$12K |
| 47562 |
|
39 |
25 |
$11K |
| 95911 |
|
118 |
117 |
$10K |
| 69210 |
|
508 |
475 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
481 |
310 |
$9K |
| 99384 |
|
96 |
96 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
145 |
140 |
$7K |
| 92083 |
|
370 |
363 |
$6K |
| 47563 |
|
19 |
12 |
$6K |
| 95251 |
|
302 |
298 |
$5K |
| 73562 |
|
938 |
837 |
$5K |
| 95910 |
|
73 |
73 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
113 |
112 |
$4K |
| 64405 |
|
122 |
118 |
$4K |
| 99441 |
|
356 |
338 |
$4K |
| 27096 |
|
71 |
71 |
$4K |
| 73630 |
|
829 |
683 |
$4K |
| 96127 |
|
18,861 |
16,499 |
$4K |
| 99495 |
|
54 |
54 |
$4K |
| 99462 |
|
159 |
128 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
83 |
41 |
$4K |
| 64493 |
|
53 |
52 |
$4K |
| 73030 |
|
735 |
674 |
$4K |
| 99243 |
|
50 |
50 |
$3K |
| 73610 |
|
504 |
446 |
$3K |
| 99496 |
|
24 |
24 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41 |
41 |
$3K |
| 25600 |
|
13 |
13 |
$2K |
| 96160 |
|
897 |
895 |
$2K |
| 99307 |
|
83 |
81 |
$2K |
| 73110 |
|
434 |
364 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
205 |
205 |
$2K |
| 73130 |
|
384 |
324 |
$2K |
| 73560 |
|
437 |
368 |
$2K |
| 72110 |
|
249 |
249 |
$2K |
| 92551 |
|
1,410 |
1,407 |
$2K |
| 92133 |
|
131 |
126 |
$2K |
| 95909 |
|
26 |
26 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
31 |
$1K |
| 94010 |
|
264 |
254 |
$1K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$1K |
| 58300 |
|
53 |
53 |
$1K |
| 64494 |
|
30 |
28 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$1K |
| 99058 |
|
39 |
37 |
$715.00 |
| 99242 |
|
16 |
16 |
$621.42 |
| 99201 |
|
43 |
41 |
$619.86 |
| 11721 |
|
40 |
40 |
$594.24 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
13 |
$498.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
33 |
$490.80 |
| 99217 |
|
13 |
13 |
$485.09 |
| 29075 |
|
16 |
13 |
$451.82 |
| 94060 |
|
71 |
71 |
$442.30 |
| 99417 |
Prolong home eval add 15m |
27 |
25 |
$429.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
52 |
$408.37 |
| 73100 |
|
63 |
51 |
$361.01 |
| 92553 |
|
12 |
12 |
$325.99 |
| 17000 |
|
12 |
12 |
$301.08 |
| 92587 |
|
31 |
29 |
$287.38 |
| 94726 |
|
42 |
42 |
$280.00 |
| 20550 |
|
12 |
12 |
$236.84 |
| 81025 |
|
41 |
39 |
$210.65 |
| 99241 |
|
16 |
16 |
$186.04 |
| 81002 |
|
126 |
123 |
$157.68 |
| 73501 |
|
25 |
25 |
$122.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
170 |
$122.18 |
| 72100 |
|
14 |
13 |
$90.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$74.88 |
| 94729 |
|
13 |
13 |
$62.32 |
| 96161 |
|
2,024 |
2,013 |
$56.36 |
| 90686 |
|
53 |
53 |
$23.46 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,910 |
5,586 |
$0.23 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,032 |
10,636 |
$0.10 |
| 3014F |
|
1,906 |
1,893 |
$0.01 |
| 3080F |
|
1,482 |
1,431 |
$0.00 |
| 3079F |
|
4,109 |
4,010 |
$0.00 |
| 3075F |
|
2,437 |
2,400 |
$0.00 |
| 3052F |
|
818 |
794 |
$0.00 |
| 3017F |
|
2,640 |
2,614 |
$0.00 |
| 3061F |
|
861 |
847 |
$0.00 |
| 1036F |
|
60,927 |
52,887 |
$0.00 |
| 3074F |
|
8,626 |
8,234 |
$0.00 |
| 3044F |
|
2,469 |
2,412 |
$0.00 |
| 3060F |
|
330 |
329 |
$0.00 |
| 1123F |
|
968 |
853 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,297 |
3,257 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
161 |
159 |
$0.00 |
| 1157F |
|
148 |
122 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
386 |
311 |
$0.00 |
| 1101F |
|
986 |
915 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
177 |
167 |
$0.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
82 |
82 |
$0.00 |
| 0500F |
|
28 |
28 |
$0.00 |
| 3072F |
|
42 |
42 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
18 |
17 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,960 |
1,930 |
$0.00 |
| 4004F |
|
16,524 |
15,014 |
$0.00 |
| 3078F |
|
7,902 |
7,571 |
$0.00 |
| 3077F |
|
2,480 |
2,386 |
$0.00 |
| 99173 |
|
3,484 |
3,480 |
$0.00 |
| 2028F |
|
234 |
234 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
94 |
92 |
$0.00 |
| 3046F |
|
1,775 |
1,690 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,751 |
2,710 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42,582 |
39,181 |
$0.00 |
| 1158F |
|
207 |
189 |
$0.00 |
| 3051F |
|
1,186 |
1,171 |
$0.00 |
| 2022F |
|
515 |
500 |
$0.00 |
| 0502F |
|
3,482 |
2,119 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
636 |
596 |
$0.00 |
| 4040F |
|
110 |
109 |
$0.00 |
| 3045F |
|
438 |
418 |
$0.00 |
| 1160F |
|
29,638 |
26,661 |
$0.00 |
| 1159F |
|
30,968 |
27,639 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,258 |
1,211 |
$0.00 |
| 3023F |
|
158 |
150 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
157 |
155 |
$0.00 |
| 1100F |
|
71 |
65 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
70 |
68 |
$0.00 |
| 3016F |
|
106 |
106 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$0.00 |