| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,447 |
90,496 |
$3.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,268 |
52,241 |
$3.13M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30,511 |
28,803 |
$1.74M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,465 |
1,424 |
$1.64M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,865 |
20,604 |
$1.37M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
7,048 |
3,610 |
$1.21M |
| T1001 |
Nursing assessment / evaluation |
5,380 |
3,170 |
$944K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,984 |
8,854 |
$594K |
| 99460 |
|
4,535 |
4,275 |
$342K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,337 |
5,950 |
$303K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,919 |
4,595 |
$299K |
| 99215 |
Prolong outpt/office vis |
3,915 |
3,390 |
$204K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,632 |
2,601 |
$201K |
| 59025 |
Fetal non-stress test |
8,780 |
7,478 |
$176K |
| 99188 |
|
7,279 |
7,183 |
$113K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,752 |
3,472 |
$105K |
| 59430 |
|
879 |
870 |
$88K |
| 99502 |
|
549 |
346 |
$84K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,110 |
2,906 |
$77K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
499 |
477 |
$51K |
| 76801 |
|
908 |
830 |
$44K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
365 |
132 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
809 |
398 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
265 |
253 |
$29K |
| 96127 |
|
3,680 |
3,618 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
485 |
159 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,029 |
995 |
$22K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
793 |
480 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
105 |
105 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
189 |
185 |
$9K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
158 |
155 |
$7K |
| 99462 |
|
180 |
166 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
169 |
157 |
$6K |
| 90461 |
|
413 |
273 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,653 |
3,363 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
316 |
296 |
$4K |
| 99463 |
|
28 |
27 |
$3K |
| 99220 |
|
14 |
13 |
$2K |
| 85018 |
|
32 |
32 |
$2K |
| 99177 |
|
603 |
599 |
$2K |
| 90723 |
|
16 |
16 |
$2K |
| 99235 |
|
12 |
12 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
41 |
$1K |
| 81003 |
|
12 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 99217 |
|
15 |
15 |
$946.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
123 |
$819.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$720.44 |
| 99221 |
|
15 |
14 |
$630.36 |
| 96160 |
|
40 |
40 |
$428.14 |
| 92552 |
|
277 |
275 |
$180.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$148.32 |
| 96161 |
|
15 |
15 |
$86.25 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
27 |
$63.32 |
| 90671 |
|
795 |
726 |
$0.00 |
| 90633 |
|
368 |
359 |
$0.00 |
| 90707 |
|
88 |
85 |
$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) |
42 |
41 |
$0.00 |
| 90734 |
|
25 |
24 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90700 |
|
28 |
26 |
$0.00 |
| 90670 |
|
22 |
22 |
$0.00 |
| 96381 |
|
14 |
14 |
$0.00 |
| 90716 |
|
87 |
84 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90677 |
|
498 |
457 |
$0.00 |
| 90656 |
|
270 |
268 |
$0.00 |
| 90680 |
|
1,103 |
1,000 |
$0.00 |
| 90697 |
|
1,170 |
1,062 |
$0.00 |
| 90647 |
|
27 |
25 |
$0.00 |
| 99459 |
|
29 |
29 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |