| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
53,730 |
51,245 |
$3.49M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,117 |
15,175 |
$1.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,480 |
21,151 |
$672K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,390 |
17,719 |
$657K |
| 99233 |
Prolong inpt eval add15 m |
7,212 |
4,058 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,003 |
5,351 |
$157K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
35,052 |
29,511 |
$145K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,724 |
945 |
$131K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,355 |
2,195 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,638 |
1,363 |
$99K |
| 99460 |
|
1,943 |
1,848 |
$72K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,967 |
1,908 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,947 |
1,106 |
$37K |
| 99462 |
|
1,347 |
1,141 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
395 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,991 |
1,717 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
842 |
774 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
325 |
285 |
$17K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
62 |
14 |
$16K |
| 99220 |
|
400 |
364 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,760 |
1,613 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,158 |
1,043 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,304 |
2,122 |
$9K |
| 99490 |
Ccm add 20min |
3,191 |
3,107 |
$8K |
| 95886 |
|
262 |
255 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
100 |
99 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
745 |
656 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
71 |
69 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
197 |
183 |
$4K |
| 90674 |
|
543 |
480 |
$4K |
| 99215 |
Prolong outpt/office vis |
146 |
135 |
$4K |
| 87634 |
|
53 |
46 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
748 |
680 |
$2K |
| 90474 |
|
343 |
276 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
251 |
249 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
136 |
132 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
56 |
53 |
$1K |
| 90756 |
|
107 |
102 |
$1K |
| 99307 |
|
257 |
238 |
$926.39 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
13 |
$495.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
31 |
$430.00 |
| 99219 |
|
13 |
13 |
$361.00 |
| 99443 |
|
236 |
189 |
$356.87 |
| 94664 |
|
145 |
135 |
$221.12 |
| 96161 |
|
31 |
31 |
$219.78 |
| 99496 |
|
14 |
13 |
$127.12 |
| 83655 |
|
13 |
12 |
$105.93 |
| 95251 |
|
15 |
12 |
$88.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$87.63 |
| 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) |
186 |
170 |
$75.00 |
| 99439 |
|
80 |
79 |
$49.86 |
| 96160 |
|
131 |
120 |
$42.89 |
| 1159F |
|
6,604 |
5,452 |
$5.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.04 |
| 90671 |
|
187 |
155 |
$0.30 |
| 3044F |
|
591 |
507 |
$0.00 |
| 3008F |
|
3,358 |
2,952 |
$0.00 |
| 3074F |
|
909 |
792 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
446 |
396 |
$0.00 |
| 3079F |
|
219 |
194 |
$0.00 |
| 90677 |
|
185 |
178 |
$0.00 |
| 90680 |
|
330 |
277 |
$0.00 |
| 90694 |
|
53 |
51 |
$0.00 |
| 4010F |
|
132 |
119 |
$0.00 |
| 3066F |
|
13 |
12 |
$0.00 |
| 90697 |
|
24 |
15 |
$0.00 |
| 1160F |
|
2,934 |
2,509 |
$0.00 |
| 3078F |
|
783 |
691 |
$0.00 |
| 90670 |
|
257 |
201 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |