| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,851 |
13,095 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,511 |
7,088 |
$534K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,883 |
1,956 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,707 |
1,704 |
$132K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,926 |
1,896 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
858 |
842 |
$122K |
| 99222 |
Initial hospital care, per day, moderate complexity |
842 |
823 |
$86K |
| 99460 |
|
808 |
808 |
$67K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
936 |
443 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
224 |
$27K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,852 |
3,455 |
$22K |
| 99221 |
|
208 |
192 |
$14K |
| 99215 |
Prolong outpt/office vis |
103 |
101 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
151 |
150 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
260 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
64 |
64 |
$7K |
| 29848 |
|
20 |
12 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
101 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$2K |
| 99442 |
|
47 |
47 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
18 |
13 |
$2K |
| 90686 |
|
128 |
128 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
65 |
40 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99406 |
|
78 |
74 |
$885.01 |
| 98929 |
|
13 |
12 |
$795.98 |
| 98968 |
|
53 |
34 |
$752.04 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$575.35 |
| 95886 |
|
26 |
26 |
$508.40 |
| 99441 |
|
20 |
17 |
$501.41 |
| 99462 |
|
13 |
12 |
$468.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$400.30 |
| 93000 |
|
14 |
14 |
$208.88 |
| 73030 |
|
17 |
17 |
$161.47 |
| 73100 |
|
18 |
13 |
$154.09 |
| 73110 |
|
15 |
13 |
$116.26 |
| 92551 |
|
13 |
13 |
$76.00 |
| 3288F |
|
2,004 |
1,890 |
$0.00 |
| 3078F |
|
70 |
66 |
$0.00 |
| 1159F |
|
196 |
189 |
$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) |
18 |
17 |
$0.00 |
| 1000F |
|
57 |
54 |
$0.00 |
| 2000F |
|
160 |
153 |
$0.00 |
| 3074F |
|
99 |
92 |
$0.00 |
| 1125F |
|
49 |
48 |
$0.00 |
| 3008F |
|
39 |
39 |
$0.00 |