| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,899 |
22,129 |
$1.43M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,285 |
12,675 |
$899K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,571 |
12,722 |
$614K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,544 |
9,288 |
$571K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,066 |
2,029 |
$394K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,209 |
2,071 |
$135K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
909 |
877 |
$97K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
125 |
117 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
9,299 |
8,664 |
$26K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
562 |
556 |
$21K |
| 90686 |
|
1,269 |
1,244 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
112 |
102 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
172 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
150 |
65 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,102 |
1,040 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
216 |
212 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
78 |
73 |
$4K |
| 90961 |
|
182 |
182 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$4K |
| 00126 |
|
32 |
32 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
191 |
$4K |
| 95251 |
|
163 |
156 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
383 |
360 |
$2K |
| 81003 |
|
1,629 |
1,483 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
14 |
$2K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
12 |
$2K |
| 20610 |
|
70 |
64 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 51798 |
|
224 |
204 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
183 |
176 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
13 |
$1K |
| 96127 |
|
155 |
148 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
16 |
$952.67 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$893.41 |
| 90656 |
|
59 |
58 |
$879.54 |
| 80061 |
Lipid panel |
81 |
67 |
$657.46 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$562.09 |
| 99221 |
|
13 |
13 |
$374.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$341.22 |
| 0001A |
|
12 |
12 |
$199.25 |
| 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) |
61 |
54 |
$140.36 |
| G0008 |
Administration of influenza virus vaccine |
130 |
129 |
$12.90 |
| 3074F |
|
3,640 |
3,392 |
$10.12 |
| 3078F |
|
3,362 |
3,096 |
$8.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$4.63 |
| 3079F |
|
433 |
417 |
$1.14 |
| 3075F |
|
142 |
136 |
$0.26 |
| 3080F |
|
80 |
76 |
$0.21 |
| 3077F |
|
124 |
114 |
$0.19 |
| 3044F |
|
26 |
26 |
$0.05 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
15 |
$0.00 |