| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,480 |
25,510 |
$1.42M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,791 |
9,857 |
$749K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,553 |
19,283 |
$684K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,340 |
3,039 |
$338K |
| 99215 |
Prolong outpt/office vis |
3,222 |
3,015 |
$239K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,422 |
5,938 |
$232K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,411 |
1,005 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,608 |
1,585 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,381 |
1,371 |
$71K |
| V2020 |
Frames, purchases |
1,957 |
1,832 |
$61K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,434 |
1,420 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,786 |
2,584 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,274 |
1,220 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,156 |
1,125 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,940 |
1,832 |
$44K |
| 99310 |
Prolong nursin fac eval 15m |
462 |
345 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
710 |
696 |
$42K |
| 92015 |
Determination of refractive state |
3,224 |
3,155 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,232 |
741 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
797 |
522 |
$33K |
| X5622 |
|
1,099 |
1,033 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,015 |
1,550 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
544 |
524 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
541 |
536 |
$31K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,858 |
4,907 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
634 |
604 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
335 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,242 |
2,068 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
139 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
120 |
$9K |
| 99188 |
|
568 |
562 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
277 |
257 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
931 |
921 |
$7K |
| 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) |
1,503 |
1,433 |
$6K |
| 92341 |
|
169 |
168 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
43 |
42 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
147 |
43 |
$5K |
| 98927 |
|
171 |
150 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
598 |
537 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
188 |
186 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
27 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
12 |
12 |
$2K |
| 99442 |
|
70 |
61 |
$2K |
| 99443 |
|
42 |
39 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
350 |
259 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
354 |
302 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
48 |
44 |
$1K |
| 92551 |
|
113 |
113 |
$966.00 |
| 73630 |
|
169 |
141 |
$864.95 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$717.47 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
25 |
24 |
$613.64 |
| 99173 |
|
320 |
320 |
$601.73 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
16 |
12 |
$543.58 |
| 99307 |
|
17 |
12 |
$535.74 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$492.49 |
| 0764T |
|
30 |
25 |
$460.88 |
| 96161 |
|
148 |
146 |
$338.95 |
| 73564 |
|
30 |
25 |
$250.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
176 |
$181.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$33.97 |
| 3074F |
|
8,836 |
7,779 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
4,591 |
3,307 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
488 |
481 |
$0.00 |
| 3079F |
|
2,586 |
2,346 |
$0.00 |
| 3075F |
|
1,104 |
1,039 |
$0.00 |
| 3080F |
|
395 |
361 |
$0.00 |
| 3044F |
|
517 |
391 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
221 |
188 |
$0.00 |
| 1123F |
|
238 |
170 |
$0.00 |
| 1111F |
|
72 |
58 |
$0.00 |
| 3078F |
|
7,214 |
6,389 |
$0.00 |
| 0502F |
|
915 |
600 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
213 |
153 |
$0.00 |
| 1159F |
|
27 |
24 |
$0.00 |
| 3077F |
|
612 |
550 |
$0.00 |
| 73610 |
|
13 |
12 |
$0.00 |
| 85610 |
|
33 |
12 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
16 |
12 |
$0.00 |