| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,184 |
17,806 |
$538K |
| H1000 |
Prenatal care, at-risk assessment |
7,045 |
4,836 |
$216K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30,692 |
14,494 |
$205K |
| 99215 |
Prolong outpt/office vis |
3,745 |
2,153 |
$125K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,572 |
2,087 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,618 |
1,344 |
$88K |
| 99223 |
Prolong inpt eval add15 m |
1,074 |
792 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,211 |
2,617 |
$58K |
| 99310 |
Prolong nursin fac eval 15m |
2,943 |
1,831 |
$43K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,410 |
9,832 |
$35K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,838 |
1,424 |
$33K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
491 |
398 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,312 |
1,065 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,173 |
2,565 |
$21K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
269 |
212 |
$9K |
| 11043 |
|
231 |
157 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
304 |
253 |
$7K |
| 99306 |
Prolong nursin fac eval 15m |
306 |
234 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
176 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
221 |
89 |
$6K |
| 93297 |
|
1,033 |
920 |
$5K |
| 20610 |
|
371 |
224 |
$4K |
| 20611 |
|
222 |
155 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
321 |
143 |
$3K |
| 99221 |
|
72 |
49 |
$3K |
| 95886 |
|
224 |
181 |
$3K |
| 99307 |
|
708 |
440 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
165 |
108 |
$2K |
| 93296 |
|
879 |
756 |
$2K |
| 99242 |
|
164 |
81 |
$2K |
| 77427 |
|
23 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
62 |
44 |
$1K |
| 95910 |
|
15 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
58 |
39 |
$961.55 |
| 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) |
2,260 |
1,819 |
$546.32 |
| 93295 |
|
36 |
36 |
$483.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$440.10 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
53 |
39 |
$320.24 |
| 99318 |
|
27 |
17 |
$276.79 |
| 73630 |
|
86 |
78 |
$176.13 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
317 |
294 |
$163.26 |
| 59430 |
|
16 |
12 |
$139.12 |
| 81003 |
|
427 |
324 |
$110.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$90.16 |
| 93294 |
|
14 |
12 |
$72.71 |
| 99406 |
|
21 |
17 |
$71.69 |
| 3074F |
|
1,686 |
1,442 |
$57.73 |
| 92567 |
|
36 |
25 |
$48.30 |
| 3075F |
|
186 |
181 |
$31.38 |
| 73610 |
|
12 |
12 |
$29.61 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
958 |
819 |
$0.00 |
| 1036F |
|
827 |
719 |
$0.00 |
| 3079F |
|
458 |
431 |
$0.00 |
| 3080F |
|
86 |
83 |
$0.00 |
| 1123F |
|
216 |
177 |
$0.00 |
| 3044F |
|
41 |
36 |
$0.00 |
| G2092 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken |
12 |
12 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
15 |
13 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
28 |
25 |
$0.00 |
| 4086F |
|
19 |
17 |
$0.00 |
| 3077F |
|
171 |
164 |
$0.00 |
| 3078F |
|
1,631 |
1,371 |
$0.00 |
| 1124F |
|
54 |
36 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
22 |
13 |
$0.00 |