| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,952 |
80,885 |
$5.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,301 |
80,390 |
$3.55M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,945 |
1,933 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,216 |
14,200 |
$839K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,771 |
14,686 |
$810K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,243 |
11,222 |
$739K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
10,017 |
9,984 |
$734K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,365 |
10,359 |
$610K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,197 |
7,189 |
$476K |
| 99215 |
Prolong outpt/office vis |
5,102 |
4,972 |
$450K |
| 59426 |
|
659 |
655 |
$448K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,911 |
3,899 |
$340K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,652 |
4,635 |
$252K |
| 99460 |
|
2,912 |
2,899 |
$159K |
| 99385 |
|
1,739 |
1,735 |
$130K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
65 |
64 |
$129K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,948 |
2,926 |
$125K |
| 59430 |
|
795 |
793 |
$119K |
| 59514 |
|
102 |
102 |
$88K |
| 99381 |
|
1,047 |
1,044 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,135 |
2,034 |
$48K |
| 99383 |
|
633 |
633 |
$41K |
| 17110 |
|
828 |
776 |
$35K |
| 54150 |
|
598 |
597 |
$34K |
| 59425 |
|
65 |
63 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
559 |
254 |
$20K |
| 99386 |
|
188 |
188 |
$17K |
| 99384 |
|
160 |
160 |
$13K |
| 99382 |
|
186 |
185 |
$12K |
| 99462 |
|
493 |
418 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
324 |
323 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
184 |
106 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,332 |
2,307 |
$9K |
| 99188 |
|
766 |
763 |
$5K |
| 59025 |
Fetal non-stress test |
274 |
134 |
$5K |
| 99495 |
|
65 |
64 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,029 |
1,016 |
$4K |
| D0190 |
|
626 |
622 |
$3K |
| 99406 |
|
575 |
566 |
$3K |
| 99493 |
|
74 |
72 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
39 |
36 |
$3K |
| 90686 |
|
485 |
483 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
25 |
$2K |
| 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) |
517 |
504 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99349 |
|
28 |
27 |
$2K |
| 58300 |
|
55 |
55 |
$2K |
| 76801 |
|
48 |
47 |
$2K |
| 11981 |
|
39 |
39 |
$2K |
| 99484 |
|
86 |
86 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
134 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
29 |
$1K |
| 98966 |
|
9,031 |
7,163 |
$1K |
| 11982 |
|
24 |
24 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$674.35 |
| 58301 |
|
17 |
17 |
$667.55 |
| 99336 |
|
15 |
15 |
$648.54 |
| 98967 |
|
3,410 |
2,826 |
$645.00 |
| 99397 |
|
14 |
14 |
$634.43 |
| G9002 |
Coordinated care fee, maintenance rate |
1,799 |
1,600 |
$607.63 |
| 58100 |
|
12 |
12 |
$476.02 |
| 99494 |
|
12 |
12 |
$426.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
40 |
$382.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
56 |
$288.74 |
| 99442 |
|
38 |
36 |
$283.02 |
| 81025 |
|
55 |
53 |
$264.73 |
| 90688 |
|
27 |
27 |
$199.80 |
| 99443 |
|
16 |
16 |
$199.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$181.39 |
| 98968 |
|
776 |
653 |
$150.70 |
| 81002 |
|
65 |
62 |
$110.71 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
51 |
$107.77 |
| 81003 |
|
107 |
104 |
$106.29 |
| G0180 |
Physician or allowed practitioner 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 |
13 |
13 |
$104.60 |
| 90656 |
|
17 |
17 |
$91.03 |
| 99459 |
|
16 |
16 |
$89.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$56.68 |
| 96161 |
|
134 |
133 |
$17.08 |
| G9001 |
Coordinated care fee, initial rate |
26 |
26 |
$0.05 |
| G9007 |
Coordinated care fee, scheduled team conference |
342 |
285 |
$0.04 |
| 3078F |
|
20,936 |
20,029 |
$0.02 |
| 3074F |
|
24,966 |
23,748 |
$0.02 |
| G9920 |
Screening performed and negative |
2,699 |
2,624 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
412 |
403 |
$0.00 |
| 3077F |
|
2,722 |
2,643 |
$0.00 |
| 0502F |
|
1,553 |
1,053 |
$0.00 |
| 3046F |
|
309 |
286 |
$0.00 |
| 3051F |
|
429 |
401 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
73 |
73 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
832 |
812 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
72 |
72 |
$0.00 |
| 3075F |
|
5,972 |
5,850 |
$0.00 |
| 3044F |
|
3,739 |
3,497 |
$0.00 |
| 3052F |
|
200 |
192 |
$0.00 |
| 3008F |
|
8,439 |
8,217 |
$0.00 |
| 3079F |
|
10,347 |
10,061 |
$0.00 |
| 3080F |
|
2,377 |
2,321 |
$0.00 |
| 0500F |
|
138 |
137 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
868 |
866 |
$0.00 |
| 1111F |
|
16 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,110 |
1,073 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
12 |
12 |
$0.00 |
| 0503F |
|
15 |
15 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13 |
12 |
$0.00 |