| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,961 |
16,511 |
$675K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,293 |
9,505 |
$506K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,030 |
10,278 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,264 |
12,363 |
$344K |
| 99215 |
Prolong outpt/office vis |
5,944 |
5,314 |
$326K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,075 |
4,780 |
$293K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,031 |
1,859 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,687 |
3,366 |
$141K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,648 |
1,605 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,286 |
1,172 |
$72K |
| 99233 |
Prolong inpt eval add15 m |
1,745 |
708 |
$62K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
484 |
204 |
$39K |
| 64615 |
|
571 |
553 |
$35K |
| 99417 |
Prolong home eval add 15m |
979 |
891 |
$32K |
| 20610 |
|
698 |
567 |
$23K |
| 62328 |
|
520 |
437 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
237 |
201 |
$13K |
| 95251 |
|
974 |
820 |
$12K |
| 87631 |
|
92 |
88 |
$11K |
| 99245 |
|
103 |
98 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
121 |
116 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
336 |
315 |
$8K |
| 20553 |
|
325 |
314 |
$7K |
| 99253 |
|
140 |
129 |
$6K |
| 92504 |
|
737 |
707 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
225 |
162 |
$6K |
| 99243 |
|
97 |
95 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
255 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
130 |
116 |
$5K |
| 54150 |
|
85 |
80 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
246 |
227 |
$5K |
| 99255 |
|
50 |
45 |
$4K |
| 99254 |
|
85 |
76 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
302 |
131 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
112 |
101 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
82 |
81 |
$3K |
| 69210 |
|
124 |
118 |
$2K |
| 99205 |
Prolong outpt/office vis |
52 |
46 |
$2K |
| 93295 |
|
91 |
90 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
118 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
351 |
330 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
37 |
$1K |
| 49083 |
|
21 |
16 |
$1K |
| 99443 |
|
48 |
48 |
$922.22 |
| 81003 |
|
1,314 |
1,151 |
$900.91 |
| 99459 |
|
81 |
78 |
$875.68 |
| 90686 |
|
58 |
58 |
$863.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
69 |
$823.62 |
| 87807 |
|
71 |
65 |
$724.16 |
| 99406 |
|
98 |
88 |
$550.12 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$525.55 |
| 99225 |
|
21 |
13 |
$423.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$368.93 |
| 93298 |
|
32 |
31 |
$358.59 |
| 87400 |
|
34 |
33 |
$354.38 |
| 81025 |
|
78 |
71 |
$313.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
38 |
$312.21 |
| 99401 |
|
18 |
14 |
$220.82 |
| 93294 |
|
12 |
12 |
$164.36 |
| 99358 |
Prolong nursin fac eval 15m |
20 |
14 |
$158.29 |
| 80305 |
|
21 |
15 |
$151.72 |
| 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) |
26 |
26 |
$79.54 |
| 94010 |
|
17 |
17 |
$45.85 |
| 83986 |
|
12 |
12 |
$7.16 |
| 99024 |
|
1,807 |
1,556 |
$0.00 |