| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,023 |
83,785 |
$5.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,192 |
23,506 |
$1.96M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,250 |
10,226 |
$918K |
| 99215 |
Prolong outpt/office vis |
3,541 |
3,220 |
$408K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,613 |
1,932 |
$310K |
| 99205 |
Prolong outpt/office vis |
1,154 |
1,152 |
$230K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,681 |
5,112 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,485 |
1,483 |
$205K |
| 76818 |
|
4,240 |
1,957 |
$193K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,634 |
1,550 |
$164K |
| 43775 |
|
122 |
122 |
$149K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,791 |
2,728 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,529 |
3,398 |
$117K |
| 76813 |
|
1,902 |
1,901 |
$99K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,157 |
2,153 |
$94K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
841 |
841 |
$74K |
| 99233 |
Prolong inpt eval add15 m |
848 |
485 |
$67K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
781 |
779 |
$62K |
| 93970 |
|
2,240 |
2,163 |
$57K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,627 |
1,262 |
$51K |
| 76801 |
|
1,012 |
1,011 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
489 |
489 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
328 |
282 |
$38K |
| 11306 |
|
268 |
260 |
$32K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
264 |
247 |
$28K |
| 20550 |
|
603 |
557 |
$24K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
366 |
355 |
$22K |
| 90961 |
|
96 |
96 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
86 |
38 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
405 |
226 |
$15K |
| 59025 |
Fetal non-stress test |
377 |
349 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
231 |
230 |
$12K |
| 99442 |
|
359 |
343 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
67 |
65 |
$11K |
| 11730 |
|
110 |
104 |
$10K |
| 97802 |
|
176 |
175 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
54 |
54 |
$9K |
| 95908 |
|
91 |
91 |
$9K |
| 99443 |
|
85 |
85 |
$9K |
| 97803 |
|
241 |
228 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
187 |
91 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
96 |
$7K |
| 99441 |
|
359 |
346 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
39 |
39 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
165 |
144 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46 |
45 |
$5K |
| 94726 |
|
527 |
526 |
$5K |
| 76820 |
|
215 |
138 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
101 |
98 |
$5K |
| 94729 |
|
599 |
595 |
$4K |
| 99221 |
|
51 |
51 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
38 |
38 |
$4K |
| 95886 |
|
41 |
41 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
144 |
135 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
32 |
32 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
711 |
681 |
$2K |
| 93016 |
|
133 |
132 |
$2K |
| 10060 |
|
25 |
24 |
$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) |
202 |
202 |
$2K |
| 94010 |
|
327 |
327 |
$2K |
| 11721 |
|
76 |
74 |
$2K |
| 93018 |
|
121 |
120 |
$1K |
| 95909 |
|
13 |
13 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
137 |
136 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 99201 |
|
25 |
25 |
$1K |
| 93793 |
|
132 |
93 |
$840.95 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$736.30 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
15 |
$623.24 |
| 81002 |
|
429 |
290 |
$560.89 |
| 76821 |
|
18 |
14 |
$548.55 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$385.28 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$338.66 |
| 81025 |
|
63 |
63 |
$323.82 |
| 81000 |
|
110 |
68 |
$298.37 |
| 93923 |
|
13 |
13 |
$266.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$142.52 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
104 |
$139.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$95.29 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
61,274 |
57,524 |
$81.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
69 |
$72.17 |
| 3074F |
|
32,501 |
30,245 |
$34.50 |
| 3078F |
|
25,353 |
23,641 |
$26.09 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
54,132 |
50,753 |
$6.26 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,163 |
3,060 |
$2.39 |
| 3044F |
|
14,300 |
13,394 |
$2.20 |
| 3079F |
|
9,970 |
9,674 |
$2.20 |
| G9905 |
Patient not screened for tobacco use |
166 |
166 |
$0.97 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
540 |
523 |
$0.39 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
537 |
520 |
$0.38 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,155 |
1,118 |
$0.27 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
108 |
107 |
$0.25 |
| 1170F |
|
904 |
866 |
$0.12 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
14 |
14 |
$0.09 |
| 1036F |
|
2,734 |
2,648 |
$0.00 |
| 3061F |
|
935 |
891 |
$0.00 |
| 4010F |
|
4,750 |
4,450 |
$0.00 |
| 3075F |
|
1,106 |
1,083 |
$0.00 |
| 3066F |
|
289 |
279 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
453 |
437 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
275 |
266 |
$0.00 |
| 3080F |
|
75 |
74 |
$0.00 |
| 1126F |
|
108 |
106 |
$0.00 |
| 99024 |
|
1,400 |
1,090 |
$0.00 |
| 3017F |
|
168 |
165 |
$0.00 |
| 1123F |
|
66 |
66 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
41 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
3,523 |
3,384 |
$0.00 |
| 3077F |
|
2,004 |
1,913 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
5,319 |
5,016 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
345 |
338 |
$0.00 |
| 4004F |
|
509 |
497 |
$0.00 |
| 1159F |
|
1,021 |
977 |
$0.00 |
| 1160F |
|
926 |
885 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
183 |
172 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
50 |
49 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
473 |
465 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
99 |
97 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 4040F |
|
13 |
13 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
32 |
30 |
$0.00 |
| 3046F |
|
27 |
26 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
15 |
15 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |