| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,089 |
24,005 |
$451K |
| 52000 |
|
4,918 |
4,899 |
$311K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,813 |
5,807 |
$296K |
| 64566 |
|
3,158 |
1,940 |
$246K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,364 |
2,352 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,018 |
2,965 |
$93K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,176 |
6,871 |
$83K |
| 51729 |
|
405 |
403 |
$81K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,778 |
2,743 |
$63K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
137 |
135 |
$42K |
| 81002 |
|
10,853 |
10,431 |
$37K |
| 51797 |
|
638 |
636 |
$29K |
| 51784 |
|
645 |
643 |
$23K |
| 53850 |
|
12 |
12 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
316 |
309 |
$15K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
3,483 |
3,367 |
$15K |
| 51728 |
|
56 |
56 |
$10K |
| 51741 |
|
645 |
643 |
$10K |
| 76872 |
|
164 |
163 |
$8K |
| 76942 |
|
191 |
191 |
$8K |
| 55700 |
|
37 |
37 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
112 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
400 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
346 |
233 |
$3K |
| 96402 |
|
111 |
111 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
14 |
$715.15 |
| 76775 |
|
29 |
29 |
$655.50 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
49 |
48 |
$418.02 |
| J3360 |
Injection, diazepam, up to 5 mg |
29 |
28 |
$212.19 |
| 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) |
56 |
55 |
$129.52 |
| 84153 |
|
44 |
38 |
$98.82 |
| 84403 |
|
45 |
40 |
$91.20 |
| 99024 |
|
63 |
56 |
$0.00 |