| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,187 |
65,007 |
$2.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,926 |
77,021 |
$2.80M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,485 |
11,166 |
$612K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,373 |
12,999 |
$414K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,719 |
9,359 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,512 |
2,499 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,675 |
2,641 |
$162K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,846 |
2,803 |
$74K |
| 99215 |
Prolong outpt/office vis |
1,710 |
1,563 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
780 |
777 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
610 |
604 |
$39K |
| 99233 |
Prolong inpt eval add15 m |
1,113 |
461 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
712 |
601 |
$24K |
| 95886 |
|
790 |
771 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
871 |
326 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
178 |
176 |
$14K |
| 43235 |
|
298 |
293 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
680 |
661 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
369 |
291 |
$12K |
| 98929 |
|
376 |
352 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
72 |
72 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
120 |
104 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
141 |
83 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
114 |
100 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
151 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
261 |
119 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,439 |
1,387 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
64 |
63 |
$4K |
| 90688 |
|
302 |
301 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
96 |
95 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
109 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
430 |
$3K |
| 97597 |
|
264 |
96 |
$3K |
| 99429 |
|
102 |
102 |
$3K |
| 90670 |
|
325 |
323 |
$3K |
| 99243 |
|
44 |
43 |
$3K |
| 96127 |
|
273 |
207 |
$3K |
| 94060 |
|
536 |
528 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
95 |
92 |
$2K |
| 59025 |
Fetal non-stress test |
86 |
53 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
75 |
$2K |
| 95806 |
|
70 |
68 |
$2K |
| 94726 |
|
363 |
359 |
$2K |
| 94729 |
|
469 |
464 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
13 |
$2K |
| 64615 |
|
26 |
26 |
$1K |
| 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) |
415 |
386 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
221 |
212 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
65 |
62 |
$1K |
| 93016 |
|
187 |
185 |
$1K |
| 90685 |
|
66 |
66 |
$928.07 |
| 95813 |
|
24 |
24 |
$861.52 |
| 93018 |
|
173 |
171 |
$837.42 |
| 90686 |
|
90 |
90 |
$833.69 |
| 90680 |
|
81 |
80 |
$769.66 |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$765.96 |
| 99462 |
|
29 |
26 |
$703.60 |
| 90647 |
|
79 |
79 |
$678.77 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
12 |
$620.01 |
| 99460 |
|
13 |
13 |
$577.68 |
| 20610 |
|
28 |
24 |
$569.38 |
| 93248 |
|
44 |
44 |
$547.36 |
| 99442 |
|
27 |
27 |
$487.83 |
| 73630 |
|
127 |
90 |
$469.50 |
| 11721 |
|
81 |
80 |
$469.42 |
| 73110 |
|
46 |
37 |
$353.09 |
| 99499 |
|
12 |
12 |
$324.06 |
| 90633 |
|
12 |
12 |
$201.72 |
| 90723 |
|
29 |
29 |
$177.34 |
| 99188 |
|
16 |
16 |
$164.96 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
14 |
$161.09 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$83.76 |
| 90734 |
|
13 |
13 |
$80.48 |
| 93294 |
|
14 |
14 |
$76.36 |
| 90700 |
|
12 |
12 |
$73.32 |
| 99443 |
|
12 |
12 |
$57.09 |
| 0071A |
|
17 |
17 |
$54.00 |
| 0072A |
|
20 |
20 |
$48.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,894 |
2,859 |
$21.59 |
| 96161 |
|
25 |
25 |
$20.24 |
| 99177 |
|
12 |
12 |
$19.75 |
| 3074F |
|
5,608 |
5,312 |
$0.00 |
| 1036F |
|
452 |
450 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
46 |
45 |
$0.00 |
| 90474 |
|
41 |
41 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3078F |
|
5,070 |
4,785 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,581 |
1,562 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |