| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,371 |
8,065 |
$334K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,631 |
8,455 |
$265K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,353 |
2,750 |
$146K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,556 |
2,319 |
$107K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,450 |
2,228 |
$65K |
| 99215 |
Prolong outpt/office vis |
773 |
667 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
324 |
317 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
128 |
118 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
344 |
304 |
$17K |
| 3008F |
|
1,899 |
1,818 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,322 |
1,917 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
132 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
360 |
337 |
$8K |
| 98940 |
|
952 |
444 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
151 |
93 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
295 |
131 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
269 |
156 |
$6K |
| V5266 |
Battery for use in hearing device |
753 |
737 |
$6K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
207 |
163 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
85 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
112 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
419 |
90 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
41 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
72 |
68 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
21 |
18 |
$2K |
| 99000 |
|
575 |
509 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
15 |
14 |
$1K |
| 92567 |
|
94 |
83 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$827.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$813.89 |
| 31231 |
|
17 |
15 |
$803.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
822 |
780 |
$791.42 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
68 |
24 |
$740.32 |
| 80305 |
|
102 |
90 |
$714.29 |
| 90686 |
|
518 |
465 |
$628.95 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
34 |
27 |
$554.23 |
| 92557 |
|
13 |
12 |
$439.70 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
22 |
12 |
$427.81 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
14 |
$367.22 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$309.21 |
| 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) |
230 |
206 |
$250.53 |
| 90656 |
|
69 |
69 |
$249.12 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$229.62 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$149.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$138.11 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
24 |
$132.77 |
| 36415 |
Collection of venous blood by venipuncture |
915 |
788 |
$131.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
29 |
$87.60 |
| 90461 |
|
176 |
168 |
$52.21 |
| A4550 |
Surgical trays |
31 |
26 |
$36.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
34 |
26 |
$30.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
561 |
495 |
$19.25 |
| 90672 |
|
61 |
59 |
$16.32 |
| 90670 |
|
29 |
25 |
$6.85 |
| 90647 |
|
29 |
26 |
$0.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
162 |
124 |
$0.00 |
| 99406 |
|
43 |
41 |
$0.00 |