| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,819 |
24,623 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,955 |
14,980 |
$530K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,595 |
3,625 |
$303K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28,063 |
20,776 |
$120K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,622 |
1,387 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,058 |
1,730 |
$55K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,892 |
1,186 |
$50K |
| 99233 |
Prolong inpt eval add15 m |
1,303 |
545 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
439 |
369 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
758 |
672 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
201 |
$13K |
| 99215 |
Prolong outpt/office vis |
176 |
148 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
135 |
131 |
$9K |
| 99205 |
Prolong outpt/office vis |
123 |
101 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
178 |
156 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,112 |
436 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,064 |
1,013 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
283 |
230 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
104 |
88 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
112 |
97 |
$6K |
| 99220 |
|
124 |
102 |
$5K |
| 93000 |
|
614 |
548 |
$5K |
| 73630 |
|
434 |
343 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
126 |
104 |
$4K |
| 95886 |
|
104 |
90 |
$4K |
| 97803 |
|
268 |
224 |
$4K |
| 90686 |
|
656 |
616 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
133 |
$4K |
| 20611 |
|
157 |
127 |
$4K |
| 00731 |
|
73 |
63 |
$4K |
| 20553 |
|
176 |
143 |
$3K |
| 97597 |
|
264 |
155 |
$3K |
| 93971 |
|
110 |
90 |
$3K |
| 99219 |
|
76 |
64 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
36 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
31 |
30 |
$2K |
| 31575 |
|
61 |
50 |
$2K |
| 93016 |
|
196 |
169 |
$2K |
| 73610 |
|
132 |
105 |
$1K |
| 99462 |
|
83 |
66 |
$1K |
| 92567 |
|
235 |
201 |
$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) |
589 |
516 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
408 |
342 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
253 |
214 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
28 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
32 |
$923.05 |
| 92557 |
|
62 |
51 |
$856.97 |
| 99243 |
|
12 |
12 |
$766.35 |
| 99241 |
|
28 |
24 |
$743.61 |
| 82947 |
|
367 |
294 |
$723.92 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$650.00 |
| 97802 |
|
13 |
12 |
$617.19 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
13 |
$580.95 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
27 |
$531.86 |
| 95819 |
|
15 |
15 |
$457.32 |
| 36415 |
Collection of venous blood by venipuncture |
773 |
656 |
$433.37 |
| 99460 |
|
13 |
12 |
$363.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$320.30 |
| 36416 |
|
707 |
563 |
$240.67 |
| 95251 |
|
13 |
12 |
$206.68 |
| 72100 |
|
13 |
12 |
$184.46 |
| 73620 |
|
14 |
12 |
$159.77 |
| 93018 |
|
13 |
13 |
$151.69 |
| 73564 |
|
17 |
14 |
$145.52 |
| 94060 |
|
13 |
12 |
$86.15 |
| 99442 |
|
18 |
13 |
$59.28 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$1.37 |