| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,776 |
32,711 |
$1.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,613 |
45,514 |
$1.72M |
| X5622 |
|
6,021 |
5,438 |
$356K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,432 |
11,260 |
$206K |
| 99401 |
|
11,324 |
11,149 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,252 |
3,216 |
$144K |
| 99215 |
Prolong outpt/office vis |
1,539 |
1,302 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,261 |
2,939 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,414 |
2,387 |
$108K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,847 |
1,572 |
$102K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,025 |
1,016 |
$61K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
995 |
989 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,262 |
1,242 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,410 |
1,380 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,011 |
1,007 |
$56K |
| 99442 |
|
1,378 |
1,319 |
$52K |
| 99441 |
|
2,469 |
2,372 |
$51K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,339 |
8,199 |
$42K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,091 |
907 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
468 |
464 |
$37K |
| 92551 |
|
6,312 |
6,137 |
$29K |
| 99188 |
|
4,570 |
4,514 |
$26K |
| 99336 |
|
249 |
212 |
$23K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,418 |
1,387 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,277 |
1,218 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
785 |
762 |
$18K |
| 96161 |
|
1,454 |
1,346 |
$11K |
| 99443 |
|
181 |
173 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
242 |
117 |
$9K |
| 99335 |
|
143 |
115 |
$9K |
| 99337 |
|
61 |
55 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
258 |
165 |
$8K |
| 91320 |
|
57 |
55 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
131 |
126 |
$7K |
| 17110 |
|
247 |
221 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
66 |
64 |
$6K |
| 99173 |
|
6,232 |
6,058 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
61 |
58 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
116 |
112 |
$5K |
| 96127 |
|
1,361 |
1,349 |
$4K |
| 90480 |
|
57 |
55 |
$2K |
| 96160 |
|
1,079 |
1,072 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
339 |
$2K |
| 99349 |
|
16 |
13 |
$1K |
| 99242 |
|
26 |
25 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
43 |
$1K |
| 99460 |
|
13 |
13 |
$885.34 |
| 99383 |
|
13 |
13 |
$788.50 |
| 99348 |
|
16 |
12 |
$738.90 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$728.41 |
| 99243 |
|
12 |
12 |
$651.34 |
| 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) |
120 |
107 |
$634.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
26 |
$633.45 |
| 83655 |
|
53 |
53 |
$544.60 |
| 36415 |
Collection of venous blood by venipuncture |
492 |
416 |
$539.41 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
209 |
208 |
$501.89 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
27 |
27 |
$483.12 |
| Q3014 |
Telehealth originating site facility fee |
17 |
12 |
$466.28 |
| 99490 |
Ccm add 20min |
46 |
45 |
$408.48 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$353.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
56 |
$293.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$146.18 |
| 94060 |
|
12 |
12 |
$78.36 |
| 87081 |
|
12 |
12 |
$64.20 |
| 1111F |
|
20,400 |
15,356 |
$0.00 |
| 99024 |
|
202 |
161 |
$0.00 |