| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
73,112 |
72,783 |
$6.80M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
59,127 |
58,927 |
$3.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,767 |
38,334 |
$2.77M |
| 99215 |
Prolong outpt/office vis |
18,711 |
18,317 |
$1.84M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,321 |
7,268 |
$1.02M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,889 |
3,649 |
$566K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,406 |
3,396 |
$419K |
| 99460 |
|
3,268 |
3,263 |
$310K |
| 99233 |
Prolong inpt eval add15 m |
3,036 |
1,104 |
$283K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,028 |
2,985 |
$252K |
| 99462 |
|
5,389 |
4,616 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,267 |
4,217 |
$216K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,398 |
3,378 |
$178K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,978 |
1,970 |
$150K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,401 |
1,302 |
$114K |
| 99205 |
Prolong outpt/office vis |
670 |
669 |
$106K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
269 |
99 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,011 |
1,011 |
$81K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
153 |
129 |
$71K |
| 99222 |
Initial hospital care, per day, moderate complexity |
552 |
535 |
$66K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
559 |
288 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
140 |
87 |
$48K |
| 94010 |
|
7,054 |
6,785 |
$44K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
380 |
153 |
$37K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
625 |
504 |
$23K |
| J0475 |
Injection, baclofen, 10 mg |
41 |
41 |
$22K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
136 |
52 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
334 |
331 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,136 |
2,110 |
$18K |
| 96133 |
|
15 |
13 |
$18K |
| 99245 |
|
107 |
107 |
$18K |
| 96137 |
|
12 |
12 |
$15K |
| 99463 |
|
106 |
98 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
88 |
88 |
$12K |
| 96112 |
|
15 |
15 |
$11K |
| 99451 |
|
378 |
374 |
$10K |
| 81000 |
|
3,214 |
2,725 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
85 |
83 |
$9K |
| 96132 |
|
12 |
12 |
$8K |
| 95251 |
|
290 |
282 |
$8K |
| 91200 |
|
846 |
825 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
37 |
37 |
$6K |
| 99221 |
|
67 |
67 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
95 |
95 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
64 |
$4K |
| 95782 |
|
38 |
38 |
$4K |
| 99464 |
|
64 |
64 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
140 |
137 |
$3K |
| 96136 |
|
12 |
12 |
$3K |
| 94618 |
|
164 |
154 |
$3K |
| 93784 |
|
62 |
60 |
$2K |
| 99417 |
Prolong home eval add 15m |
68 |
68 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
219 |
219 |
$2K |
| 90691 |
|
25 |
12 |
$2K |
| 94060 |
|
205 |
200 |
$2K |
| 31624 |
|
14 |
14 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| 94726 |
|
126 |
121 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
58 |
57 |
$998.99 |
| 97802 |
|
12 |
12 |
$843.24 |
| 77080 |
|
82 |
82 |
$691.92 |
| 94729 |
|
102 |
98 |
$639.06 |
| 97803 |
|
12 |
12 |
$634.71 |
| 99401 |
|
26 |
13 |
$393.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$224.70 |
| 94760 |
|
12 |
12 |
$12.67 |