| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
48,263 |
14,336 |
$17.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115,690 |
102,526 |
$12.54M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
29,295 |
8,938 |
$9.97M |
| 99215 |
Prolong outpt/office vis |
52,416 |
44,584 |
$7.26M |
| 99233 |
Prolong inpt eval add15 m |
71,982 |
26,394 |
$6.82M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
56,041 |
16,932 |
$5.96M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
42,968 |
11,170 |
$4.79M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29,619 |
25,858 |
$4.39M |
| 95782 |
|
8,275 |
7,328 |
$3.32M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
48,556 |
19,148 |
$3.22M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37,952 |
33,259 |
$3.00M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
26,243 |
22,754 |
$2.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,554 |
21,538 |
$1.89M |
| 99205 |
Prolong outpt/office vis |
9,129 |
7,715 |
$1.72M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
5,575 |
5,086 |
$1.61M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,353 |
1,875 |
$1.05M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12,806 |
11,188 |
$869K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,060 |
5,311 |
$745K |
| 93320 |
|
27,918 |
24,011 |
$709K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,528 |
5,696 |
$708K |
| 94375 |
|
23,423 |
20,254 |
$523K |
| 99223 |
Prolong inpt eval add15 m |
2,866 |
2,464 |
$473K |
| 99468 |
|
722 |
620 |
$433K |
| 90791 |
Psychiatric diagnostic evaluation |
3,758 |
2,806 |
$426K |
| 99417 |
Prolong home eval add 15m |
12,645 |
10,863 |
$424K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,334 |
4,474 |
$397K |
| 99460 |
|
4,251 |
3,659 |
$369K |
| 99477 |
|
1,293 |
1,093 |
$350K |
| 93325 |
|
43,606 |
36,609 |
$327K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
39,853 |
33,646 |
$320K |
| 76825 |
|
2,909 |
2,418 |
$267K |
| 99217 |
|
3,419 |
2,973 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,578 |
2,219 |
$196K |
| 93000 |
|
14,466 |
12,568 |
$191K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
596 |
520 |
$188K |
| 64642 |
|
2,001 |
1,649 |
$171K |
| 99219 |
|
1,547 |
1,351 |
$169K |
| 93304 |
|
2,583 |
2,125 |
$132K |
| 64643 |
|
1,552 |
1,303 |
$125K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,728 |
1,463 |
$118K |
| 95251 |
|
3,578 |
3,083 |
$112K |
| 99471 |
|
144 |
117 |
$102K |
| 96112 |
|
844 |
554 |
$98K |
| 76827 |
|
2,908 |
2,418 |
$87K |
| 93784 |
|
1,561 |
1,429 |
$76K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,202 |
8,156 |
$74K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,285 |
986 |
$70K |
| 96040 |
|
1,239 |
916 |
$55K |
| 99292 |
|
517 |
256 |
$52K |
| 93308 |
|
2,072 |
1,671 |
$52K |
| 96113 |
|
312 |
185 |
$46K |
| 93321 |
|
4,917 |
4,019 |
$46K |
| 62370 |
|
650 |
570 |
$43K |
| 99462 |
|
1,197 |
780 |
$41K |
| 99464 |
|
645 |
577 |
$41K |
| 93227 |
|
2,006 |
1,738 |
$41K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
973 |
551 |
$39K |
| 99235 |
|
235 |
196 |
$36K |
| 93294 |
|
1,390 |
1,277 |
$35K |
| 94664 |
|
2,114 |
1,877 |
$35K |
| 93296 |
|
1,733 |
1,593 |
$33K |
| 96450 |
|
312 |
232 |
$31K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
298 |
266 |
$22K |
| 91200 |
|
572 |
489 |
$18K |
| 93272 |
|
702 |
603 |
$18K |
| 90785 |
|
1,393 |
906 |
$14K |
| 96158 |
|
448 |
189 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
102 |
$12K |
| 93244 |
|
420 |
370 |
$11K |
| 96167 |
|
249 |
184 |
$11K |
| 99475 |
|
19 |
14 |
$11K |
| 99220 |
|
74 |
65 |
$10K |
| 99354 |
|
343 |
250 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
88 |
67 |
$9K |
| 99465 |
|
57 |
52 |
$9K |
| 93248 |
|
265 |
241 |
$8K |
| 94060 |
|
602 |
517 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
865 |
722 |
$7K |
| 99225 |
|
99 |
64 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
68 |
53 |
$7K |
| 99418 |
Prolong nursin fac eval 15m |
187 |
105 |
$6K |
| 00635 |
|
112 |
55 |
$6K |
| 81002 |
|
1,976 |
1,841 |
$5K |
| 93280 |
|
69 |
56 |
$4K |
| 31622 |
|
18 |
13 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
92 |
59 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
96 |
$4K |
| 96156 |
|
69 |
52 |
$4K |
| 99221 |
|
142 |
120 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
683 |
589 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
62 |
$2K |
| 96159 |
|
112 |
50 |
$2K |
| 75561 |
|
12 |
12 |
$2K |
| 90686 |
|
574 |
474 |
$1K |
| 96154 |
|
25 |
16 |
$1K |
| 62369 |
|
19 |
15 |
$853.26 |
| 36415 |
Collection of venous blood by venipuncture |
303 |
281 |
$784.20 |
| 94726 |
|
44 |
43 |
$713.51 |
| 75565 |
|
32 |
24 |
$704.85 |
| 99457 |
|
28 |
25 |
$571.38 |
| 96409 |
|
283 |
186 |
$569.27 |
| 96127 |
|
192 |
156 |
$519.01 |
| 99355 |
|
16 |
15 |
$494.76 |
| 93225 |
|
24 |
16 |
$425.04 |
| 99401 |
|
29 |
23 |
$420.40 |
| 76937 |
|
30 |
25 |
$383.02 |
| 95117 |
|
30 |
12 |
$214.80 |
| 92587 |
|
17 |
12 |
$204.36 |
| 94799 |
|
26 |
13 |
$182.00 |
| 80061 |
Lipid panel |
13 |
13 |
$169.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$125.41 |
| 94200 |
|
37 |
25 |
$102.98 |
| 94660 |
|
61 |
49 |
$90.06 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
26 |
15 |
$61.96 |
| 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) |
435 |
411 |
$0.00 |
| 98966 |
|
20 |
12 |
$0.00 |