| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,728 |
19,211 |
$406K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,015 |
12,697 |
$405K |
| 99223 |
Prolong inpt eval add15 m |
1,201 |
923 |
$70K |
| 99233 |
Prolong inpt eval add15 m |
814 |
365 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,108 |
1,053 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
398 |
384 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
401 |
383 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
617 |
253 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
108 |
37 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,484 |
1,072 |
$10K |
| 99205 |
Prolong outpt/office vis |
83 |
83 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,211 |
1,114 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
360 |
230 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
407 |
391 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
280 |
131 |
$5K |
| 59514 |
|
12 |
12 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
175 |
154 |
$5K |
| 73610 |
|
294 |
260 |
$5K |
| 90686 |
|
379 |
365 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
130 |
104 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
98 |
90 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
63 |
$3K |
| 93880 |
|
95 |
88 |
$3K |
| 20610 |
|
654 |
596 |
$3K |
| 93970 |
|
112 |
77 |
$3K |
| 73130 |
|
244 |
209 |
$3K |
| 95819 |
|
81 |
80 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
173 |
153 |
$2K |
| 73110 |
|
149 |
111 |
$2K |
| 93971 |
|
68 |
63 |
$2K |
| 73564 |
|
163 |
147 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
39 |
$1K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$827.73 |
| 99152 |
|
399 |
326 |
$737.43 |
| 29075 |
|
15 |
14 |
$735.60 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$733.37 |
| 73502 |
|
171 |
141 |
$627.87 |
| 77012 |
|
21 |
16 |
$595.43 |
| 99201 |
|
44 |
28 |
$580.58 |
| 36415 |
Collection of venous blood by venipuncture |
1,450 |
1,276 |
$572.90 |
| 90674 |
|
76 |
74 |
$481.01 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
83 |
73 |
$442.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
46 |
$393.90 |
| 90715 |
|
12 |
12 |
$388.08 |
| 73552 |
|
17 |
14 |
$257.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$251.72 |
| 73590 |
|
13 |
12 |
$233.61 |
| 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 |
27 |
26 |
$199.25 |
| 76937 |
|
74 |
62 |
$195.93 |
| 73030 |
|
13 |
12 |
$177.21 |
| 99443 |
|
17 |
17 |
$169.75 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
61 |
59 |
$166.68 |
| 73560 |
|
62 |
54 |
$165.78 |
| 99442 |
|
45 |
42 |
$142.19 |
| 90756 |
|
17 |
17 |
$136.74 |
| 99406 |
|
28 |
15 |
$123.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$91.91 |
| 3044F |
|
1,856 |
1,595 |
$90.04 |
| 98966 |
|
22 |
14 |
$9.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
51 |
$5.97 |
| 3074F |
|
11,427 |
10,287 |
$0.67 |
| 3078F |
|
10,266 |
9,210 |
$0.63 |
| 3079F |
|
3,909 |
3,607 |
$0.19 |
| 3075F |
|
1,996 |
1,849 |
$0.14 |
| 1126F |
|
9,793 |
8,690 |
$0.00 |
| 1111F |
|
11,362 |
9,823 |
$0.00 |
| 99024 |
|
2,517 |
1,994 |
$0.00 |
| 3008F |
|
20,955 |
18,599 |
$0.00 |
| 1036F |
|
10,509 |
8,974 |
$0.00 |
| 1125F |
|
6,869 |
5,953 |
$0.00 |
| 1034F |
|
1,703 |
1,441 |
$0.00 |
| 1170F |
|
5,584 |
4,713 |
$0.00 |
| 1031F |
|
312 |
277 |
$0.00 |
| 4010F |
|
1,010 |
908 |
$0.00 |
| 3049F |
|
373 |
316 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
99 |
$0.00 |
| 3066F |
|
82 |
73 |
$0.00 |
| 3048F |
|
593 |
473 |
$0.00 |
| 98967 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
225 |
212 |
$0.00 |
| 4008F |
|
39 |
37 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$0.00 |
| 90694 |
|
15 |
12 |
$0.00 |
| 3016F |
|
2,047 |
1,970 |
$0.00 |
| 1159F |
|
11,940 |
10,813 |
$0.00 |
| 3725F |
|
14,631 |
12,767 |
$0.00 |
| 1100F |
|
1,883 |
1,720 |
$0.00 |
| 1160F |
|
7,867 |
7,170 |
$0.00 |
| 3288F |
|
1,915 |
1,751 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
131 |
120 |
$0.00 |
| 3050F |
|
176 |
150 |
$0.00 |
| 3077F |
|
61 |
60 |
$0.00 |
| 3045F |
|
70 |
66 |
$0.00 |
| 4013F |
|
12 |
12 |
$0.00 |
| 90662 |
|
38 |
38 |
$0.00 |
| 4025F |
|
12 |
12 |
$0.00 |