| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,258 |
53,901 |
$4.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,555 |
28,644 |
$1.54M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15,636 |
14,389 |
$1.52M |
| 99215 |
Prolong outpt/office vis |
11,702 |
10,358 |
$1.16M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26,041 |
5,881 |
$828K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,041 |
9,352 |
$660K |
| 99223 |
Prolong inpt eval add15 m |
3,771 |
3,349 |
$338K |
| 90791 |
Psychiatric diagnostic evaluation |
1,748 |
1,658 |
$222K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,486 |
2,345 |
$189K |
| 96139 |
|
2,260 |
1,306 |
$182K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
4,951 |
3,245 |
$152K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,063 |
1,084 |
$149K |
| 99233 |
Prolong inpt eval add15 m |
2,676 |
1,185 |
$123K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,932 |
1,669 |
$106K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,755 |
1,576 |
$101K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,194 |
967 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,776 |
2,403 |
$79K |
| 99205 |
Prolong outpt/office vis |
618 |
548 |
$75K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,007 |
917 |
$73K |
| 95816 |
|
468 |
403 |
$64K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,546 |
1,188 |
$63K |
| 20610 |
|
1,265 |
988 |
$57K |
| 96130 |
|
674 |
613 |
$54K |
| 96132 |
|
623 |
562 |
$50K |
| 96131 |
|
666 |
603 |
$49K |
| 93880 |
|
810 |
724 |
$45K |
| 95811 |
|
660 |
593 |
$44K |
| 76830 |
Ultrasound, transvaginal |
550 |
467 |
$43K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,321 |
5,449 |
$40K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,622 |
571 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
628 |
591 |
$33K |
| 96133 |
|
359 |
332 |
$32K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
82 |
38 |
$32K |
| 96136 |
|
1,047 |
955 |
$31K |
| 95806 |
|
790 |
699 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
242 |
213 |
$29K |
| 96138 |
|
1,419 |
1,298 |
$29K |
| 96137 |
|
1,024 |
936 |
$27K |
| 95886 |
|
235 |
228 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
446 |
391 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
233 |
$21K |
| 95251 |
|
849 |
775 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
479 |
463 |
$19K |
| 73630 |
|
918 |
728 |
$19K |
| 72082 |
|
269 |
242 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,267 |
1,163 |
$14K |
| 99221 |
|
320 |
259 |
$14K |
| 77427 |
|
100 |
37 |
$12K |
| 92557 |
|
524 |
484 |
$11K |
| 64615 |
|
108 |
104 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
220 |
187 |
$10K |
| 94010 |
|
1,010 |
937 |
$10K |
| 76801 |
|
114 |
107 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
47 |
44 |
$9K |
| 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) |
1,393 |
1,267 |
$8K |
| 93970 |
|
462 |
397 |
$8K |
| 11721 |
|
439 |
371 |
$8K |
| 95800 |
|
264 |
244 |
$8K |
| 95819 |
|
89 |
80 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
134 |
122 |
$7K |
| 72110 |
|
197 |
192 |
$7K |
| 73610 |
|
370 |
332 |
$7K |
| 69210 |
|
252 |
213 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
775 |
698 |
$7K |
| 92567 |
|
630 |
589 |
$6K |
| 95117 |
|
776 |
285 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
112 |
98 |
$6K |
| 73564 |
|
165 |
130 |
$6K |
| 93971 |
|
412 |
350 |
$5K |
| 81025 |
|
875 |
777 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
57 |
25 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
72 |
39 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
44 |
43 |
$5K |
| 90785 |
|
385 |
366 |
$4K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
158 |
74 |
$4K |
| 97803 |
|
162 |
144 |
$4K |
| 81003 |
|
2,895 |
2,452 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
53 |
52 |
$4K |
| 76642 |
|
51 |
51 |
$4K |
| 97802 |
|
51 |
42 |
$3K |
| 82962 |
|
1,785 |
1,516 |
$3K |
| 94375 |
|
271 |
218 |
$3K |
| 99385 |
|
41 |
36 |
$3K |
| 51798 |
|
504 |
449 |
$3K |
| 99460 |
|
40 |
39 |
$3K |
| 73130 |
|
130 |
80 |
$3K |
| 3046F |
|
643 |
585 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
29 |
$2K |
| 99442 |
|
126 |
102 |
$2K |
| 95911 |
|
13 |
13 |
$2K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
67 |
57 |
$2K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
152 |
76 |
$2K |
| 96116 |
|
35 |
31 |
$2K |
| 99462 |
|
50 |
43 |
$2K |
| 99441 |
|
69 |
62 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
96 |
91 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$1K |
| 73030 |
|
49 |
42 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$1K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
55 |
33 |
$1K |
| 76536 |
|
14 |
14 |
$1K |
| 77073 |
|
32 |
27 |
$971.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
135 |
$966.33 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
12 |
$956.05 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
18 |
14 |
$938.46 |
| 11755 |
|
13 |
12 |
$910.59 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
266 |
174 |
$837.54 |
| 99459 |
|
72 |
60 |
$776.22 |
| 3044F |
|
119 |
112 |
$723.11 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
12 |
$710.01 |
| 95812 |
|
14 |
14 |
$678.02 |
| 90686 |
|
44 |
39 |
$645.26 |
| 99443 |
|
35 |
27 |
$617.66 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$575.77 |
| 99356 |
|
19 |
13 |
$533.31 |
| 1123F |
|
392 |
307 |
$500.00 |
| 73100 |
|
16 |
13 |
$476.01 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
23 |
17 |
$466.26 |
| 90674 |
|
13 |
13 |
$408.66 |
| 99201 |
|
15 |
14 |
$397.09 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
69 |
63 |
$382.66 |
| 93922 |
|
56 |
39 |
$313.03 |
| 90661 |
|
15 |
12 |
$282.30 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
26 |
24 |
$260.39 |
| 93298 |
|
14 |
12 |
$179.96 |
| 3017F |
|
142 |
118 |
$175.00 |
| 87210 |
|
92 |
40 |
$153.97 |
| 81001 |
|
63 |
41 |
$106.81 |
| G0408 |
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
30 |
13 |
$98.45 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
24 |
$89.03 |
| 1036F |
|
13 |
13 |
$25.00 |
| 3051F |
|
30 |
30 |
$20.00 |
| 99000 |
|
13 |
13 |
$18.87 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
271 |
253 |
$2.39 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
768 |
660 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
52 |
$0.00 |
| 0502F |
|
24 |
14 |
$0.00 |
| 2022F |
|
26 |
25 |
$0.00 |
| 98960 |
|
16 |
12 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
34 |
31 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
106 |
86 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
63 |
$0.00 |