| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,693 |
11,662 |
$643K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,569 |
4,620 |
$440K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,424 |
2,955 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,154 |
987 |
$112K |
| 99233 |
Prolong inpt eval add15 m |
2,065 |
935 |
$92K |
| 99223 |
Prolong inpt eval add15 m |
975 |
903 |
$77K |
| 99215 |
Prolong outpt/office vis |
1,057 |
908 |
$63K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
832 |
772 |
$56K |
| 99205 |
Prolong outpt/office vis |
270 |
231 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
266 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
219 |
206 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
91 |
85 |
$11K |
| 99199 |
Unlisted special service, procedure or report |
2,977 |
2,893 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
328 |
298 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
44 |
16 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,328 |
1,154 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
272 |
94 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
25 |
24 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
73 |
68 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
332 |
311 |
$3K |
| 99220 |
|
26 |
26 |
$2K |
| 88313 |
|
16 |
14 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
15 |
$1K |
| 0011A |
|
71 |
38 |
$1K |
| 88312 |
|
15 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
291 |
261 |
$952.23 |
| 0012A |
|
23 |
12 |
$845.00 |
| 99225 |
|
23 |
13 |
$620.95 |
| 93000 |
|
103 |
78 |
$497.75 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
28 |
$480.16 |
| 99217 |
|
15 |
12 |
$458.09 |
| 94060 |
|
38 |
36 |
$298.72 |
| 99401 |
|
17 |
14 |
$268.10 |
| 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) |
115 |
109 |
$204.62 |
| 99497 |
|
12 |
12 |
$124.32 |
| 36416 |
|
129 |
112 |
$111.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$109.99 |
| 99407 |
|
13 |
13 |
$109.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$107.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$100.00 |
| 82962 |
|
64 |
58 |
$69.36 |
| 94726 |
|
13 |
13 |
$56.48 |
| 94729 |
|
12 |
12 |
$37.44 |
| 81003 |
|
12 |
12 |
$16.62 |
| 3008F |
|
877 |
736 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
160 |
158 |
$0.00 |