| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,956 |
8,819 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,933 |
12,376 |
$354K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,007 |
1,587 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,511 |
1,707 |
$58K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
9,652 |
7,832 |
$32K |
| 74018 |
|
2,316 |
2,023 |
$29K |
| 81003 |
|
30,338 |
21,566 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
314 |
$23K |
| 84153 |
|
1,943 |
1,517 |
$15K |
| 74178 |
|
104 |
88 |
$14K |
| 51798 |
|
3,444 |
2,346 |
$10K |
| 51701 |
|
754 |
624 |
$10K |
| 87088 |
|
2,607 |
2,067 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
753 |
389 |
$9K |
| 81001 |
|
7,895 |
5,600 |
$7K |
| 99205 |
Prolong outpt/office vis |
60 |
48 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
32 |
13 |
$7K |
| 87186 |
|
1,598 |
1,238 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
301 |
246 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,656 |
1,389 |
$4K |
| 52000 |
|
537 |
371 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
380 |
205 |
$4K |
| 84403 |
|
198 |
164 |
$3K |
| 51728 |
|
31 |
26 |
$2K |
| 82670 |
|
125 |
103 |
$2K |
| 84270 |
|
102 |
85 |
$1K |
| 99215 |
Prolong outpt/office vis |
26 |
16 |
$1K |
| 51741 |
|
146 |
105 |
$855.13 |
| 51797 |
|
31 |
26 |
$773.19 |
| 74420 |
|
191 |
157 |
$710.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
216 |
$444.11 |
| 52332 |
|
299 |
239 |
$340.08 |
| 99459 |
|
27 |
26 |
$285.57 |
| 99221 |
|
208 |
161 |
$219.58 |
| 85014 |
|
138 |
114 |
$194.42 |
| 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) |
664 |
584 |
$107.39 |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
33 |
$99.60 |
| 51700 |
|
90 |
76 |
$58.65 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
25 |
18 |
$0.60 |
| 50590 |
|
64 |
56 |
$0.00 |
| 52352 |
|
17 |
14 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| 99243 |
|
82 |
61 |
$0.00 |
| 52356 |
|
61 |
55 |
$0.00 |
| 84402 |
|
52 |
43 |
$0.00 |
| 52005 |
|
22 |
12 |
$0.00 |