| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,192 |
16,153 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,285 |
6,528 |
$529K |
| 99460 |
|
714 |
648 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
777 |
$41K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
352 |
325 |
$34K |
| 99462 |
|
760 |
483 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
270 |
$27K |
| 82962 |
|
1,679 |
1,533 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
935 |
291 |
$20K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,080 |
3,504 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
227 |
196 |
$19K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
88 |
83 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
104 |
$15K |
| 99215 |
Prolong outpt/office vis |
85 |
50 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
151 |
117 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
74 |
$9K |
| 99243 |
|
68 |
68 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
139 |
133 |
$8K |
| 76820 |
|
169 |
113 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
48 |
24 |
$7K |
| 90686 |
|
432 |
414 |
$6K |
| 94060 |
|
178 |
166 |
$5K |
| 90677 |
|
135 |
127 |
$5K |
| 94729 |
|
172 |
160 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
37 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
230 |
229 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
409 |
362 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
34 |
32 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$3K |
| 96127 |
|
551 |
495 |
$2K |
| 94727 |
|
63 |
55 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$1K |
| 54150 |
|
15 |
13 |
$1K |
| 95806 |
|
12 |
12 |
$1K |
| 90658 |
|
44 |
42 |
$817.09 |
| 81002 |
|
323 |
229 |
$797.61 |
| 90656 |
|
38 |
38 |
$712.25 |
| 90647 |
|
32 |
28 |
$651.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
340 |
$594.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
13 |
$550.13 |
| 99442 |
|
40 |
38 |
$509.21 |
| 90670 |
|
26 |
25 |
$488.88 |
| 99233 |
Prolong inpt eval add15 m |
29 |
14 |
$364.19 |
| 94010 |
|
12 |
12 |
$343.79 |
| 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) |
19 |
14 |
$333.10 |
| 99173 |
|
127 |
121 |
$298.35 |
| 90680 |
|
13 |
12 |
$256.08 |
| 90723 |
|
12 |
12 |
$209.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$61.19 |
| 0502F |
|
93 |
60 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
26 |
$0.00 |