| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,715 |
13,893 |
$599K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,196 |
11,414 |
$295K |
| 99254 |
|
1,642 |
1,626 |
$220K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
930 |
930 |
$169K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,721 |
1,721 |
$143K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,339 |
983 |
$131K |
| 95911 |
|
572 |
571 |
$116K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,340 |
2,332 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
610 |
609 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
826 |
270 |
$51K |
| 99215 |
Prolong outpt/office vis |
1,774 |
1,657 |
$38K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,012 |
4,417 |
$32K |
| 99205 |
Prolong outpt/office vis |
146 |
146 |
$23K |
| 99243 |
|
163 |
163 |
$21K |
| 95886 |
|
207 |
207 |
$20K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
173 |
171 |
$19K |
| 59425 |
|
251 |
172 |
$17K |
| 92557 |
|
614 |
614 |
$15K |
| 92567 |
|
993 |
985 |
$14K |
| 90686 |
|
636 |
627 |
$13K |
| 47562 |
|
26 |
26 |
$13K |
| 47563 |
|
24 |
24 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
149 |
148 |
$12K |
| 0012A |
|
273 |
273 |
$10K |
| 52000 |
|
63 |
60 |
$10K |
| 0011A |
|
261 |
261 |
$9K |
| 93000 |
|
543 |
537 |
$7K |
| 99245 |
|
42 |
42 |
$7K |
| 90670 |
|
25 |
25 |
$5K |
| 95885 |
|
43 |
43 |
$4K |
| 51798 |
|
244 |
244 |
$4K |
| 81002 |
|
1,779 |
1,541 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
252 |
$3K |
| 76857 |
|
79 |
78 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
37 |
37 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
30 |
$2K |
| 90656 |
|
64 |
64 |
$2K |
| 95816 |
|
39 |
38 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
61 |
$2K |
| 0064A |
|
51 |
51 |
$1K |
| 93244 |
|
90 |
90 |
$1K |
| 0001A |
|
32 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
124 |
$1K |
| 46600 |
|
12 |
12 |
$825.25 |
| 93242 |
|
97 |
97 |
$774.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
82 |
$690.39 |
| 92551 |
|
263 |
263 |
$567.22 |
| 93015 |
|
12 |
12 |
$559.73 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
22 |
22 |
$544.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$517.12 |
| 69210 |
|
24 |
24 |
$445.41 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
167 |
$400.28 |
| 99222 |
Initial hospital care, per day, moderate complexity |
176 |
174 |
$332.95 |
| 74300 |
|
24 |
24 |
$282.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
37 |
$257.56 |
| 90648 |
|
13 |
13 |
$252.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
26 |
$220.34 |
| 90694 |
|
15 |
15 |
$70.89 |
| 99382 |
|
12 |
12 |
$70.69 |
| 99173 |
|
17 |
17 |
$58.18 |
| 85018 |
|
14 |
14 |
$35.72 |
| 3078F |
|
700 |
659 |
$0.00 |
| 3077F |
|
74 |
68 |
$0.00 |
| 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) |
16 |
16 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$0.00 |
| 3079F |
|
149 |
145 |
$0.00 |
| 3074F |
|
599 |
569 |
$0.00 |
| 3075F |
|
47 |
46 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |