| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,986 |
5,730 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,332 |
5,786 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
837 |
732 |
$50K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,463 |
1,223 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,489 |
1,252 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
1,132 |
463 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,811 |
724 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
593 |
517 |
$26K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
149 |
134 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
955 |
856 |
$25K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
254 |
222 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
645 |
491 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
272 |
234 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
879 |
371 |
$7K |
| 90961 |
|
205 |
202 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
209 |
187 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
68 |
$5K |
| 11721 |
|
761 |
593 |
$2K |
| 99460 |
|
43 |
41 |
$2K |
| 20610 |
|
367 |
284 |
$2K |
| 99219 |
|
43 |
37 |
$1K |
| 97597 |
|
338 |
280 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$475.39 |
| 99462 |
|
17 |
13 |
$379.66 |
| 90756 |
|
61 |
57 |
$320.00 |
| 90962 |
|
13 |
12 |
$226.64 |
| 73560 |
|
49 |
39 |
$165.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$147.00 |
| 96161 |
|
14 |
12 |
$97.68 |
| 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) |
491 |
318 |
$15.50 |
| 81002 |
|
134 |
117 |
$10.16 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
19 |
14 |
$9.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
274 |
226 |
$9.24 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
20 |
13 |
$3.06 |
| 73030 |
|
17 |
12 |
$1.50 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,295 |
836 |
$0.00 |
| 99499 |
|
648 |
546 |
$0.00 |
| 1159F |
|
81 |
56 |
$0.00 |
| 1160F |
|
56 |
39 |
$0.00 |
| 3078F |
|
155 |
132 |
$0.00 |
| 3074F |
|
203 |
167 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
36 |
$0.00 |
| 3008F |
|
892 |
643 |
$0.00 |
| 1036F |
|
618 |
458 |
$0.00 |
| 1125F |
|
272 |
204 |
$0.00 |
| 3075F |
|
17 |
13 |
$0.00 |
| 99024 |
|
34 |
25 |
$0.00 |
| 1126F |
|
78 |
69 |
$0.00 |