| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,834 |
35,613 |
$1.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,429 |
51,376 |
$1.25M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,055 |
5,744 |
$234K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,700 |
22,837 |
$193K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,457 |
1,008 |
$169K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,363 |
2,201 |
$150K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,197 |
3,963 |
$145K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
301 |
108 |
$142K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,435 |
3,105 |
$102K |
| 99223 |
Prolong inpt eval add15 m |
1,805 |
1,644 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,753 |
2,543 |
$82K |
| 99233 |
Prolong inpt eval add15 m |
3,536 |
1,817 |
$76K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,236 |
3,038 |
$54K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,765 |
1,576 |
$52K |
| 90837 |
Psychotherapy, 53 minutes with patient |
659 |
446 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,753 |
3,251 |
$43K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,900 |
3,312 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
841 |
777 |
$36K |
| 95886 |
|
788 |
704 |
$31K |
| 95117 |
|
3,286 |
1,004 |
$26K |
| 93000 |
|
2,661 |
2,504 |
$25K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
549 |
510 |
$24K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
371 |
332 |
$23K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
709 |
665 |
$21K |
| 64635 |
|
342 |
303 |
$19K |
| 99205 |
Prolong outpt/office vis |
242 |
216 |
$17K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
282 |
248 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
471 |
261 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
393 |
233 |
$12K |
| 93016 |
|
766 |
705 |
$11K |
| 99215 |
Prolong outpt/office vis |
254 |
230 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
163 |
119 |
$10K |
| 94060 |
|
1,113 |
1,046 |
$9K |
| 95911 |
|
82 |
79 |
$8K |
| 93018 |
|
735 |
677 |
$6K |
| 99152 |
|
966 |
859 |
$6K |
| 64636 |
|
289 |
184 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
472 |
272 |
$6K |
| 64615 |
|
68 |
36 |
$5K |
| 77427 |
|
42 |
25 |
$5K |
| 95811 |
|
78 |
66 |
$4K |
| 94726 |
|
1,098 |
1,027 |
$4K |
| 94729 |
|
1,128 |
1,059 |
$4K |
| 80305 |
|
514 |
458 |
$4K |
| 99490 |
Ccm add 20min |
2,166 |
2,080 |
$3K |
| 51798 |
|
411 |
383 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
89 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
170 |
148 |
$2K |
| 95816 |
|
133 |
127 |
$2K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
155 |
152 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$2K |
| 93227 |
|
88 |
76 |
$2K |
| 93458 |
|
14 |
13 |
$1K |
| 99220 |
|
26 |
25 |
$1K |
| 90838 |
|
14 |
12 |
$993.81 |
| 81003 |
|
872 |
782 |
$799.28 |
| 27096 |
|
14 |
13 |
$748.47 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
124 |
108 |
$728.51 |
| 96130 |
|
17 |
14 |
$720.00 |
| 96131 |
|
17 |
14 |
$720.00 |
| 93296 |
|
56 |
54 |
$614.29 |
| 64493 |
|
13 |
13 |
$593.42 |
| 93272 |
|
37 |
37 |
$581.41 |
| 95910 |
|
14 |
13 |
$577.11 |
| 64494 |
|
20 |
12 |
$449.35 |
| 99221 |
|
27 |
26 |
$389.26 |
| 99219 |
|
12 |
12 |
$351.47 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
25 |
24 |
$161.14 |
| 99443 |
|
12 |
12 |
$143.69 |
| 93297 |
|
12 |
12 |
$131.50 |
| 93308 |
|
12 |
12 |
$124.29 |
| 99305 |
|
17 |
16 |
$90.56 |
| 93325 |
|
26 |
25 |
$56.16 |
| 94010 |
|
13 |
12 |
$45.11 |
| 99406 |
|
13 |
12 |
$39.13 |
| A4617 |
Mouth piece |
13 |
13 |
$9.05 |
| 4004F |
|
7,325 |
6,600 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
45,989 |
41,075 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
22,085 |
19,097 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
28,499 |
25,463 |
$0.00 |
| 3023F |
|
809 |
763 |
$0.00 |
| 3078F |
|
2,574 |
2,354 |
$0.00 |
| 3077F |
|
328 |
307 |
$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) |
130 |
128 |
$0.00 |
| 4040F |
|
183 |
177 |
$0.00 |
| 2022F |
|
208 |
192 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
15 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
31 |
$0.00 |
| 1090F |
|
53 |
49 |
$0.00 |
| 99491 |
Ccm add 20min |
20 |
15 |
$0.00 |
| 3046F |
|
14 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
77 |
62 |
$0.00 |
| 1036F |
|
25,669 |
22,345 |
$0.00 |
| 3017F |
|
15,963 |
14,783 |
$0.00 |
| 3075F |
|
89 |
84 |
$0.00 |
| 3074F |
|
2,411 |
2,126 |
$0.00 |
| 3079F |
|
415 |
366 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
271 |
259 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
157 |
151 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
747 |
608 |
$0.00 |
| 1123F |
|
1,097 |
1,053 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
303 |
297 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99024 |
|
77 |
39 |
$0.00 |