| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,255 |
8,978 |
$284K |
| 99215 |
Prolong outpt/office vis |
963 |
953 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,669 |
1,657 |
$70K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,639 |
1,537 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,758 |
681 |
$42K |
| J0178 |
Injection, aflibercept, 1 mg |
26 |
25 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,165 |
6,100 |
$22K |
| 95251 |
|
1,119 |
1,088 |
$18K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,407 |
612 |
$17K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
371 |
360 |
$16K |
| 92250 |
|
1,156 |
840 |
$16K |
| 92134 |
|
1,638 |
1,037 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
212 |
210 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
934 |
922 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
128 |
123 |
$4K |
| 82043 |
|
2,369 |
2,344 |
$4K |
| 80061 |
Lipid panel |
3,076 |
3,051 |
$4K |
| 82570 |
|
2,368 |
2,343 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
24 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
116 |
39 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
115 |
$3K |
| ATP17 |
|
695 |
694 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$2K |
| ATP11 |
|
447 |
447 |
$1K |
| 82565 |
|
2,026 |
2,009 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
15 |
$1K |
| 80051 |
|
1,601 |
1,587 |
$1K |
| ATP06 |
|
787 |
783 |
$1K |
| 84681 |
|
130 |
128 |
$1K |
| ATP09 |
|
360 |
360 |
$978.32 |
| 80053 |
Comprehensive metabolic panel |
685 |
679 |
$954.73 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
112 |
44 |
$949.22 |
| 36415 |
Collection of venous blood by venipuncture |
4,744 |
4,671 |
$835.54 |
| ATP14 |
|
246 |
245 |
$794.97 |
| 97803 |
|
36 |
36 |
$770.58 |
| 84439 |
|
229 |
226 |
$757.84 |
| 84520 |
|
1,479 |
1,465 |
$742.03 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
627 |
618 |
$736.49 |
| 84460 |
|
992 |
983 |
$703.07 |
| ATP13 |
|
235 |
235 |
$653.40 |
| ATP16 |
|
271 |
270 |
$611.04 |
| 92015 |
Determination of refractive state |
50 |
50 |
$605.46 |
| 84450 |
|
826 |
820 |
$543.82 |
| 85027 |
|
217 |
216 |
$537.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
67 |
$496.07 |
| ATP10 |
|
184 |
184 |
$456.96 |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
12 |
$377.34 |
| 80076 |
|
608 |
599 |
$360.18 |
| 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) |
80 |
80 |
$264.11 |
| ATP07 |
|
172 |
172 |
$261.33 |
| ATP03 |
|
72 |
72 |
$181.29 |
| 82962 |
|
505 |
494 |
$169.09 |
| ATP08 |
|
126 |
126 |
$166.49 |
| 99443 |
|
57 |
57 |
$121.56 |
| 81003 |
|
13 |
13 |
$14.55 |
| 85014 |
|
12 |
12 |
$10.88 |
| 85018 |
|
12 |
12 |
$10.88 |
| 82947 |
|
92 |
89 |
$10.49 |
| 84100 |
|
12 |
12 |
$8.56 |
| 82040 |
|
25 |
24 |
$6.32 |
| 36416 |
|
87 |
82 |
$5.40 |