| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,099 |
27,488 |
$2.24M |
| 99215 |
Prolong outpt/office vis |
9,215 |
8,124 |
$944K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,567 |
4,297 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,764 |
6,137 |
$330K |
| 99205 |
Prolong outpt/office vis |
1,759 |
1,617 |
$233K |
| 94375 |
|
4,592 |
4,257 |
$119K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,193 |
1,107 |
$102K |
| 97803 |
|
1,009 |
941 |
$69K |
| 95782 |
|
521 |
483 |
$47K |
| 94060 |
|
634 |
572 |
$24K |
| 95822 |
|
405 |
365 |
$16K |
| 95819 |
|
373 |
357 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,074 |
1,908 |
$16K |
| 95251 |
|
607 |
560 |
$14K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
1,142 |
1,022 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,835 |
2,551 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
248 |
52 |
$8K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
298 |
264 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
499 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
40 |
36 |
$6K |
| 90686 |
|
509 |
486 |
$6K |
| 90732 |
|
58 |
50 |
$5K |
| 82962 |
|
2,107 |
1,946 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
67 |
53 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
33 |
30 |
$4K |
| 95816 |
|
55 |
54 |
$2K |
| 96137 |
|
38 |
26 |
$2K |
| 96131 |
|
35 |
26 |
$2K |
| 95812 |
|
40 |
39 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
30 |
25 |
$1K |
| 96130 |
|
36 |
26 |
$1K |
| 94729 |
|
30 |
26 |
$1K |
| 94726 |
|
30 |
26 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
12 |
12 |
$977.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$865.99 |
| 96136 |
|
36 |
26 |
$575.45 |
| S8100 |
Holding chamber or spacer for use with an inhaler or nebulizer; without mask |
40 |
38 |
$333.00 |
| 82010 |
|
64 |
57 |
$327.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$293.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
36 |
$258.17 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
13 |
$184.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
45 |
$171.64 |
| 94010 |
|
16 |
16 |
$78.16 |
| A7015 |
Aerosol mask, used with dme nebulizer |
53 |
48 |
$54.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$21.04 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
135 |
123 |
$10.39 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
50 |
42 |
$0.00 |