| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,327 |
38,137 |
$2.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,631 |
29,476 |
$1.52M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,782 |
7,104 |
$558K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,346 |
5,876 |
$525K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,416 |
8,767 |
$408K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,051 |
341 |
$112K |
| 99215 |
Prolong outpt/office vis |
1,084 |
1,010 |
$107K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,778 |
2,128 |
$106K |
| 93000 |
|
11,946 |
10,620 |
$93K |
| 99243 |
|
859 |
805 |
$87K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,559 |
1,323 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
794 |
712 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
745 |
677 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,418 |
1,247 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,228 |
2,076 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,869 |
1,639 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
546 |
519 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
770 |
691 |
$50K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,421 |
1,269 |
$42K |
| 99349 |
|
1,391 |
955 |
$41K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,303 |
1,177 |
$40K |
| 99460 |
|
607 |
529 |
$39K |
| 92588 |
|
1,017 |
966 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
713 |
602 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
178 |
163 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
859 |
798 |
$23K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
125 |
117 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
733 |
454 |
$20K |
| 99307 |
|
1,368 |
1,283 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
142 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
237 |
199 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
163 |
155 |
$13K |
| 92567 |
|
1,496 |
1,402 |
$13K |
| 54150 |
|
111 |
86 |
$10K |
| 92557 |
|
424 |
391 |
$10K |
| 20611 |
|
221 |
182 |
$8K |
| 92579 |
|
262 |
251 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
446 |
208 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
437 |
401 |
$5K |
| 90723 |
|
82 |
81 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
15 |
$3K |
| 95886 |
|
70 |
63 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
108 |
50 |
$3K |
| 73030 |
|
196 |
167 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
225 |
166 |
$2K |
| 90670 |
|
198 |
198 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 43235 |
|
13 |
12 |
$2K |
| 99462 |
|
59 |
37 |
$1K |
| 94729 |
|
74 |
66 |
$1K |
| 88307 |
|
16 |
16 |
$1K |
| 99348 |
|
67 |
54 |
$1K |
| 94726 |
|
73 |
66 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
200 |
177 |
$889.74 |
| 00731 |
|
57 |
39 |
$784.73 |
| 73110 |
|
29 |
26 |
$784.64 |
| 90647 |
|
83 |
83 |
$705.36 |
| 90686 |
|
70 |
70 |
$581.85 |
| 99219 |
|
13 |
12 |
$555.62 |
| 73610 |
|
17 |
13 |
$417.03 |
| 88304 |
|
57 |
55 |
$388.40 |
| 99318 |
|
20 |
20 |
$372.83 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
52 |
41 |
$351.52 |
| 99305 |
|
15 |
15 |
$346.60 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
12 |
$231.60 |
| 94010 |
|
33 |
30 |
$223.89 |
| 93296 |
|
28 |
25 |
$221.64 |
| 93793 |
|
43 |
13 |
$195.53 |
| 87430 |
|
12 |
12 |
$180.08 |
| 83655 |
|
15 |
13 |
$178.75 |
| 97597 |
|
13 |
12 |
$155.31 |
| 94060 |
|
13 |
13 |
$113.51 |
| 90633 |
|
12 |
12 |
$98.46 |
| 81025 |
|
13 |
13 |
$95.74 |
| 93016 |
|
13 |
12 |
$89.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
17 |
$69.05 |
| 93018 |
|
13 |
12 |
$63.92 |
| 85018 |
|
16 |
14 |
$37.66 |
| 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) |
13 |
13 |
$28.16 |