| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,640 |
10,904 |
$547K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,126 |
8,763 |
$509K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,828 |
1,826 |
$148K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,456 |
4,274 |
$87K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,358 |
1,100 |
$71K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,644 |
1,588 |
$70K |
| 99442 |
|
1,242 |
1,128 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
618 |
606 |
$58K |
| 99215 |
Prolong outpt/office vis |
662 |
635 |
$50K |
| 92588 |
|
1,327 |
1,327 |
$37K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
741 |
733 |
$24K |
| 99443 |
|
465 |
430 |
$23K |
| 92557 |
|
804 |
804 |
$22K |
| 92550 |
|
1,342 |
1,342 |
$20K |
| 99348 |
|
994 |
952 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
207 |
206 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
141 |
140 |
$14K |
| 94060 |
|
444 |
443 |
$11K |
| 94729 |
|
449 |
448 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
272 |
270 |
$10K |
| 92555 |
|
519 |
519 |
$9K |
| 31575 |
|
115 |
114 |
$9K |
| 94727 |
|
461 |
459 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
77 |
77 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
79 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
600 |
597 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
194 |
$7K |
| 31231 |
|
64 |
64 |
$6K |
| 88342 |
|
339 |
334 |
$6K |
| 88307 |
|
99 |
97 |
$6K |
| 93000 |
|
429 |
424 |
$6K |
| 88150 |
|
677 |
677 |
$5K |
| 99386 |
|
43 |
43 |
$5K |
| 99441 |
|
162 |
156 |
$5K |
| 88304 |
|
437 |
431 |
$5K |
| 99205 |
Prolong outpt/office vis |
60 |
60 |
$5K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
92 |
92 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
87 |
85 |
$4K |
| 99385 |
|
51 |
51 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
106 |
24 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
15 |
$3K |
| 31238 |
|
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
173 |
$2K |
| 99307 |
|
235 |
209 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
100 |
30 |
$1K |
| 90756 |
|
88 |
88 |
$1K |
| 81025 |
|
240 |
240 |
$1K |
| 90686 |
|
60 |
60 |
$1K |
| 99318 |
|
60 |
60 |
$993.29 |
| 99306 |
Prolong nursin fac eval 15m |
20 |
20 |
$741.86 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
60 |
$737.01 |
| 93356 |
|
117 |
116 |
$731.36 |
| 88311 |
|
70 |
66 |
$464.18 |
| 88300 |
|
75 |
75 |
$345.18 |
| 69210 |
|
12 |
12 |
$333.11 |
| 81002 |
|
233 |
204 |
$331.31 |
| 99401 |
|
13 |
12 |
$318.00 |
| 90674 |
|
14 |
14 |
$296.09 |
| 88313 |
|
27 |
27 |
$231.21 |
| 95251 |
|
16 |
15 |
$211.04 |
| 99349 |
|
13 |
13 |
$155.93 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
96 |
$152.49 |
| 88341 |
|
12 |
12 |
$149.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$142.99 |
| 87070 |
|
15 |
15 |
$128.84 |
| 51741 |
|
12 |
12 |
$106.48 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
27 |
25 |
$92.86 |
| 82948 |
|
41 |
37 |
$69.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$63.52 |
| 82962 |
|
102 |
98 |
$62.30 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
483 |
417 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
99 |
77 |
$0.00 |
| 3044F |
|
19 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
397 |
349 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
99 |
77 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$0.00 |