| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,667 |
40,698 |
$1.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,936 |
30,258 |
$1.29M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,454 |
7,314 |
$508K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,149 |
2,070 |
$192K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,744 |
2,700 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,809 |
1,782 |
$98K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,958 |
1,399 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,435 |
831 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,401 |
1,295 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,136 |
1,479 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,157 |
1,148 |
$60K |
| 99215 |
Prolong outpt/office vis |
988 |
919 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,072 |
1,054 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,566 |
1,545 |
$37K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,637 |
543 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,975 |
6,666 |
$32K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
327 |
317 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
351 |
$24K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
406 |
315 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
261 |
252 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
244 |
$14K |
| 95886 |
|
535 |
531 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
437 |
361 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
180 |
121 |
$12K |
| 99221 |
|
226 |
219 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
670 |
424 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
519 |
468 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
93 |
92 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
285 |
$6K |
| 11721 |
|
804 |
790 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
72 |
72 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
162 |
64 |
$5K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
155 |
152 |
$5K |
| 99205 |
Prolong outpt/office vis |
58 |
54 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
58 |
51 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
29 |
29 |
$4K |
| 95908 |
|
103 |
103 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
121 |
$3K |
| 95910 |
|
43 |
43 |
$3K |
| 99443 |
|
110 |
84 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
93 |
80 |
$2K |
| G0400 |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
46 |
45 |
$2K |
| 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) |
2,220 |
2,091 |
$2K |
| 94060 |
|
263 |
262 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
67 |
67 |
$2K |
| 11102 |
|
88 |
86 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
39 |
$2K |
| 20610 |
|
98 |
80 |
$1K |
| 98968 |
|
41 |
28 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
38 |
$1K |
| 99442 |
|
57 |
54 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
100 |
98 |
$821.33 |
| 98928 |
|
28 |
24 |
$814.19 |
| 00731 |
|
31 |
29 |
$763.50 |
| 94729 |
|
182 |
177 |
$729.74 |
| 20553 |
|
30 |
24 |
$707.31 |
| 17110 |
|
30 |
27 |
$522.32 |
| 76830 |
Ultrasound, transvaginal |
25 |
24 |
$438.65 |
| 94726 |
|
89 |
86 |
$387.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$353.76 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
20 |
12 |
$267.54 |
| 99188 |
|
18 |
15 |
$261.16 |
| 94727 |
|
41 |
41 |
$241.88 |
| 96127 |
|
41 |
40 |
$131.44 |
| 69210 |
|
14 |
12 |
$116.61 |
| 99441 |
|
15 |
13 |
$110.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$81.97 |
| 73630 |
|
12 |
12 |
$47.41 |
| 94010 |
|
15 |
12 |
$22.13 |