| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,276 |
8,900 |
$245K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,623 |
2,601 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,325 |
6,097 |
$120K |
| 99215 |
Prolong outpt/office vis |
2,081 |
1,973 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
3,191 |
1,125 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
1,578 |
1,290 |
$62K |
| 99205 |
Prolong outpt/office vis |
858 |
836 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,507 |
1,567 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,409 |
1,401 |
$46K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,215 |
2,200 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
723 |
668 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,452 |
6,425 |
$18K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
292 |
292 |
$9K |
| 99442 |
|
320 |
317 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
248 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
153 |
144 |
$4K |
| 20610 |
|
224 |
198 |
$4K |
| 95811 |
|
25 |
25 |
$3K |
| 99443 |
|
133 |
132 |
$3K |
| 77427 |
|
30 |
18 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
131 |
78 |
$3K |
| 93350 |
|
68 |
68 |
$2K |
| 93018 |
|
411 |
409 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
67 |
$2K |
| 0002A |
|
56 |
56 |
$2K |
| 93297 |
|
107 |
106 |
$2K |
| 93970 |
|
103 |
102 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
27 |
26 |
$2K |
| 0001A |
|
57 |
57 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
23 |
16 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
50 |
27 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
17 |
17 |
$1K |
| 93298 |
|
56 |
56 |
$1K |
| 77334 |
|
16 |
12 |
$921.54 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$803.90 |
| 93016 |
|
108 |
108 |
$710.76 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
33 |
$708.45 |
| 93295 |
|
42 |
41 |
$677.16 |
| 0012A |
|
16 |
16 |
$625.23 |
| 76801 |
|
27 |
27 |
$619.99 |
| 77290 |
|
12 |
12 |
$509.24 |
| 93000 |
|
110 |
108 |
$498.05 |
| 93971 |
|
47 |
46 |
$416.95 |
| 93294 |
|
25 |
25 |
$393.78 |
| 59025 |
Fetal non-stress test |
29 |
15 |
$375.56 |
| 73560 |
|
120 |
94 |
$369.12 |
| 95816 |
|
13 |
13 |
$360.90 |
| 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) |
151 |
149 |
$341.71 |
| 76820 |
|
21 |
12 |
$304.24 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$276.74 |
| 73565 |
|
79 |
79 |
$272.45 |
| 92015 |
Determination of refractive state |
28 |
28 |
$260.51 |
| 93880 |
|
12 |
12 |
$244.09 |
| 93308 |
|
16 |
12 |
$231.94 |
| 99441 |
|
12 |
12 |
$218.79 |
| 77080 |
|
42 |
42 |
$195.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
21 |
$166.40 |
| 72100 |
|
37 |
37 |
$159.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$146.73 |
| 92250 |
|
13 |
12 |
$142.39 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
60 |
$132.64 |
| 73610 |
|
24 |
20 |
$86.93 |
| 73030 |
|
16 |
14 |
$64.51 |
| 73110 |
|
15 |
13 |
$41.33 |
| 93325 |
|
19 |
14 |
$37.74 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
22 |
22 |
$20.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,453 |
1,428 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| 3079F |
|
886 |
844 |
$0.00 |
| 3075F |
|
579 |
544 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
3,261 |
3,054 |
$0.00 |
| 3074F |
|
2,712 |
2,536 |
$0.00 |
| 3080F |
|
183 |
178 |
$0.00 |
| 3078F |
|
2,825 |
2,629 |
$0.00 |
| 3046F |
|
31 |
31 |
$0.00 |
| 3077F |
|
672 |
633 |
$0.00 |