| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,312 |
18,875 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,327 |
13,537 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,833 |
11,648 |
$1.20M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,973 |
28,206 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,910 |
9,370 |
$905K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,625 |
6,546 |
$679K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,700 |
12,070 |
$505K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,165 |
2,145 |
$245K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,388 |
4,224 |
$191K |
| 99460 |
|
2,551 |
2,424 |
$189K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,413 |
2,303 |
$145K |
| 90671 |
|
852 |
802 |
$138K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,359 |
5,200 |
$71K |
| 99233 |
Prolong inpt eval add15 m |
1,941 |
865 |
$54K |
| 99223 |
Prolong inpt eval add15 m |
735 |
508 |
$32K |
| 90677 |
|
1,331 |
1,303 |
$29K |
| 99188 |
|
1,629 |
1,622 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
747 |
734 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,183 |
1,177 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
746 |
745 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,749 |
3,511 |
$17K |
| 85018 |
|
5,364 |
5,313 |
$16K |
| 99462 |
|
315 |
259 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
936 |
859 |
$11K |
| 99381 |
|
188 |
170 |
$10K |
| 96161 |
|
2,381 |
2,256 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
102 |
$5K |
| 96127 |
|
1,080 |
1,079 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
132 |
117 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,863 |
3,734 |
$3K |
| 76857 |
|
36 |
36 |
$2K |
| 99463 |
|
18 |
18 |
$2K |
| 81002 |
|
653 |
540 |
$2K |
| 59025 |
Fetal non-stress test |
67 |
60 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| 0071A |
|
41 |
41 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 96380 |
|
99 |
92 |
$748.45 |
| 90633 |
|
3,108 |
3,088 |
$593.65 |
| 36416 |
|
5,249 |
4,940 |
$540.05 |
| 81025 |
|
93 |
77 |
$497.35 |
| 99318 |
|
26 |
26 |
$427.17 |
| 93000 |
|
15 |
15 |
$326.17 |
| 90670 |
|
6,979 |
6,772 |
$262.07 |
| 90716 |
|
581 |
578 |
$251.32 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$245.37 |
| 90651 |
|
210 |
210 |
$204.87 |
| 88720 |
|
55 |
40 |
$182.39 |
| 90707 |
|
568 |
566 |
$145.96 |
| 90698 |
|
8,987 |
8,769 |
$88.60 |
| 99307 |
|
81 |
81 |
$54.38 |
| 90696 |
|
289 |
288 |
$22.15 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
78 |
76 |
$2.23 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
82 |
67 |
$0.02 |
| 90681 |
|
2,885 |
2,786 |
$0.00 |
| 90734 |
|
246 |
246 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90710 |
|
304 |
303 |
$0.00 |
| 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) |
60 |
54 |
$0.00 |
| 90687 |
|
56 |
55 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 81003 |
|
28 |
28 |
$0.00 |
| 90656 |
|
435 |
435 |
$0.00 |
| 90686 |
|
5,151 |
5,104 |
$0.00 |
| 90744 |
|
4,065 |
3,903 |
$0.00 |
| 91307 |
|
19 |
19 |
$0.00 |
| 1111F |
|
259 |
206 |
$0.00 |
| 1123F |
|
62 |
42 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |
| 90381 |
|
34 |
32 |
$0.00 |