| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,702 |
18,433 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,257 |
15,189 |
$349K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,204 |
2,733 |
$149K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,221 |
1,750 |
$131K |
| 99233 |
Prolong inpt eval add15 m |
1,126 |
432 |
$77K |
| 99222 |
Initial hospital care, per day, moderate complexity |
892 |
834 |
$58K |
| 90682 |
|
2,913 |
2,857 |
$31K |
| 90715 |
|
2,559 |
2,479 |
$30K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,151 |
1,139 |
$24K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,119 |
655 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
788 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
331 |
$19K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,104 |
2,847 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
863 |
777 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
139 |
$12K |
| 99215 |
Prolong outpt/office vis |
228 |
198 |
$12K |
| 99337 |
|
156 |
150 |
$11K |
| 90732 |
|
269 |
259 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
473 |
293 |
$11K |
| 90674 |
|
3,190 |
3,133 |
$9K |
| 99350 |
Prolong home eval add 15m |
190 |
184 |
$7K |
| 90670 |
|
800 |
763 |
$6K |
| G9012 |
Other specified case management service not elsewhere classified |
95 |
88 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
28 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
470 |
$5K |
| 90746 |
|
138 |
133 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
1,751 |
1,706 |
$4K |
| 99307 |
|
184 |
148 |
$3K |
| 95886 |
|
67 |
66 |
$3K |
| 90734 |
|
621 |
587 |
$3K |
| 99243 |
|
55 |
55 |
$3K |
| 90686 |
|
380 |
370 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
553 |
527 |
$3K |
| 99336 |
|
61 |
58 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
107 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
50 |
$1K |
| 90651 |
|
493 |
442 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,357 |
2,303 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$1K |
| 20610 |
|
69 |
63 |
$1K |
| 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) |
542 |
515 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
125 |
120 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
592 |
563 |
$1K |
| 99349 |
|
38 |
37 |
$960.61 |
| 99253 |
|
24 |
24 |
$925.88 |
| 73130 |
|
42 |
36 |
$865.40 |
| 86580 |
|
2,082 |
1,748 |
$650.25 |
| 99310 |
Prolong nursin fac eval 15m |
57 |
31 |
$590.88 |
| G0009 |
Administration of pneumococcal vaccine |
154 |
150 |
$464.93 |
| 90648 |
|
67 |
66 |
$420.00 |
| 90633 |
|
235 |
215 |
$348.00 |
| 90723 |
|
58 |
47 |
$278.10 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,908 |
1,576 |
$240.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$180.68 |
| 92551 |
|
27 |
27 |
$165.88 |
| 81025 |
|
12 |
12 |
$105.59 |
| 99173 |
|
42 |
42 |
$98.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$93.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
42 |
$49.01 |
| 90480 |
|
13 |
13 |
$34.00 |
| 3078F |
|
71 |
67 |
$30.00 |
| 80305 |
|
13 |
12 |
$11.97 |
| 3074F |
|
13 |
13 |
$10.00 |
| 4010F |
|
15 |
15 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,317 |
3,139 |
$0.00 |
| 90677 |
|
1,439 |
1,110 |
$0.00 |
| 1101F |
|
267 |
259 |
$0.00 |
| 90739 |
|
98 |
97 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
28 |
27 |
$0.00 |
| 90716 |
|
19 |
13 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 0001A |
|
28 |
28 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90673 |
|
318 |
314 |
$0.00 |
| 91322 |
|
142 |
142 |
$0.00 |
| 90661 |
|
570 |
568 |
$0.00 |
| 3288F |
|
293 |
283 |
$0.00 |
| 0124A |
|
57 |
54 |
$0.00 |
| 91312 |
|
60 |
60 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
16 |
$0.00 |
| 0003A |
|
18 |
18 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90707 |
|
34 |
28 |
$0.00 |
| 1090F |
|
12 |
12 |
$0.00 |
| 0054A |
|
13 |
13 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |