| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,974 |
9,943 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,589 |
6,995 |
$177K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,026 |
953 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,192 |
1,084 |
$81K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
210 |
185 |
$57K |
| 99215 |
Prolong outpt/office vis |
689 |
621 |
$29K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
104 |
97 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
774 |
734 |
$22K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
346 |
296 |
$18K |
| 93970 |
|
952 |
869 |
$17K |
| 94010 |
|
537 |
474 |
$16K |
| 92015 |
Determination of refractive state |
2,332 |
2,116 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
413 |
367 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,068 |
524 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
837 |
786 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
255 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,927 |
1,806 |
$11K |
| 99205 |
Prolong outpt/office vis |
101 |
92 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
310 |
277 |
$8K |
| 93971 |
|
520 |
488 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
180 |
168 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
355 |
144 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
405 |
390 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
85 |
81 |
$6K |
| 84439 |
|
639 |
604 |
$5K |
| 94618 |
|
350 |
318 |
$4K |
| 82962 |
|
2,148 |
2,021 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
49 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
157 |
68 |
$2K |
| 0012A |
|
63 |
61 |
$2K |
| 0011A |
|
71 |
68 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
15 |
$2K |
| 17110 |
|
70 |
63 |
$2K |
| 99443 |
|
95 |
67 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
53 |
39 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
65 |
52 |
$1K |
| 94726 |
|
160 |
148 |
$994.71 |
| 94729 |
|
189 |
176 |
$791.68 |
| 94060 |
|
92 |
83 |
$715.18 |
| 36416 |
|
1,326 |
1,239 |
$643.33 |
| 80053 |
Comprehensive metabolic panel |
72 |
67 |
$621.47 |
| 95806 |
|
12 |
12 |
$531.50 |
| 92250 |
|
32 |
28 |
$497.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$379.87 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$365.97 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$363.17 |
| 81000 |
|
163 |
138 |
$295.72 |
| 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) |
99 |
96 |
$262.13 |
| 99152 |
|
15 |
12 |
$261.69 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
28 |
$221.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$157.16 |
| 36415 |
Collection of venous blood by venipuncture |
893 |
815 |
$150.51 |
| 51798 |
|
17 |
13 |
$89.82 |
| 91301 |
|
150 |
138 |
$0.34 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48 |
39 |
$0.00 |