| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,258 |
19,708 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,187 |
17,497 |
$960K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,784 |
12,549 |
$538K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,359 |
5,229 |
$392K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,032 |
5,241 |
$207K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
824 |
808 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
999 |
975 |
$54K |
| 96127 |
|
4,303 |
4,048 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
454 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,961 |
2,669 |
$14K |
| 99215 |
Prolong outpt/office vis |
127 |
107 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,167 |
2,118 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
459 |
442 |
$10K |
| 82075 |
|
414 |
316 |
$9K |
| 0002A |
|
241 |
238 |
$9K |
| 80305 |
|
812 |
647 |
$7K |
| 0001A |
|
230 |
229 |
$7K |
| 99205 |
Prolong outpt/office vis |
70 |
69 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
76 |
67 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
146 |
143 |
$4K |
| 90686 |
|
232 |
231 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 11721 |
|
286 |
278 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
393 |
389 |
$2K |
| 11056 |
|
58 |
55 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
74 |
73 |
$2K |
| 90688 |
|
103 |
103 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
83 |
80 |
$1K |
| 99354 |
|
29 |
28 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
276 |
270 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$999.69 |
| 99223 |
Prolong inpt eval add15 m |
15 |
12 |
$803.07 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
65 |
37 |
$714.20 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
54 |
52 |
$711.07 |
| 0003A |
|
16 |
16 |
$649.60 |
| 94729 |
|
106 |
106 |
$579.51 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$559.77 |
| 73630 |
|
106 |
94 |
$538.84 |
| 94726 |
|
66 |
66 |
$489.11 |
| 99442 |
|
19 |
17 |
$452.75 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
14 |
13 |
$445.96 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
13 |
$428.92 |
| 97597 |
|
18 |
12 |
$395.06 |
| 94060 |
|
65 |
65 |
$390.80 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
205 |
$354.69 |
| 80053 |
Comprehensive metabolic panel |
42 |
42 |
$347.49 |
| 73610 |
|
57 |
52 |
$271.82 |
| 73030 |
|
41 |
41 |
$219.68 |
| 73130 |
|
39 |
37 |
$203.77 |
| 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) |
263 |
248 |
$114.08 |
| 72100 |
|
12 |
12 |
$75.05 |
| 74019 |
|
12 |
12 |
$73.23 |
| 73502 |
|
15 |
12 |
$65.16 |
| 73562 |
|
13 |
12 |
$60.44 |
| 73110 |
|
12 |
12 |
$58.81 |
| 99459 |
|
12 |
12 |
$54.60 |
| 91300 |
|
633 |
524 |
$0.00 |