| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,287 |
3,844 |
$297K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,762 |
1,595 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,292 |
2,019 |
$111K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,551 |
1,450 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
652 |
605 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
299 |
280 |
$36K |
| 99215 |
Prolong outpt/office vis |
290 |
272 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
242 |
228 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
411 |
362 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
904 |
772 |
$10K |
| 73630 |
|
646 |
493 |
$6K |
| 11721 |
|
332 |
313 |
$5K |
| 95886 |
|
85 |
82 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
118 |
106 |
$4K |
| 27096 |
|
30 |
28 |
$3K |
| 95911 |
|
25 |
24 |
$3K |
| 20553 |
|
115 |
62 |
$3K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
13 |
12 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
211 |
196 |
$2K |
| 0001A |
|
54 |
50 |
$2K |
| 0002A |
|
49 |
46 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
29 |
$1K |
| 62321 |
|
16 |
13 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
14 |
$789.30 |
| 87428 |
|
35 |
33 |
$740.23 |
| 99417 |
Prolong home eval add 15m |
14 |
12 |
$555.52 |
| 73110 |
|
47 |
38 |
$515.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$482.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
37 |
$467.80 |
| 36415 |
Collection of venous blood by venipuncture |
223 |
193 |
$413.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$407.80 |
| 72110 |
|
54 |
39 |
$389.02 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$347.93 |
| 96127 |
|
55 |
47 |
$241.38 |
| 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) |
367 |
344 |
$203.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
39 |
$193.56 |
| 11730 |
|
24 |
24 |
$174.48 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
34 |
24 |
$151.99 |
| 73140 |
|
12 |
12 |
$84.90 |
| 97026 |
|
17 |
12 |
$61.63 |
| 11732 |
|
12 |
12 |
$43.65 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
268 |
237 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
81 |
64 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
22 |
21 |
$0.00 |
| 1036F |
|
127 |
115 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
141 |
128 |
$0.00 |