| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,417 |
18,534 |
$753K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,385 |
22,180 |
$530K |
| 81003 |
|
48,663 |
34,186 |
$384K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,609 |
5,027 |
$282K |
| J0897 |
Injection, denosumab, 1 mg |
1,121 |
780 |
$216K |
| 36415 |
Collection of venous blood by venipuncture |
11,716 |
8,794 |
$192K |
| 52000 |
|
4,717 |
4,032 |
$160K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
1,462 |
980 |
$103K |
| 76775 |
|
6,051 |
4,586 |
$101K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,625 |
851 |
$99K |
| 64566 |
|
838 |
428 |
$97K |
| 51798 |
|
11,518 |
9,046 |
$86K |
| 51705 |
|
3,518 |
2,530 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,847 |
2,939 |
$77K |
| 51728 |
|
393 |
358 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,308 |
1,727 |
$39K |
| 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) |
6,383 |
4,394 |
$39K |
| 51702 |
|
2,000 |
1,422 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,491 |
2,256 |
$36K |
| 76770 |
|
1,803 |
1,310 |
$28K |
| 51700 |
|
1,018 |
593 |
$27K |
| 88112 |
|
432 |
417 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,915 |
1,632 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
1,368 |
741 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,683 |
2,218 |
$18K |
| 99490 |
Ccm add 20min |
3,217 |
2,102 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
939 |
843 |
$17K |
| 99439 |
|
1,083 |
693 |
$17K |
| 96402 |
|
2,660 |
1,795 |
$15K |
| 51797 |
|
440 |
334 |
$15K |
| J9155 |
Injection, degarelix, 1 mg |
227 |
141 |
$14K |
| 76857 |
|
1,766 |
1,276 |
$13K |
| 52356 |
|
38 |
36 |
$8K |
| 76872 |
|
455 |
369 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
109 |
105 |
$5K |
| 52310 |
|
226 |
169 |
$5K |
| 88121 |
|
14 |
13 |
$5K |
| 55700 |
|
139 |
103 |
$4K |
| 52332 |
|
107 |
94 |
$4K |
| 96401 |
|
326 |
239 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,246 |
764 |
$3K |
| 51703 |
|
277 |
181 |
$3K |
| 52287 |
|
124 |
100 |
$3K |
| 74420 |
|
74 |
66 |
$3K |
| 51784 |
|
437 |
330 |
$3K |
| 99215 |
Prolong outpt/office vis |
127 |
102 |
$2K |
| 99489 |
Ccm add 20min |
48 |
38 |
$2K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
16 |
12 |
$1K |
| 99243 |
|
20 |
15 |
$697.98 |
| 99406 |
|
58 |
38 |
$585.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
123 |
86 |
$383.22 |
| 82570 |
|
30 |
28 |
$107.87 |
| 99221 |
|
12 |
12 |
$22.76 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
13 |
$6.48 |
| 99487 |
Ccm add 20min |
48 |
38 |
$0.00 |
| 99426 |
|
1,112 |
725 |
$0.00 |
| 99427 |
|
114 |
79 |
$0.00 |
| 51729 |
|
58 |
38 |
$0.00 |
| G0416 |
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method |
40 |
36 |
$0.00 |
| 51741 |
|
1,919 |
1,513 |
$-1033.63 |