| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,043 |
8,449 |
$478K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,175 |
9,288 |
$407K |
| 99233 |
Prolong inpt eval add15 m |
5,910 |
1,889 |
$324K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,382 |
3,338 |
$255K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,905 |
2,664 |
$195K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,486 |
2,384 |
$170K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,635 |
2,620 |
$135K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,922 |
1,884 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
736 |
655 |
$73K |
| 99460 |
|
1,121 |
1,096 |
$60K |
| 20611 |
|
780 |
674 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
209 |
33 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
851 |
459 |
$15K |
| 99221 |
|
281 |
268 |
$13K |
| 99477 |
|
41 |
37 |
$12K |
| 94060 |
|
1,530 |
1,478 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
419 |
353 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
102 |
96 |
$6K |
| 73562 |
|
774 |
749 |
$5K |
| 94726 |
|
783 |
756 |
$5K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
45 |
12 |
$5K |
| 97597 |
|
329 |
161 |
$5K |
| 99462 |
|
183 |
152 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
113 |
108 |
$4K |
| 94729 |
|
768 |
744 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
930 |
859 |
$3K |
| 73030 |
|
408 |
392 |
$3K |
| 72170 |
|
227 |
225 |
$1K |
| 72110 |
|
107 |
107 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
12 |
$978.68 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$969.85 |
| 72100 |
|
127 |
126 |
$914.58 |
| 95816 |
|
29 |
27 |
$900.56 |
| 73100 |
|
133 |
110 |
$874.89 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$867.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
175 |
156 |
$707.75 |
| 99218 |
|
13 |
13 |
$672.90 |
| 99217 |
|
15 |
15 |
$611.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$474.12 |
| 90686 |
|
26 |
26 |
$437.69 |
| 73130 |
|
53 |
52 |
$414.36 |
| 73110 |
|
62 |
41 |
$365.01 |
| 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) |
254 |
249 |
$283.85 |
| 93923 |
|
12 |
12 |
$216.20 |
| 36620 |
|
13 |
12 |
$204.02 |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
33 |
$181.78 |
| 73610 |
|
27 |
25 |
$163.74 |
| 96127 |
|
81 |
79 |
$142.80 |
| 99442 |
|
18 |
18 |
$136.68 |