| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,764 |
43,068 |
$2.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,569 |
27,806 |
$2.04M |
| 99215 |
Prolong outpt/office vis |
6,296 |
5,255 |
$761K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,340 |
4,258 |
$322K |
| X5622 |
|
3,514 |
3,347 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,306 |
3,206 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,603 |
6,406 |
$233K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,126 |
1,471 |
$214K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,014 |
2,895 |
$192K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
12,280 |
11,927 |
$115K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,736 |
457 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,038 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
716 |
695 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,032 |
998 |
$66K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,609 |
2,206 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,253 |
2,153 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,551 |
3,371 |
$45K |
| 99188 |
|
3,872 |
3,784 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
407 |
404 |
$33K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
324 |
323 |
$31K |
| 99417 |
Prolong home eval add 15m |
756 |
679 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
236 |
235 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
395 |
259 |
$20K |
| 11721 |
|
1,113 |
1,065 |
$19K |
| 90686 |
|
3,923 |
3,744 |
$15K |
| 95886 |
|
184 |
169 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
104 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
904 |
691 |
$9K |
| 0001A |
|
331 |
310 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
71 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
194 |
174 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
988 |
972 |
$7K |
| 97810 |
|
305 |
138 |
$6K |
| 0002A |
|
268 |
257 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
181 |
160 |
$6K |
| 92015 |
Determination of refractive state |
540 |
532 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
67 |
67 |
$6K |
| 97811 |
|
305 |
138 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
314 |
299 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
64 |
$4K |
| V2020 |
Frames, purchases |
242 |
229 |
$4K |
| 92551 |
|
4,070 |
3,961 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
47 |
13 |
$3K |
| 90670 |
|
1,722 |
1,680 |
$3K |
| 90715 |
|
226 |
220 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
24 |
24 |
$3K |
| 96127 |
|
683 |
679 |
$3K |
| 99177 |
|
498 |
476 |
$2K |
| 90651 |
|
239 |
236 |
$2K |
| 90785 |
|
228 |
172 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
217 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
31 |
24 |
$1K |
| 0004A |
|
40 |
33 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
56 |
$1K |
| 99384 |
|
18 |
17 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
45 |
12 |
$891.51 |
| 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) |
117 |
109 |
$806.07 |
| 59025 |
Fetal non-stress test |
40 |
24 |
$764.41 |
| 92504 |
|
37 |
35 |
$682.11 |
| 92133 |
|
34 |
30 |
$635.50 |
| 99173 |
|
3,720 |
3,635 |
$625.78 |
| 0072A |
|
13 |
13 |
$519.09 |
| 90656 |
|
94 |
94 |
$483.62 |
| 0054A |
|
14 |
14 |
$458.92 |
| 92341 |
|
13 |
13 |
$408.96 |
| 99442 |
|
54 |
51 |
$338.99 |
| 90677 |
|
166 |
157 |
$318.56 |
| 90688 |
|
63 |
62 |
$210.05 |
| 99443 |
|
31 |
30 |
$151.06 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24 |
24 |
$110.06 |
| 90734 |
|
179 |
177 |
$28.85 |
| 90633 |
|
553 |
535 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90681 |
|
288 |
280 |
$0.00 |
| 99307 |
|
15 |
13 |
$0.00 |
| 91300 |
|
18 |
16 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |
| 90647 |
|
1,055 |
1,024 |
$0.00 |
| 90723 |
|
1,103 |
1,046 |
$0.00 |
| 90716 |
|
26 |
24 |
$0.00 |