| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73,543 |
71,860 |
$4.04M |
| 99215 |
Prolong outpt/office vis |
40,765 |
40,082 |
$3.29M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
36,409 |
36,192 |
$3.24M |
| S9485 |
Crisis intervention mental health services, per diem |
4,111 |
2,264 |
$2.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,983 |
38,065 |
$1.44M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25,954 |
25,831 |
$1.23M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,479 |
9,415 |
$1.23M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,756 |
19,211 |
$968K |
| 99233 |
Prolong inpt eval add15 m |
9,312 |
4,522 |
$733K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
79,180 |
78,239 |
$675K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,974 |
14,956 |
$645K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,808 |
7,751 |
$622K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51,213 |
43,670 |
$522K |
| 99205 |
Prolong outpt/office vis |
4,118 |
4,111 |
$511K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,775 |
1,758 |
$451K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,390 |
4,390 |
$408K |
| 99223 |
Prolong inpt eval add15 m |
2,672 |
2,633 |
$403K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,522 |
1,057 |
$356K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,218 |
3,201 |
$316K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,963 |
3,533 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,980 |
5,974 |
$238K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,125 |
6,097 |
$197K |
| H2011 |
Crisis intervention service, per 15 minutes |
3,484 |
896 |
$196K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
533 |
198 |
$157K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,911 |
2,897 |
$157K |
| 99464 |
|
2,640 |
2,605 |
$144K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17,232 |
16,452 |
$113K |
| 99221 |
|
1,087 |
1,085 |
$81K |
| 95720 |
|
504 |
352 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,585 |
1,579 |
$75K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
667 |
667 |
$61K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
653 |
276 |
$60K |
| 99188 |
|
2,090 |
2,088 |
$54K |
| 96127 |
|
5,270 |
5,218 |
$51K |
| 99051 |
|
3,390 |
3,373 |
$50K |
| 95782 |
|
483 |
483 |
$47K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
947 |
920 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
779 |
778 |
$43K |
| 95951 |
|
178 |
143 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,166 |
2,143 |
$42K |
| 90834 |
Psychotherapy, 45 minutes with patient |
515 |
383 |
$41K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
583 |
583 |
$39K |
| 96112 |
|
341 |
339 |
$32K |
| T2023 |
Targeted case management; per month |
154 |
141 |
$31K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
261 |
261 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
859 |
718 |
$25K |
| 99468 |
|
35 |
13 |
$23K |
| 99462 |
|
524 |
422 |
$22K |
| 99460 |
|
200 |
198 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
175 |
172 |
$18K |
| 95816 |
|
344 |
344 |
$15K |
| 76825 |
|
222 |
219 |
$14K |
| 93320 |
|
921 |
894 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
212 |
211 |
$11K |
| 93325 |
|
3,896 |
3,760 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
173 |
173 |
$9K |
| 99417 |
Prolong home eval add 15m |
196 |
188 |
$8K |
| 96113 |
|
183 |
181 |
$8K |
| 93304 |
|
260 |
249 |
$7K |
| 94060 |
|
220 |
214 |
$6K |
| 76821 |
|
229 |
225 |
$6K |
| 94010 |
|
978 |
973 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
60 |
49 |
$5K |
| 95819 |
|
116 |
116 |
$5K |
| 76827 |
|
232 |
229 |
$5K |
| 99443 |
|
172 |
171 |
$5K |
| 76820 |
|
205 |
201 |
$4K |
| 94375 |
|
347 |
346 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
240 |
240 |
$4K |
| 99220 |
|
26 |
24 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
88 |
81 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
123 |
92 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
29 |
$3K |
| 90887 |
|
71 |
71 |
$3K |
| 99349 |
|
32 |
27 |
$3K |
| 99381 |
|
36 |
36 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
97 |
$2K |
| 99226 |
|
18 |
13 |
$1K |
| 99217 |
|
25 |
25 |
$1K |
| 93321 |
|
251 |
242 |
$1K |
| 99404 |
|
17 |
17 |
$1K |
| 96111 |
|
14 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$688.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
38 |
$610.53 |
| 96160 |
|
697 |
688 |
$553.71 |
| 92650 |
|
13 |
13 |
$304.20 |
| 93790 |
|
19 |
19 |
$251.75 |
| 99442 |
|
12 |
12 |
$247.36 |
| 90474 |
|
12 |
12 |
$100.32 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
13 |
$0.00 |
| 99354 |
|
19 |
19 |
$0.00 |