| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,256 |
16,690 |
$823K |
| 99215 |
Prolong outpt/office vis |
5,067 |
4,671 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,042 |
8,101 |
$344K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,457 |
2,299 |
$183K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,261 |
3,589 |
$121K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,294 |
2,887 |
$83K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,796 |
2,675 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,216 |
1,169 |
$58K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,551 |
1,793 |
$49K |
| 99205 |
Prolong outpt/office vis |
446 |
425 |
$43K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
561 |
533 |
$39K |
| 99233 |
Prolong inpt eval add15 m |
622 |
377 |
$37K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
649 |
627 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
814 |
381 |
$34K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
327 |
318 |
$31K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,076 |
1,008 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,000 |
932 |
$22K |
| 76820 |
|
1,092 |
656 |
$18K |
| 96158 |
|
580 |
529 |
$18K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
85 |
82 |
$16K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
422 |
396 |
$15K |
| 95251 |
|
1,163 |
1,098 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
31 |
26 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
463 |
441 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
278 |
223 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
113 |
31 |
$11K |
| 59025 |
Fetal non-stress test |
562 |
222 |
$10K |
| 93304 |
|
446 |
418 |
$10K |
| 92567 |
|
1,424 |
1,357 |
$10K |
| 64642 |
|
216 |
192 |
$9K |
| 54161 |
|
69 |
68 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
78 |
78 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
128 |
117 |
$7K |
| 92579 |
|
271 |
264 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,767 |
1,691 |
$6K |
| 93000 |
|
976 |
932 |
$6K |
| 92557 |
|
318 |
308 |
$6K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
140 |
128 |
$6K |
| 93294 |
|
461 |
451 |
$5K |
| 97803 |
|
190 |
163 |
$5K |
| 93295 |
|
277 |
267 |
$5K |
| 98928 |
|
189 |
176 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
193 |
$4K |
| 64643 |
|
123 |
113 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
59 |
59 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
63 |
49 |
$4K |
| 20610 |
|
162 |
136 |
$3K |
| 76830 |
Ultrasound, transvaginal |
140 |
132 |
$3K |
| 96040 |
|
238 |
229 |
$3K |
| 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) |
8,050 |
7,437 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
67 |
25 |
$2K |
| 17311 |
|
15 |
15 |
$2K |
| 93325 |
|
994 |
926 |
$2K |
| 99459 |
|
133 |
131 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
503 |
485 |
$2K |
| 76942 |
|
131 |
125 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
20 |
20 |
$2K |
| 92550 |
|
156 |
141 |
$2K |
| 99451 |
|
66 |
66 |
$1K |
| 95782 |
|
15 |
15 |
$1K |
| 93321 |
|
272 |
253 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
12 |
$984.03 |
| 95874 |
|
195 |
177 |
$959.95 |
| 96159 |
|
65 |
57 |
$912.09 |
| 76536 |
|
63 |
62 |
$886.06 |
| 76376 |
|
234 |
227 |
$873.75 |
| 64615 |
|
14 |
12 |
$709.29 |
| 76506 |
|
31 |
26 |
$656.58 |
| 72170 |
|
129 |
115 |
$633.11 |
| 88342 |
|
30 |
29 |
$614.59 |
| 93356 |
|
123 |
123 |
$613.49 |
| 95886 |
|
18 |
16 |
$582.35 |
| 94010 |
|
115 |
110 |
$579.22 |
| 99221 |
|
13 |
12 |
$554.90 |
| 36902 |
|
16 |
12 |
$543.01 |
| 92504 |
|
124 |
122 |
$506.45 |
| 99442 |
|
12 |
12 |
$496.00 |
| 93308 |
|
33 |
27 |
$437.84 |
| 69220 |
|
14 |
13 |
$388.63 |
| 93320 |
|
28 |
28 |
$316.68 |
| 88312 |
|
19 |
14 |
$311.48 |
| 99401 |
|
20 |
19 |
$293.57 |
| 36416 |
|
158 |
151 |
$245.70 |
| 99152 |
|
58 |
53 |
$228.48 |
| 88304 |
|
13 |
12 |
$116.16 |
| 72082 |
|
16 |
14 |
$112.75 |
| 99024 |
|
13 |
12 |
$100.52 |
| 77080 |
|
15 |
14 |
$78.20 |
| 73562 |
|
15 |
15 |
$64.92 |
| T2022 |
Case management, per month |
26 |
25 |
$0.00 |