| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,115 |
27,009 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,307 |
9,714 |
$549K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,527 |
4,921 |
$439K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,701 |
3,128 |
$390K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,296 |
2,957 |
$210K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,598 |
3,157 |
$206K |
| W0037 |
|
9,408 |
9,408 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,344 |
2,286 |
$152K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,017 |
3,947 |
$142K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,502 |
2,279 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,315 |
1,158 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,046 |
1,021 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,630 |
5,464 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,775 |
1,604 |
$43K |
| 99215 |
Prolong outpt/office vis |
494 |
386 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
771 |
710 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,864 |
1,820 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
660 |
597 |
$27K |
| 90651 |
|
936 |
908 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
304 |
$21K |
| 99188 |
|
636 |
629 |
$17K |
| 90671 |
|
820 |
803 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
342 |
288 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,703 |
1,422 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
493 |
191 |
$14K |
| 90715 |
|
790 |
761 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
212 |
166 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
535 |
$11K |
| 90686 |
|
3,778 |
3,696 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
175 |
151 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,024 |
1,675 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
94 |
85 |
$7K |
| 90480 |
|
380 |
360 |
$7K |
| 91320 |
|
90 |
87 |
$7K |
| 0002A |
|
181 |
164 |
$6K |
| 99460 |
|
76 |
75 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
517 |
508 |
$6K |
| 0001A |
|
212 |
168 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
112 |
54 |
$5K |
| 99383 |
|
43 |
43 |
$4K |
| 74018 |
|
306 |
195 |
$4K |
| 90670 |
|
1,802 |
1,764 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
150 |
141 |
$4K |
| 0071A |
|
98 |
98 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
648 |
529 |
$4K |
| 0072A |
|
91 |
91 |
$3K |
| 0011A |
|
94 |
90 |
$3K |
| 90474 |
|
351 |
347 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
205 |
196 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
133 |
123 |
$3K |
| 99173 |
|
224 |
219 |
$3K |
| 0012A |
|
81 |
78 |
$3K |
| 81025 |
|
407 |
374 |
$3K |
| 0124A |
|
86 |
82 |
$3K |
| 90656 |
|
487 |
478 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
25 |
$2K |
| 90739 |
|
15 |
15 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
42 |
41 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
77 |
67 |
$2K |
| 80050 |
General health panel |
31 |
29 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
12 |
$2K |
| 73630 |
|
111 |
66 |
$1K |
| 99217 |
|
29 |
28 |
$1K |
| 91322 |
|
28 |
19 |
$1K |
| 73610 |
|
97 |
56 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
211 |
179 |
$1K |
| 80061 |
Lipid panel |
99 |
95 |
$1K |
| 99462 |
|
34 |
25 |
$1K |
| 99459 |
|
68 |
64 |
$1K |
| 0054A |
|
50 |
29 |
$1K |
| 0004A |
|
31 |
25 |
$944.11 |
| 76830 |
Ultrasound, transvaginal |
21 |
13 |
$911.93 |
| 90710 |
|
949 |
929 |
$767.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
46 |
$764.85 |
| 99381 |
|
15 |
13 |
$714.02 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
83 |
77 |
$650.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
69 |
$627.75 |
| 80053 |
Comprehensive metabolic panel |
72 |
58 |
$576.56 |
| 96381 |
|
70 |
44 |
$564.86 |
| 0081A |
|
17 |
15 |
$527.26 |
| 90381 |
|
51 |
50 |
$495.00 |
| 90621 |
|
45 |
42 |
$349.96 |
| 96380 |
|
17 |
17 |
$320.94 |
| 90619 |
|
153 |
151 |
$299.79 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$288.96 |
| 87081 |
|
45 |
42 |
$263.93 |
| 98966 |
|
19 |
19 |
$250.61 |
| 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) |
58 |
55 |
$235.44 |
| 90633 |
|
1,295 |
1,267 |
$202.99 |
| 96127 |
|
27 |
27 |
$138.32 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$131.04 |
| 71045 |
Radiologic examination, chest; single view |
14 |
14 |
$107.10 |
| 81002 |
|
29 |
24 |
$97.44 |
| 91319 |
|
51 |
51 |
$79.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$76.14 |
| 81001 |
|
16 |
12 |
$42.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$26.56 |
| 91301 |
|
223 |
212 |
$0.00 |
| 90744 |
|
838 |
815 |
$0.00 |
| 90698 |
|
1,560 |
1,526 |
$0.00 |
| 90697 |
|
687 |
673 |
$0.00 |
| 90680 |
|
1,742 |
1,700 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90696 |
|
222 |
220 |
$0.00 |
| 91307 |
|
266 |
252 |
$0.00 |
| 91305 |
|
167 |
141 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 91312 |
|
81 |
81 |
$0.00 |
| 90461 |
|
1,587 |
1,563 |
$0.00 |
| 91300 |
|
500 |
362 |
$0.00 |
| 91308 |
|
52 |
48 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
29 |
27 |
$0.00 |
| 90685 |
|
98 |
98 |
$0.00 |
| 90734 |
|
193 |
182 |
$0.00 |