| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,230 |
14,572 |
$541K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,187 |
9,517 |
$398K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,077 |
3,751 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,207 |
1,150 |
$73K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
684 |
650 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,143 |
1,062 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
348 |
326 |
$27K |
| 99215 |
Prolong outpt/office vis |
399 |
385 |
$22K |
| 99205 |
Prolong outpt/office vis |
73 |
68 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
202 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
87 |
79 |
$8K |
| 93000 |
|
1,568 |
1,484 |
$8K |
| 81003 |
|
6,452 |
5,585 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
220 |
41 |
$6K |
| 99460 |
|
45 |
45 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
257 |
67 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
38 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$1K |
| 81025 |
|
191 |
177 |
$1K |
| 99441 |
|
84 |
81 |
$1K |
| 93015 |
|
13 |
13 |
$525.33 |
| 94060 |
|
45 |
43 |
$450.64 |
| 94727 |
|
57 |
54 |
$425.71 |
| 94729 |
|
46 |
44 |
$424.39 |
| 90686 |
|
26 |
26 |
$353.70 |
| 93298 |
|
39 |
37 |
$172.69 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
108 |
$146.27 |
| 51798 |
|
14 |
12 |
$84.62 |
| 94618 |
|
14 |
13 |
$70.68 |
| 93296 |
|
13 |
13 |
$28.07 |
| 3074F |
|
341 |
305 |
$0.00 |
| 3008F |
|
350 |
308 |
$0.00 |
| 1000F |
|
32 |
27 |
$0.00 |
| 3079F |
|
26 |
25 |
$0.00 |
| 1159F |
|
1,386 |
1,200 |
$0.00 |
| 1160F |
|
1,380 |
1,196 |
$0.00 |
| 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) |
54 |
42 |
$0.00 |
| 3078F |
|
335 |
290 |
$0.00 |
| 3077F |
|
72 |
68 |
$0.00 |