| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,975 |
96,196 |
$11.83M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34,126 |
32,865 |
$5.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,209 |
29,437 |
$4.97M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16,150 |
15,613 |
$4.05M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
82,007 |
35,886 |
$2.50M |
| 20610 |
|
17,975 |
13,800 |
$964K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
25,129 |
9,875 |
$509K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,287 |
5,877 |
$430K |
| 31231 |
|
2,519 |
2,436 |
$417K |
| 97162 |
|
3,383 |
3,237 |
$401K |
| 97161 |
|
2,759 |
2,656 |
$333K |
| 31575 |
|
2,037 |
1,928 |
$221K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
1,851 |
832 |
$189K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13,939 |
12,154 |
$170K |
| 99205 |
Prolong outpt/office vis |
370 |
369 |
$123K |
| 73630 |
|
3,117 |
2,505 |
$120K |
| 69210 |
|
3,640 |
2,964 |
$118K |
| 99222 |
Initial hospital care, per day, moderate complexity |
782 |
720 |
$115K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
440 |
420 |
$112K |
| 99215 |
Prolong outpt/office vis |
520 |
516 |
$107K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,011 |
930 |
$99K |
| 43775 |
|
112 |
107 |
$98K |
| 99223 |
Prolong inpt eval add15 m |
433 |
377 |
$86K |
| 73610 |
|
2,245 |
1,893 |
$85K |
| 11721 |
|
2,788 |
2,549 |
$84K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,275 |
3,015 |
$71K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
906 |
670 |
$66K |
| 73564 |
|
999 |
676 |
$57K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,547 |
1,440 |
$53K |
| 36226 |
|
21 |
13 |
$51K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
97 |
96 |
$50K |
| 73130 |
|
982 |
781 |
$44K |
| 73110 |
|
685 |
610 |
$34K |
| 73030 |
|
845 |
706 |
$32K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
113 |
38 |
$27K |
| 92567 |
|
1,605 |
1,510 |
$20K |
| 64721 |
|
44 |
38 |
$20K |
| 73502 |
|
341 |
310 |
$20K |
| 29075 |
|
236 |
215 |
$19K |
| 20550 |
|
386 |
345 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
334 |
184 |
$17K |
| 99221 |
|
177 |
169 |
$16K |
| 31579 |
|
170 |
153 |
$16K |
| 92557 |
|
416 |
381 |
$16K |
| 20611 |
|
112 |
107 |
$15K |
| D0330 |
Panoramic radiographic image |
772 |
575 |
$13K |
| 93970 |
|
66 |
63 |
$12K |
| 97165 |
|
92 |
87 |
$12K |
| 93971 |
|
119 |
106 |
$11K |
| 73562 |
|
277 |
196 |
$11K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
902 |
817 |
$11K |
| 47562 |
|
12 |
12 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
83 |
47 |
$11K |
| 97164 |
|
361 |
334 |
$11K |
| 52000 |
|
69 |
66 |
$10K |
| 46600 |
|
146 |
137 |
$10K |
| 97010 |
|
24,274 |
10,949 |
$8K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
254 |
37 |
$8K |
| 72080 |
|
137 |
136 |
$7K |
| 70355 |
|
248 |
228 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
572 |
94 |
$7K |
| 73560 |
|
156 |
136 |
$6K |
| 93923 |
|
42 |
40 |
$4K |
| 31237 |
|
19 |
13 |
$4K |
| 92504 |
|
879 |
788 |
$4K |
| 93922 |
|
79 |
75 |
$3K |
| 51798 |
|
93 |
87 |
$3K |
| 81002 |
|
2,744 |
2,663 |
$3K |
| 20605 |
|
55 |
53 |
$3K |
| 93880 |
|
34 |
24 |
$3K |
| 52005 |
|
17 |
12 |
$2K |
| 99201 |
|
21 |
21 |
$2K |
| 97014 |
|
268 |
111 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
132 |
131 |
$2K |
| 11056 |
|
73 |
62 |
$2K |
| 29705 |
|
31 |
27 |
$2K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
58 |
51 |
$1K |
| 73140 |
|
42 |
40 |
$1K |
| 97116 |
|
71 |
39 |
$1K |
| 97018 |
|
119 |
63 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
100 |
100 |
$1K |
| 99443 |
|
30 |
30 |
$1K |
| 93931 |
|
17 |
12 |
$900.33 |
| 11720 |
|
30 |
27 |
$893.19 |
| 73080 |
|
16 |
13 |
$887.09 |
| 72100 |
|
14 |
14 |
$884.63 |
| G0127 |
Trimming of dystrophic nails, any number |
95 |
89 |
$786.15 |
| 74420 |
|
31 |
26 |
$701.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$648.80 |
| 93925 |
|
16 |
13 |
$596.04 |
| 99442 |
|
35 |
30 |
$556.30 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
14 |
$435.12 |
| 73590 |
|
16 |
16 |
$432.04 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
57 |
$393.37 |
| 97168 |
|
17 |
12 |
$388.14 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
25 |
12 |
$181.85 |
| 11719 |
|
13 |
13 |
$175.59 |
| 99406 |
|
20 |
13 |
$106.39 |
| 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) |
29 |
26 |
$81.30 |
| 81003 |
|
14 |
14 |
$32.64 |
| 99024 |
|
125 |
77 |
$30.00 |
| 3074F |
|
316 |
296 |
$0.00 |
| 3079F |
|
165 |
150 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3078F |
|
83 |
76 |
$0.00 |
| 3077F |
|
15 |
12 |
$0.00 |