| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,837 |
17,613 |
$880K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,748 |
12,901 |
$573K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,543 |
4,401 |
$354K |
| 59430 |
|
1,316 |
1,111 |
$100K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,660 |
21,304 |
$83K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,548 |
3,402 |
$70K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
159 |
154 |
$32K |
| 76818 |
|
380 |
209 |
$30K |
| 59025 |
Fetal non-stress test |
1,100 |
633 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
284 |
271 |
$25K |
| 69210 |
|
803 |
755 |
$24K |
| 99307 |
|
4,463 |
4,371 |
$23K |
| 90746 |
|
430 |
405 |
$23K |
| 81003 |
|
12,365 |
7,884 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,221 |
2,021 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
336 |
320 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
195 |
192 |
$15K |
| 90651 |
|
55 |
53 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
540 |
207 |
$10K |
| 20610 |
|
1,333 |
954 |
$9K |
| 81025 |
|
1,562 |
1,388 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
86 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
13 |
$8K |
| 31231 |
|
60 |
54 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
657 |
635 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
42 |
38 |
$5K |
| 90756 |
|
463 |
439 |
$5K |
| 90715 |
|
160 |
156 |
$5K |
| 99318 |
|
105 |
102 |
$4K |
| 73110 |
|
112 |
94 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
31 |
31 |
$2K |
| 31575 |
|
28 |
27 |
$2K |
| 90688 |
|
169 |
146 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
31 |
29 |
$2K |
| 29075 |
|
28 |
27 |
$2K |
| 92567 |
|
191 |
179 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
79 |
$2K |
| 99442 |
|
37 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$979.13 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
82 |
77 |
$908.14 |
| 30901 |
|
13 |
12 |
$864.25 |
| 99443 |
|
81 |
78 |
$619.84 |
| 93000 |
|
186 |
171 |
$372.33 |
| 92587 |
|
31 |
30 |
$312.18 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$286.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
584 |
448 |
$249.94 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
41 |
40 |
$192.98 |
| 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) |
146 |
137 |
$92.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
15 |
$47.04 |
| 93016 |
|
25 |
24 |
$44.97 |
| 93018 |
|
39 |
38 |
$28.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
271 |
226 |
$8.16 |
| 99152 |
|
15 |
14 |
$6.47 |
| 76937 |
|
12 |
12 |
$4.36 |
| 82962 |
|
721 |
598 |
$0.00 |
| 90674 |
|
51 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
280 |
266 |
$0.00 |