| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,639 |
9,431 |
$643K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,609 |
5,854 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
873 |
832 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
737 |
702 |
$52K |
| 99215 |
Prolong outpt/office vis |
488 |
411 |
$42K |
| 20610 |
|
1,035 |
946 |
$35K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
308 |
298 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
416 |
362 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
579 |
526 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,354 |
1,257 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,721 |
1,624 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
247 |
224 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
103 |
98 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
142 |
132 |
$3K |
| 96127 |
|
355 |
336 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
24 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
14 |
$3K |
| 0012A |
|
56 |
55 |
$2K |
| 0011A |
|
61 |
58 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
819 |
779 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
61 |
$1K |
| 20550 |
|
93 |
92 |
$903.73 |
| 99201 |
|
39 |
33 |
$897.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
135 |
$876.19 |
| 81002 |
|
276 |
213 |
$778.98 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$569.71 |
| 29075 |
|
15 |
12 |
$532.26 |
| 99497 |
|
22 |
22 |
$503.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
22 |
$408.66 |
| 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) |
45 |
41 |
$239.72 |
| 94760 |
|
98 |
87 |
$198.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
30 |
$176.80 |
| 90686 |
|
27 |
25 |
$145.20 |