| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,765 |
7,125 |
$388K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,449 |
3,183 |
$246K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,293 |
3,061 |
$224K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,334 |
4,103 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
735 |
700 |
$24K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
203 |
196 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
150 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
217 |
211 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
61 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
130 |
116 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$2K |
| 99442 |
|
115 |
105 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
235 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99307 |
|
132 |
73 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
98 |
$969.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
77 |
$693.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$361.07 |
| 99406 |
|
42 |
41 |
$319.08 |
| 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 |
138 |
$271.99 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23 |
23 |
$245.03 |
| 90686 |
|
42 |
40 |
$206.48 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
44 |
44 |
$192.44 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
17 |
16 |
$178.35 |
| 99441 |
|
17 |
16 |
$134.64 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
27 |
$0.10 |
| 3074F |
|
1,360 |
1,272 |
$0.03 |
| 1159F |
|
368 |
356 |
$0.03 |
| 3078F |
|
1,399 |
1,300 |
$0.02 |
| 3077F |
|
127 |
115 |
$0.02 |
| 1126F |
|
138 |
132 |
$0.01 |
| 3008F |
|
2,492 |
2,210 |
$0.01 |
| 3079F |
|
274 |
263 |
$0.01 |
| 2000F |
|
1,637 |
1,459 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
81 |
70 |
$0.00 |
| 3080F |
|
57 |
54 |
$0.00 |
| 1031F |
|
300 |
287 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| 1000F |
|
202 |
184 |
$0.00 |
| 3075F |
|
84 |
82 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| 1036F |
|
101 |
100 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 1034F |
|
22 |
22 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |