| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129,397 |
95,735 |
$4.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,805 |
52,392 |
$2.52M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14,001 |
12,378 |
$791K |
| 77427 |
|
7,670 |
3,791 |
$640K |
| 77014 |
|
19,060 |
3,807 |
$625K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,445 |
4,086 |
$352K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,041 |
6,470 |
$323K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
557 |
512 |
$309K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,535 |
4,082 |
$308K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,767 |
1,603 |
$210K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
49,816 |
39,015 |
$196K |
| 99233 |
Prolong inpt eval add15 m |
6,121 |
2,497 |
$194K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,216 |
3,829 |
$192K |
| 99215 |
Prolong outpt/office vis |
3,879 |
3,209 |
$189K |
| 77334 |
|
2,073 |
1,593 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,106 |
4,001 |
$110K |
| 99385 |
|
1,649 |
1,483 |
$98K |
| 99205 |
Prolong outpt/office vis |
1,139 |
1,063 |
$95K |
| 77263 |
|
1,152 |
1,022 |
$90K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
875 |
245 |
$86K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
399 |
376 |
$85K |
| 54150 |
|
700 |
610 |
$79K |
| 93970 |
|
1,677 |
1,487 |
$69K |
| 77470 |
|
833 |
683 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
878 |
846 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
899 |
807 |
$58K |
| 59025 |
Fetal non-stress test |
5,142 |
3,054 |
$54K |
| 59430 |
|
561 |
543 |
$51K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,368 |
1,878 |
$49K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,629 |
1,110 |
$48K |
| 77300 |
|
1,497 |
1,264 |
$48K |
| 77295 |
|
176 |
160 |
$36K |
| 77290 |
|
431 |
347 |
$35K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,461 |
2,230 |
$32K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
204 |
148 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
655 |
595 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,591 |
1,360 |
$23K |
| 20610 |
|
580 |
503 |
$21K |
| 51705 |
|
674 |
526 |
$18K |
| 77301 |
|
42 |
36 |
$16K |
| 76830 |
Ultrasound, transvaginal |
212 |
171 |
$13K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
65 |
46 |
$10K |
| 93000 |
|
1,686 |
1,543 |
$10K |
| 93971 |
|
334 |
308 |
$10K |
| 81025 |
|
2,015 |
1,609 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
815 |
762 |
$9K |
| 93356 |
|
525 |
503 |
$9K |
| 76801 |
|
272 |
230 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
203 |
161 |
$8K |
| 77280 |
|
207 |
183 |
$8K |
| 87210 |
|
3,547 |
2,467 |
$7K |
| 77338 |
|
73 |
63 |
$5K |
| 77431 |
|
223 |
40 |
$5K |
| 0502F |
|
277 |
182 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
349 |
307 |
$4K |
| 99459 |
|
479 |
330 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
530 |
390 |
$3K |
| 90674 |
|
122 |
117 |
$3K |
| 95251 |
|
270 |
251 |
$3K |
| 0001A |
|
84 |
71 |
$3K |
| 99386 |
|
26 |
25 |
$2K |
| 93016 |
|
194 |
189 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
41 |
39 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
50 |
$1K |
| 0002A |
|
37 |
32 |
$1K |
| 93018 |
|
212 |
206 |
$1K |
| 90661 |
|
98 |
53 |
$1K |
| 77387 |
|
59 |
14 |
$1K |
| 99221 |
|
39 |
36 |
$1K |
| 93298 |
|
127 |
96 |
$1K |
| 54235 |
|
15 |
12 |
$813.68 |
| 90961 |
|
44 |
42 |
$782.90 |
| 90682 |
|
17 |
15 |
$616.11 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
12 |
$588.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
193 |
160 |
$548.92 |
| 90686 |
|
32 |
31 |
$418.66 |
| 99406 |
|
153 |
116 |
$361.31 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
12 |
$353.77 |
| 93295 |
|
13 |
12 |
$343.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
49 |
$267.18 |
| 93248 |
|
27 |
25 |
$264.04 |
| 3044F |
|
8,781 |
7,394 |
$220.00 |
| 82962 |
|
142 |
118 |
$194.86 |
| 93294 |
|
39 |
39 |
$183.58 |
| 94060 |
|
20 |
13 |
$149.36 |
| 99442 |
|
29 |
26 |
$138.96 |
| 94726 |
|
19 |
12 |
$103.53 |
| 94729 |
|
18 |
12 |
$102.21 |
| 73562 |
|
18 |
13 |
$94.82 |
| 90970 |
|
72 |
34 |
$82.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
41 |
$76.66 |
| 99441 |
|
13 |
13 |
$47.56 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
741 |
587 |
$39.59 |
| 99417 |
Prolong home eval add 15m |
17 |
16 |
$34.00 |
| 94760 |
|
41 |
39 |
$1.83 |
| 1160F |
|
63,719 |
52,468 |
$1.32 |
| 3078F |
|
41,297 |
32,244 |
$0.01 |
| 3074F |
|
49,478 |
38,148 |
$0.01 |
| 1159F |
|
62,656 |
51,577 |
$0.00 |
| 3288F |
|
16,641 |
13,624 |
$0.00 |
| 3077F |
|
3,540 |
3,151 |
$0.00 |
| 1033F |
|
30,389 |
23,222 |
$0.00 |
| 1032F |
|
696 |
567 |
$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) |
27 |
24 |
$0.00 |
| 91300 |
|
137 |
120 |
$0.00 |
| 3062F |
|
126 |
117 |
$0.00 |
| 3050F |
|
95 |
86 |
$0.00 |
| 4019F |
|
292 |
172 |
$0.00 |
| 4004F |
|
631 |
546 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
14 |
$0.00 |
| 83037 |
|
15 |
13 |
$0.00 |
| 1126F |
|
45,801 |
37,769 |
$0.00 |
| 3351F |
|
25,060 |
20,175 |
$0.00 |
| 1111F |
|
1,034 |
880 |
$0.00 |
| 3079F |
|
20,210 |
16,859 |
$0.00 |
| 4010F |
|
11,699 |
10,657 |
$0.00 |
| 1170F |
|
22,503 |
17,563 |
$0.00 |
| 1125F |
|
7,422 |
5,517 |
$0.00 |
| 3080F |
|
964 |
836 |
$0.00 |
| 3075F |
|
6,987 |
5,861 |
$0.00 |
| 1036F |
|
3,177 |
2,856 |
$0.00 |
| 3008F |
|
56,422 |
44,999 |
$0.00 |
| 3061F |
|
210 |
194 |
$0.00 |
| 1031F |
|
922 |
644 |
$0.00 |
| 3048F |
|
965 |
864 |
$0.00 |
| 3049F |
|
178 |
162 |
$0.00 |
| 4000F |
|
443 |
399 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1101F |
|
1,097 |
582 |
$0.00 |
| 3352F |
|
795 |
576 |
$0.00 |
| 3060F |
|
40 |
38 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |