| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,229 |
49,238 |
$1.77M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,588 |
14,233 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,753 |
11,606 |
$883K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19,746 |
19,049 |
$804K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37,100 |
36,415 |
$728K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,711 |
10,835 |
$608K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,790 |
15,591 |
$453K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,271 |
5,201 |
$385K |
| 99215 |
Prolong outpt/office vis |
1,693 |
1,555 |
$132K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,124 |
1,070 |
$115K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,407 |
3,227 |
$113K |
| 92551 |
|
8,678 |
8,555 |
$112K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,328 |
1,253 |
$102K |
| 93325 |
|
1,959 |
1,788 |
$83K |
| 96161 |
|
3,570 |
3,525 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,036 |
971 |
$70K |
| 93320 |
|
1,124 |
1,070 |
$68K |
| 90474 |
|
3,190 |
3,137 |
$64K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
475 |
462 |
$58K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,374 |
1,087 |
$56K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,535 |
934 |
$49K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,338 |
1,265 |
$39K |
| 99173 |
|
7,786 |
7,642 |
$37K |
| 93000 |
|
1,448 |
1,387 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
482 |
350 |
$19K |
| 99381 |
|
293 |
284 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
274 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
532 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,158 |
1,074 |
$12K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
36 |
14 |
$11K |
| 90686 |
|
15,176 |
14,850 |
$11K |
| 96127 |
|
3,453 |
3,388 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
58 |
37 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
140 |
77 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
400 |
170 |
$6K |
| 94060 |
|
192 |
163 |
$5K |
| 93304 |
|
76 |
68 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
68 |
63 |
$4K |
| 93321 |
|
184 |
165 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
58 |
51 |
$2K |
| 90677 |
|
1,632 |
1,612 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
32 |
$1K |
| 93308 |
|
13 |
12 |
$930.44 |
| 96111 |
|
12 |
12 |
$703.44 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
314 |
247 |
$676.57 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
132 |
99 |
$648.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$570.15 |
| 0071A |
|
13 |
13 |
$520.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
40 |
38 |
$494.30 |
| 99310 |
Prolong nursin fac eval 15m |
71 |
56 |
$424.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$270.74 |
| 94726 |
|
64 |
46 |
$176.49 |
| 94729 |
|
49 |
32 |
$80.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
24 |
$68.25 |
| 99307 |
|
24 |
13 |
$28.10 |
| 36415 |
Collection of venous blood by venipuncture |
522 |
500 |
$3.00 |
| A4617 |
Mouth piece |
40 |
39 |
$2.41 |
| 90723 |
|
8,151 |
8,024 |
$0.03 |
| 90647 |
|
7,872 |
7,747 |
$0.01 |
| 90656 |
|
615 |
609 |
$0.01 |
| 90670 |
|
9,775 |
9,631 |
$0.01 |
| 90681 |
|
3,442 |
3,381 |
$0.01 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90716 |
|
132 |
131 |
$0.00 |
| 3008F |
|
921 |
880 |
$0.00 |
| 95012 |
|
151 |
137 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
52 |
38 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
419 |
396 |
$0.00 |
| 90620 |
|
25 |
25 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 96040 |
|
15 |
15 |
$0.00 |
| 90633 |
|
2,165 |
2,141 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,340 |
1,251 |
$0.00 |
| 90707 |
|
143 |
142 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
42 |
36 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
14 |
14 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |