| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,792 |
20,218 |
$868K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,129 |
24,557 |
$840K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,785 |
5,383 |
$263K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,628 |
2,467 |
$162K |
| 20610 |
|
4,115 |
3,034 |
$137K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,115 |
1,048 |
$114K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
707 |
671 |
$92K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
271 |
245 |
$50K |
| 95117 |
|
6,030 |
2,759 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,847 |
1,146 |
$38K |
| 73562 |
|
2,254 |
1,788 |
$38K |
| 92567 |
|
2,934 |
2,625 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,103 |
997 |
$19K |
| 99220 |
|
358 |
337 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,380 |
2,793 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,706 |
2,413 |
$15K |
| 92557 |
|
523 |
453 |
$10K |
| 99217 |
|
516 |
480 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
210 |
178 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
273 |
239 |
$6K |
| 11721 |
|
584 |
521 |
$6K |
| 92552 |
|
553 |
520 |
$5K |
| 92555 |
|
567 |
501 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
119 |
118 |
$3K |
| 96127 |
|
779 |
711 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
163 |
73 |
$2K |
| 73030 |
|
106 |
92 |
$2K |
| 69210 |
|
130 |
98 |
$2K |
| 62323 |
|
32 |
25 |
$2K |
| 31575 |
|
27 |
26 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
215 |
108 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
73 |
$1K |
| 81003 |
|
765 |
667 |
$937.49 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
108 |
84 |
$803.90 |
| 99442 |
|
53 |
51 |
$798.56 |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
13 |
$635.98 |
| 90686 |
|
46 |
44 |
$618.10 |
| 99226 |
|
33 |
26 |
$551.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$535.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
40 |
25 |
$489.11 |
| 99219 |
|
13 |
13 |
$466.49 |
| 99225 |
|
51 |
25 |
$344.40 |
| 73110 |
|
18 |
13 |
$239.90 |
| 11056 |
|
15 |
12 |
$234.10 |
| 92587 |
|
12 |
12 |
$198.13 |
| 11720 |
|
21 |
12 |
$157.17 |
| 77002 |
|
17 |
13 |
$155.05 |
| 3074F |
|
5,276 |
4,803 |
$0.00 |
| 1036F |
|
8,438 |
7,410 |
$0.00 |
| 3079F |
|
1,760 |
1,659 |
$0.00 |
| 3075F |
|
485 |
457 |
$0.00 |
| 3044F |
|
489 |
444 |
$0.00 |
| 3080F |
|
198 |
178 |
$0.00 |
| 3008F |
|
2,466 |
2,252 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
506 |
499 |
$0.00 |
| 4010F |
|
82 |
72 |
$0.00 |
| 99024 |
|
39 |
32 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
682 |
591 |
$0.00 |
| 3078F |
|
4,211 |
3,861 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,589 |
1,449 |
$0.00 |
| 3077F |
|
157 |
145 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
15 |
13 |
$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) |
12 |
12 |
$0.00 |