| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,254 |
40,115 |
$2.96M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49,614 |
19,811 |
$2.17M |
| 99233 |
Prolong inpt eval add15 m |
28,728 |
14,214 |
$1.85M |
| 99223 |
Prolong inpt eval add15 m |
13,304 |
12,502 |
$1.76M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,779 |
3,416 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,467 |
13,918 |
$804K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
9,901 |
9,288 |
$689K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,041 |
6,278 |
$548K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,056 |
3,846 |
$318K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,675 |
2,361 |
$286K |
| 99220 |
|
1,913 |
1,785 |
$240K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
493 |
222 |
$226K |
| 95951 |
|
1,448 |
730 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,419 |
10,314 |
$204K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,605 |
4,366 |
$154K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,187 |
1,164 |
$124K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,147 |
5,641 |
$107K |
| 99460 |
|
1,054 |
995 |
$89K |
| 99215 |
Prolong outpt/office vis |
1,175 |
930 |
$85K |
| 99292 |
|
626 |
361 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,030 |
966 |
$67K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,621 |
718 |
$65K |
| 99217 |
|
1,276 |
1,195 |
$64K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,017 |
945 |
$63K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,316 |
9,566 |
$57K |
| 95819 |
|
250 |
237 |
$52K |
| 0001A |
|
2,098 |
1,912 |
$47K |
| 0002A |
|
1,957 |
1,777 |
$43K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,381 |
848 |
$35K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
452 |
380 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
343 |
$29K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,456 |
668 |
$29K |
| 99381 |
|
380 |
347 |
$28K |
| 90837 |
Psychotherapy, 53 minutes with patient |
561 |
295 |
$25K |
| 64615 |
|
547 |
361 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
164 |
159 |
$19K |
| 99205 |
Prolong outpt/office vis |
106 |
98 |
$18K |
| 99255 |
|
88 |
87 |
$17K |
| 90474 |
|
1,691 |
1,593 |
$16K |
| 99245 |
|
85 |
75 |
$16K |
| 77014 |
|
582 |
141 |
$16K |
| 90838 |
|
176 |
165 |
$14K |
| 90961 |
|
172 |
170 |
$13K |
| 99243 |
|
107 |
99 |
$13K |
| 95816 |
|
134 |
120 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,499 |
1,345 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
114 |
103 |
$10K |
| 90962 |
|
149 |
147 |
$9K |
| 90836 |
|
181 |
156 |
$8K |
| 99177 |
|
2,503 |
2,342 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
104 |
$8K |
| 94010 |
|
251 |
230 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
241 |
121 |
$7K |
| 77427 |
|
78 |
25 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
698 |
659 |
$7K |
| 54150 |
|
58 |
53 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
118 |
72 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,640 |
913 |
$5K |
| 99407 |
|
538 |
496 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
709 |
572 |
$5K |
| 92015 |
Determination of refractive state |
257 |
248 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
99 |
67 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$4K |
| 94060 |
|
144 |
134 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
458 |
450 |
$3K |
| 99406 |
|
413 |
395 |
$3K |
| 99462 |
|
69 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
82 |
$3K |
| 96161 |
|
1,594 |
1,437 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
15 |
$3K |
| 94726 |
|
128 |
118 |
$2K |
| 69210 |
|
76 |
66 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
49 |
47 |
$2K |
| 72081 |
|
83 |
77 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
40 |
25 |
$2K |
| 0072A |
|
117 |
64 |
$2K |
| 0071A |
|
98 |
60 |
$2K |
| 0012A |
|
192 |
162 |
$2K |
| 95886 |
|
22 |
16 |
$2K |
| 94729 |
|
90 |
81 |
$2K |
| 0011A |
|
149 |
138 |
$2K |
| 99254 |
|
14 |
12 |
$2K |
| 93000 |
|
145 |
122 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
51 |
28 |
$1K |
| 99497 |
|
92 |
75 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99219 |
|
14 |
12 |
$968.41 |
| 92060 |
|
13 |
13 |
$898.63 |
| 92250 |
|
12 |
12 |
$857.66 |
| 93970 |
|
29 |
28 |
$776.02 |
| 90686 |
|
3,907 |
3,399 |
$714.66 |
| 90744 |
|
971 |
926 |
$697.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$630.11 |
| 99418 |
Prolong nursin fac eval 15m |
16 |
12 |
$553.26 |
| 97803 |
|
27 |
12 |
$436.66 |
| 99316 |
|
15 |
15 |
$406.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
37 |
26 |
$401.58 |
| 93018 |
|
44 |
42 |
$355.03 |
| 93298 |
|
24 |
24 |
$284.64 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
14 |
$217.14 |
| 93971 |
|
14 |
12 |
$171.91 |
| 90633 |
|
661 |
626 |
$163.28 |
| 81002 |
|
231 |
203 |
$135.61 |
| 99442 |
|
56 |
52 |
$127.31 |
| 87807 |
|
17 |
17 |
$105.20 |
| 96160 |
|
31 |
31 |
$75.75 |
| 90698 |
|
2,475 |
2,303 |
$75.28 |
| 88720 |
|
41 |
39 |
$75.24 |
| 99358 |
Prolong nursin fac eval 15m |
111 |
98 |
$68.42 |
| 85610 |
|
38 |
26 |
$67.25 |
| 81025 |
|
18 |
14 |
$51.84 |
| 99441 |
|
36 |
34 |
$47.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
50 |
39 |
$14.80 |
| 91300 |
|
2,922 |
2,357 |
$2.78 |
| 91307 |
|
213 |
124 |
$0.28 |
| 91301 |
|
348 |
307 |
$0.19 |
| 90680 |
|
1,743 |
1,641 |
$0.00 |
| 92558 |
|
1,571 |
1,460 |
$0.00 |
| 99024 |
|
53 |
43 |
$0.00 |
| 90651 |
|
53 |
53 |
$0.00 |
| 99402 |
|
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
55 |
$0.00 |
| 94761 |
|
12 |
12 |
$0.00 |
| 90647 |
|
14 |
12 |
$0.00 |
| 90670 |
|
3,364 |
3,128 |
$0.00 |
| 90710 |
|
297 |
277 |
$0.00 |
| 90685 |
|
375 |
347 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90700 |
|
33 |
28 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90734 |
|
20 |
20 |
$0.00 |