| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,430 |
23,523 |
$2.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,337 |
29,808 |
$2.17M |
| 95816 |
|
5,095 |
3,871 |
$1.25M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,850 |
6,080 |
$900K |
| 99233 |
Prolong inpt eval add15 m |
5,389 |
2,460 |
$419K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,697 |
3,379 |
$379K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,435 |
821 |
$301K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,482 |
2,292 |
$293K |
| 95951 |
|
777 |
473 |
$277K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,321 |
1,571 |
$192K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,016 |
898 |
$129K |
| 95720 |
|
926 |
488 |
$106K |
| 95117 |
|
14,653 |
6,856 |
$102K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
681 |
278 |
$98K |
| 99215 |
Prolong outpt/office vis |
737 |
689 |
$95K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
929 |
565 |
$89K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,248 |
1,417 |
$89K |
| 95812 |
|
334 |
323 |
$87K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,393 |
677 |
$83K |
| 99243 |
|
788 |
754 |
$78K |
| 99223 |
Prolong inpt eval add15 m |
434 |
395 |
$73K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,328 |
1,074 |
$63K |
| 92567 |
|
3,520 |
2,913 |
$54K |
| 99222 |
Initial hospital care, per day, moderate complexity |
342 |
293 |
$49K |
| 99335 |
|
929 |
852 |
$46K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,145 |
1,093 |
$41K |
| 95819 |
|
166 |
160 |
$38K |
| 99254 |
|
188 |
162 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
431 |
336 |
$21K |
| 42830 |
|
126 |
93 |
$17K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
54 |
51 |
$14K |
| 99205 |
Prolong outpt/office vis |
61 |
61 |
$13K |
| 99442 |
|
420 |
399 |
$11K |
| 00126 |
|
294 |
131 |
$11K |
| 99307 |
|
547 |
306 |
$10K |
| 99471 |
|
12 |
12 |
$8K |
| 99443 |
|
213 |
194 |
$8K |
| 99220 |
|
44 |
43 |
$8K |
| 92579 |
|
252 |
249 |
$7K |
| 92201 |
|
896 |
559 |
$6K |
| 99336 |
|
50 |
28 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
131 |
$5K |
| 99253 |
|
44 |
38 |
$5K |
| 30802 |
|
41 |
40 |
$4K |
| 93000 |
|
1,109 |
1,059 |
$4K |
| 93304 |
|
71 |
67 |
$4K |
| 92015 |
Determination of refractive state |
720 |
576 |
$3K |
| 99441 |
|
219 |
210 |
$3K |
| 00920 |
|
28 |
26 |
$3K |
| 00160 |
|
15 |
15 |
$2K |
| 92587 |
|
105 |
101 |
$2K |
| 93325 |
|
697 |
638 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
24 |
13 |
$2K |
| 92226 |
|
97 |
47 |
$2K |
| 94010 |
|
315 |
206 |
$1K |
| 99218 |
|
13 |
13 |
$1K |
| 99235 |
|
51 |
15 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$1K |
| 93321 |
|
213 |
199 |
$1K |
| 92060 |
|
89 |
74 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
148 |
124 |
$699.99 |
| 99217 |
|
32 |
14 |
$560.64 |
| 99219 |
|
38 |
12 |
$522.84 |
| 92225 |
|
64 |
39 |
$504.76 |
| 99224 |
|
12 |
12 |
$491.39 |
| 92557 |
|
12 |
12 |
$367.83 |
| 94060 |
|
82 |
38 |
$294.94 |
| 92555 |
|
12 |
12 |
$213.43 |
| 69210 |
|
72 |
68 |
$0.00 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
166 |
164 |
$0.00 |
| 93320 |
|
165 |
163 |
$0.00 |