| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,895 |
22,520 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,047 |
47,016 |
$2.10M |
| 99215 |
Prolong outpt/office vis |
5,031 |
4,920 |
$812K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41,278 |
41,130 |
$755K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,807 |
4,780 |
$612K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,522 |
3,519 |
$574K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,769 |
3,900 |
$480K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,092 |
6,057 |
$439K |
| 94060 |
|
9,795 |
9,685 |
$434K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,059 |
9,044 |
$421K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,848 |
8,653 |
$362K |
| 99205 |
Prolong outpt/office vis |
1,260 |
1,260 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,007 |
5,999 |
$234K |
| 92551 |
|
16,875 |
16,866 |
$153K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,201 |
1,200 |
$143K |
| 95782 |
|
756 |
756 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
828 |
827 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,829 |
1,826 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,223 |
4,115 |
$66K |
| 99223 |
Prolong inpt eval add15 m |
279 |
279 |
$47K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
223 |
116 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,052 |
9,756 |
$37K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
274 |
272 |
$34K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
770 |
362 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
139 |
101 |
$20K |
| 99460 |
|
203 |
203 |
$19K |
| 99221 |
|
224 |
223 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
165 |
100 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
80 |
80 |
$8K |
| 99442 |
|
165 |
165 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
43 |
$7K |
| 0072A |
|
193 |
193 |
$7K |
| 99219 |
|
43 |
43 |
$5K |
| 0071A |
|
115 |
115 |
$4K |
| 96450 |
|
46 |
36 |
$4K |
| 90686 |
|
10,254 |
10,219 |
$2K |
| 99417 |
Prolong home eval add 15m |
30 |
30 |
$2K |
| 99218 |
|
13 |
13 |
$1K |
| 99234 |
|
13 |
13 |
$1K |
| 0112A |
|
37 |
37 |
$1K |
| 99173 |
|
7,720 |
7,712 |
$1K |
| 90480 |
|
69 |
69 |
$1K |
| 0111A |
|
27 |
27 |
$977.48 |
| 94010 |
|
33 |
33 |
$955.51 |
| 99217 |
|
13 |
13 |
$917.48 |
| 0002A |
|
22 |
22 |
$550.04 |
| 94664 |
|
28 |
28 |
$285.73 |
| 90461 |
|
2,377 |
2,371 |
$221.12 |
| 99177 |
|
428 |
423 |
$170.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$148.77 |
| 96161 |
|
188 |
187 |
$123.61 |
| 90698 |
|
3,320 |
3,310 |
$114.62 |
| 96127 |
|
327 |
326 |
$113.05 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$87.75 |
| 90656 |
|
574 |
574 |
$67.78 |
| 94760 |
|
4,342 |
4,275 |
$57.20 |
| 90680 |
|
785 |
782 |
$0.00 |
| 90744 |
|
290 |
287 |
$0.00 |
| 90696 |
|
85 |
85 |
$0.00 |
| 90619 |
|
199 |
197 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90651 |
|
157 |
156 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 90670 |
|
3,358 |
3,349 |
$0.00 |
| 90685 |
|
436 |
435 |
$0.00 |
| 90710 |
|
87 |
87 |
$0.00 |
| 90633 |
|
638 |
635 |
$0.00 |
| 90671 |
|
140 |
140 |
$0.00 |
| 90715 |
|
212 |
212 |
$0.00 |
| 90648 |
|
212 |
212 |
$0.00 |
| 90734 |
|
197 |
197 |
$0.00 |
| 90707 |
|
38 |
37 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |