| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,926 |
14,994 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,327 |
12,192 |
$871K |
| 99233 |
Prolong inpt eval add15 m |
16,076 |
3,490 |
$486K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,523 |
4,516 |
$345K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,748 |
2,260 |
$342K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,812 |
2,644 |
$294K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,170 |
2,024 |
$225K |
| 99223 |
Prolong inpt eval add15 m |
4,495 |
2,895 |
$222K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,284 |
2,130 |
$220K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,574 |
3,029 |
$158K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,695 |
1,389 |
$134K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,016 |
1,960 |
$128K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,682 |
1,628 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
935 |
881 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
902 |
868 |
$105K |
| 93000 |
|
4,036 |
3,513 |
$99K |
| 99220 |
|
1,361 |
1,121 |
$94K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,351 |
2,134 |
$86K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
711 |
636 |
$79K |
| 99215 |
Prolong outpt/office vis |
2,309 |
1,918 |
$78K |
| 90686 |
|
3,516 |
3,274 |
$77K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,371 |
1,293 |
$59K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,232 |
4,532 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
960 |
773 |
$43K |
| 76813 |
|
597 |
514 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
630 |
584 |
$40K |
| 90670 |
|
1,761 |
1,667 |
$39K |
| 99460 |
|
436 |
417 |
$37K |
| 92551 |
|
3,681 |
3,450 |
$34K |
| 90723 |
|
1,329 |
1,251 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
876 |
750 |
$23K |
| 90648 |
|
1,002 |
980 |
$22K |
| 76801 |
|
220 |
189 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
138 |
124 |
$16K |
| 90716 |
|
585 |
555 |
$13K |
| 90707 |
|
572 |
542 |
$13K |
| 90633 |
|
546 |
539 |
$12K |
| 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) |
640 |
596 |
$12K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
45 |
37 |
$11K |
| 76818 |
|
277 |
183 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
400 |
324 |
$9K |
| 90681 |
|
393 |
387 |
$9K |
| 90651 |
|
398 |
366 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,138 |
2,063 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
936 |
889 |
$8K |
| 99205 |
Prolong outpt/office vis |
304 |
257 |
$8K |
| 99173 |
|
2,775 |
2,605 |
$7K |
| 99217 |
|
201 |
175 |
$6K |
| 94010 |
|
129 |
110 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
24 |
$5K |
| 99255 |
|
19 |
17 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
136 |
36 |
$4K |
| 99254 |
|
35 |
25 |
$4K |
| 90734 |
|
159 |
156 |
$4K |
| 99464 |
|
51 |
49 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
105 |
$3K |
| 90647 |
|
118 |
100 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
153 |
$2K |
| 76820 |
|
63 |
41 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
190 |
186 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
24 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
42 |
41 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
57 |
55 |
$1K |
| 94729 |
|
219 |
183 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$821.10 |
| 90700 |
|
27 |
27 |
$628.56 |
| 90696 |
|
26 |
26 |
$605.28 |
| 90715 |
|
27 |
25 |
$571.14 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
45 |
25 |
$561.24 |
| 99443 |
|
33 |
27 |
$444.76 |
| 90656 |
|
18 |
17 |
$379.84 |
| 90662 |
|
13 |
13 |
$358.81 |
| 72100 |
|
14 |
14 |
$287.13 |
| 99226 |
|
31 |
12 |
$275.43 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$192.96 |
| 96127 |
|
27 |
27 |
$115.39 |
| 90653 |
|
15 |
15 |
$92.14 |
| 90694 |
|
37 |
35 |
$84.96 |
| 94727 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 99024 |
|
17 |
12 |
$0.00 |