| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
46,346 |
11,130 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,379 |
19,761 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,721 |
20,750 |
$1.02M |
| 99223 |
Prolong inpt eval add15 m |
8,331 |
7,591 |
$825K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,817 |
6,499 |
$379K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,905 |
3,766 |
$275K |
| 99233 |
Prolong inpt eval add15 m |
4,543 |
2,147 |
$237K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,973 |
2,941 |
$236K |
| 59426 |
|
251 |
251 |
$234K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,339 |
2,309 |
$206K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,855 |
3,728 |
$149K |
| 99220 |
|
1,117 |
1,089 |
$104K |
| 76830 |
Ultrasound, transvaginal |
1,266 |
1,244 |
$82K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,298 |
1,185 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
763 |
757 |
$71K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,349 |
1,230 |
$71K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
97 |
97 |
$71K |
| 99217 |
|
1,559 |
1,524 |
$55K |
| 99219 |
|
711 |
705 |
$49K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
484 |
483 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
768 |
765 |
$45K |
| 59430 |
|
188 |
188 |
$44K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
549 |
544 |
$42K |
| 76801 |
|
575 |
561 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,371 |
1,271 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
609 |
602 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,544 |
3,128 |
$24K |
| 90682 |
|
458 |
452 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,388 |
2,347 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
306 |
$20K |
| 99215 |
Prolong outpt/office vis |
273 |
257 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
649 |
484 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
235 |
232 |
$19K |
| 90715 |
|
566 |
558 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
549 |
544 |
$17K |
| 99495 |
|
204 |
201 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
157 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
167 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,808 |
2,732 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
119 |
$11K |
| 90686 |
|
531 |
526 |
$8K |
| 81002 |
|
2,963 |
2,837 |
$7K |
| 99459 |
|
540 |
527 |
$7K |
| 99221 |
|
152 |
151 |
$7K |
| 99385 |
|
57 |
57 |
$5K |
| 99496 |
|
43 |
43 |
$5K |
| 81025 |
|
485 |
475 |
$3K |
| 99305 |
|
39 |
39 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
68 |
68 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
223 |
$2K |
| 96160 |
|
50 |
48 |
$2K |
| 99307 |
|
141 |
121 |
$2K |
| 98966 |
|
393 |
389 |
$2K |
| 93000 |
|
279 |
256 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
40 |
35 |
$2K |
| 98926 |
|
80 |
49 |
$2K |
| 99406 |
|
228 |
211 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$1K |
| 58300 |
|
26 |
26 |
$1K |
| 90673 |
|
20 |
20 |
$1K |
| 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) |
1,048 |
1,003 |
$864.41 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
116 |
114 |
$851.84 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
68 |
66 |
$819.28 |
| 90688 |
|
61 |
60 |
$817.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
68 |
$797.36 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$582.36 |
| 98925 |
|
45 |
31 |
$544.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
59 |
$537.23 |
| 98928 |
|
14 |
12 |
$533.95 |
| 96127 |
|
173 |
170 |
$419.82 |
| 98927 |
|
13 |
13 |
$348.86 |
| 90662 |
|
42 |
42 |
$200.46 |
| 99224 |
|
15 |
12 |
$121.87 |
| 82962 |
|
128 |
115 |
$118.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$92.93 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
49 |
38 |
$61.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
15 |
$54.84 |
| 87210 |
|
14 |
14 |
$53.29 |
| G0008 |
Administration of influenza virus vaccine |
156 |
147 |
$42.79 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,911 |
6,773 |
$35.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$9.98 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,664 |
4,319 |
$0.41 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18,107 |
16,437 |
$0.19 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
56 |
56 |
$0.18 |
| 3044F |
|
1,005 |
995 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
134 |
122 |
$0.00 |
| 1111F |
|
439 |
419 |
$0.00 |
| 0500F |
|
54 |
53 |
$0.00 |
| 2028F |
|
151 |
147 |
$0.00 |
| 0502F |
|
4,964 |
2,716 |
$0.00 |
| 3288F |
|
339 |
323 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
40 |
40 |
$0.00 |
| 3045F |
|
15 |
14 |
$0.00 |