| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,552 |
2,671 |
$290K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
750 |
749 |
$88K |
| 94729 |
|
1,160 |
1,153 |
$66K |
| 94726 |
|
1,162 |
1,156 |
$57K |
| 94060 |
|
1,153 |
1,146 |
$45K |
| 99487 |
Ccm add 20min |
441 |
440 |
$41K |
| 99443 |
|
514 |
500 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
543 |
542 |
$38K |
| 76604 |
|
973 |
966 |
$34K |
| 94618 |
|
799 |
795 |
$23K |
| 99442 |
|
281 |
262 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$14K |
| 95012 |
|
726 |
724 |
$13K |
| 99423 |
|
244 |
233 |
$10K |
| 94669 |
|
572 |
560 |
$10K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
693 |
692 |
$10K |
| 99491 |
Ccm add 20min |
226 |
225 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
62 |
$8K |
| 94621 |
|
51 |
50 |
$7K |
| 95800 |
|
45 |
44 |
$6K |
| 94644 |
|
105 |
105 |
$6K |
| 89220 |
|
583 |
573 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
60 |
$4K |
| 93000 |
|
634 |
632 |
$3K |
| 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) |
221 |
185 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
52 |
48 |
$3K |
| 94625 |
|
38 |
38 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 93308 |
|
167 |
166 |
$2K |
| 92229 |
|
38 |
38 |
$1K |
| 93015 |
|
14 |
14 |
$983.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$384.84 |
| A4617 |
Mouth piece |
821 |
819 |
$377.28 |
| E0484 |
Oscillatory positive expiratory pressure device, non-electric, any type, each |
41 |
37 |
$342.38 |
| 3078F |
|
783 |
613 |
$270.00 |
| 3074F |
|
774 |
609 |
$252.50 |
| 97802 |
|
13 |
13 |
$150.83 |
| 94664 |
|
31 |
30 |
$131.30 |
| 1160F |
|
514 |
434 |
$65.00 |
| 1159F |
|
500 |
422 |
$65.00 |
| 3075F |
|
16 |
14 |
$37.50 |
| 3079F |
|
16 |
14 |
$32.50 |
| 99406 |
|
134 |
134 |
$30.78 |
| 94200 |
|
42 |
42 |
$21.11 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$2.70 |