| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,084 |
6,448 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,394 |
8,700 |
$310K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,719 |
6,099 |
$238K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,801 |
721 |
$196K |
| 99233 |
Prolong inpt eval add15 m |
3,457 |
1,247 |
$162K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,697 |
1,761 |
$150K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,713 |
2,072 |
$148K |
| 99223 |
Prolong inpt eval add15 m |
1,502 |
1,281 |
$126K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,996 |
1,755 |
$100K |
| 88342 |
|
3,531 |
2,772 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
939 |
848 |
$64K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,754 |
9,088 |
$54K |
| 99222 |
Initial hospital care, per day, moderate complexity |
719 |
618 |
$43K |
| 93356 |
|
1,845 |
1,610 |
$35K |
| 88307 |
|
718 |
596 |
$33K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
556 |
503 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
579 |
519 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
304 |
287 |
$15K |
| 99221 |
|
314 |
251 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
67 |
52 |
$8K |
| 99215 |
Prolong outpt/office vis |
143 |
109 |
$7K |
| 93923 |
|
206 |
186 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
439 |
210 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
96 |
89 |
$5K |
| 88304 |
|
327 |
234 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
47 |
42 |
$3K |
| 92083 |
|
255 |
227 |
$2K |
| 88341 |
|
57 |
51 |
$2K |
| 11900 |
|
42 |
36 |
$1K |
| 92134 |
|
263 |
238 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$893.88 |
| 92133 |
|
169 |
155 |
$803.07 |
| 93925 |
|
15 |
14 |
$688.73 |
| 90837 |
Psychotherapy, 53 minutes with patient |
56 |
25 |
$573.52 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21 |
20 |
$498.18 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$439.08 |
| 93880 |
|
13 |
12 |
$429.41 |
| 99235 |
|
15 |
14 |
$385.41 |
| 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) |
120 |
104 |
$35.00 |
| 99024 |
|
532 |
458 |
$0.00 |
| 64488 |
|
24 |
15 |
$0.00 |