| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,536 |
41,487 |
$2.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,819 |
29,907 |
$1.01M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,554 |
2,785 |
$131K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
27,873 |
20,027 |
$94K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,069 |
2,451 |
$71K |
| 99233 |
Prolong inpt eval add15 m |
2,789 |
1,034 |
$62K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,321 |
674 |
$53K |
| 99215 |
Prolong outpt/office vis |
924 |
755 |
$36K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
535 |
461 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,824 |
4,375 |
$21K |
| 90686 |
|
2,706 |
2,481 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
329 |
255 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
464 |
409 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
248 |
$13K |
| 95117 |
|
1,122 |
799 |
$11K |
| 99460 |
|
357 |
327 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
280 |
240 |
$11K |
| 92557 |
|
368 |
351 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
141 |
109 |
$7K |
| 92567 |
|
634 |
611 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
147 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
67 |
$3K |
| 99462 |
|
158 |
124 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
152 |
63 |
$2K |
| 64615 |
|
45 |
36 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
207 |
108 |
$1K |
| 99464 |
|
27 |
26 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
288 |
246 |
$1K |
| 99217 |
|
54 |
40 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
47 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
114 |
$975.32 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
14 |
$955.38 |
| 51798 |
|
69 |
66 |
$826.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$761.12 |
| 90715 |
|
15 |
15 |
$714.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$703.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
62 |
$610.70 |
| 81025 |
|
131 |
124 |
$594.38 |
| 99219 |
|
14 |
12 |
$472.64 |
| 99221 |
|
16 |
12 |
$418.09 |
| 69210 |
|
47 |
41 |
$351.36 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
19 |
13 |
$319.76 |
| 36415 |
Collection of venous blood by venipuncture |
572 |
509 |
$274.78 |
| 81003 |
|
197 |
183 |
$273.75 |
| 82962 |
|
125 |
123 |
$259.40 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
22 |
12 |
$247.84 |
| 99442 |
|
190 |
148 |
$227.86 |
| 93000 |
|
18 |
17 |
$219.61 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
14 |
$219.48 |
| 90656 |
|
32 |
32 |
$218.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
32 |
$186.21 |
| 95251 |
|
30 |
25 |
$174.57 |
| 20553 |
|
13 |
12 |
$167.93 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$162.53 |
| 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) |
236 |
158 |
$102.15 |
| 94726 |
|
18 |
16 |
$61.64 |
| 94729 |
|
19 |
17 |
$46.49 |
| 99441 |
|
34 |
29 |
$40.39 |
| 36416 |
|
103 |
102 |
$26.26 |
| 90670 |
|
44 |
30 |
$0.00 |
| 90648 |
|
24 |
13 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90680 |
|
23 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
36 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |