| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,859 |
8,269 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,415 |
10,147 |
$1.10M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
747 |
700 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
511 |
417 |
$64K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
130 |
119 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
861 |
740 |
$46K |
| 99215 |
Prolong outpt/office vis |
239 |
200 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,032 |
905 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,483 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
233 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,388 |
1,830 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
451 |
156 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
90 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
103 |
79 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
40 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
72 |
59 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
319 |
275 |
$4K |
| 99243 |
|
15 |
15 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$2K |
| 99242 |
|
12 |
12 |
$2K |
| 99442 |
|
47 |
40 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
130 |
115 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
30 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
18 |
15 |
$818.79 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
13 |
$784.72 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$679.44 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$657.48 |
| 90461 |
|
17 |
14 |
$541.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
30 |
$531.65 |
| 36415 |
Collection of venous blood by venipuncture |
817 |
701 |
$318.92 |
| 90473 |
|
12 |
12 |
$240.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
16 |
$175.34 |
| 90686 |
|
12 |
12 |
$170.25 |
| 85018 |
|
36 |
19 |
$51.49 |
| 99173 |
|
33 |
17 |
$29.34 |
| 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) |
222 |
191 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
13 |
13 |
$0.00 |