| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,777 |
8,019 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,072 |
8,221 |
$341K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,106 |
1,560 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,003 |
898 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,283 |
1,118 |
$69K |
| 99222 |
Initial hospital care, per day, moderate complexity |
675 |
513 |
$29K |
| 59426 |
|
35 |
35 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
858 |
182 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
210 |
$16K |
| 76830 |
Ultrasound, transvaginal |
193 |
158 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
196 |
157 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
235 |
191 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
222 |
153 |
$8K |
| 59425 |
|
22 |
22 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,909 |
1,172 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
162 |
$5K |
| 51725 |
|
203 |
126 |
$4K |
| 81025 |
|
619 |
546 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
272 |
236 |
$4K |
| 90688 |
|
308 |
269 |
$3K |
| 99385 |
|
30 |
29 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25 |
25 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
40 |
29 |
$2K |
| 11755 |
|
27 |
25 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
221 |
115 |
$1K |
| 95117 |
|
162 |
73 |
$1K |
| 11721 |
|
55 |
51 |
$1K |
| 81003 |
|
673 |
547 |
$1K |
| 82947 |
|
354 |
277 |
$916.95 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
37 |
$800.71 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
16 |
$764.00 |
| 92557 |
|
29 |
26 |
$600.45 |
| 69210 |
|
14 |
12 |
$497.35 |
| 92567 |
|
67 |
57 |
$493.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
108 |
$456.14 |
| 74420 |
|
46 |
37 |
$383.53 |
| 87210 |
|
97 |
80 |
$376.10 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
30 |
13 |
$285.64 |
| 99406 |
|
58 |
54 |
$270.84 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
51 |
29 |
$261.03 |
| 93971 |
|
30 |
24 |
$258.05 |
| 99304 |
|
23 |
13 |
$201.15 |
| 93923 |
|
34 |
24 |
$96.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$81.68 |
| 96127 |
|
46 |
33 |
$22.04 |
| 1159F |
|
200 |
158 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
41 |
32 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
17 |
13 |
$0.00 |
| 3008F |
|
86 |
69 |
$0.00 |
| 1036F |
|
209 |
148 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 2000F |
|
136 |
100 |
$0.00 |