| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,024 |
21,951 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,712 |
25,054 |
$1.10M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,701 |
2,651 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,705 |
2,705 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,786 |
2,722 |
$148K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,508 |
2,488 |
$132K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,728 |
1,723 |
$120K |
| 99215 |
Prolong outpt/office vis |
1,872 |
1,796 |
$117K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,136 |
1,134 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,328 |
1,328 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
624 |
624 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
757 |
731 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,358 |
1,312 |
$28K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
783 |
780 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
283 |
273 |
$17K |
| 76830 |
Ultrasound, transvaginal |
369 |
366 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
545 |
184 |
$15K |
| 99205 |
Prolong outpt/office vis |
157 |
156 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
471 |
465 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,026 |
1,010 |
$12K |
| 99385 |
|
143 |
142 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
267 |
266 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
72 |
72 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
238 |
236 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,250 |
2,078 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,213 |
1,186 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
305 |
284 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
216 |
216 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
88 |
70 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
119 |
115 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,218 |
982 |
$5K |
| 59025 |
Fetal non-stress test |
166 |
81 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
294 |
282 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
160 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
91 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
53 |
53 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
123 |
123 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 87428 |
|
58 |
58 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
47 |
26 |
$1K |
| 90686 |
|
81 |
81 |
$1K |
| 96127 |
|
937 |
919 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
14 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
31 |
12 |
$1K |
| 73630 |
|
209 |
175 |
$972.97 |
| 99152 |
|
124 |
121 |
$822.62 |
| 81025 |
|
116 |
116 |
$800.87 |
| 99382 |
|
12 |
12 |
$797.52 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$732.24 |
| 76801 |
|
14 |
13 |
$699.69 |
| 93975 |
|
24 |
24 |
$645.80 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$636.70 |
| 92015 |
Determination of refractive state |
55 |
55 |
$591.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$479.55 |
| 73562 |
|
75 |
64 |
$363.60 |
| 73030 |
|
43 |
40 |
$203.30 |
| 74018 |
|
41 |
40 |
$175.10 |
| 90656 |
|
14 |
14 |
$168.00 |
| 98966 |
|
1,219 |
1,114 |
$159.39 |
| 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) |
125 |
121 |
$118.04 |
| 90688 |
|
18 |
18 |
$104.40 |
| 73130 |
|
23 |
14 |
$99.00 |
| 99442 |
|
14 |
13 |
$97.99 |
| 73610 |
|
17 |
16 |
$91.29 |
| 81002 |
|
24 |
24 |
$60.52 |
| 99441 |
|
16 |
16 |
$57.54 |
| 81003 |
|
31 |
30 |
$52.36 |
| 98967 |
|
244 |
226 |
$48.20 |
| 99406 |
|
12 |
12 |
$12.46 |
| G9002 |
Coordinated care fee, maintenance rate |
204 |
202 |
$0.10 |
| G9007 |
Coordinated care fee, scheduled team conference |
147 |
139 |
$0.05 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
88 |
67 |
$0.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
245 |
245 |
$0.00 |