| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,637 |
15,753 |
$738K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,605 |
7,143 |
$501K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,322 |
2,094 |
$179K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,587 |
2,214 |
$108K |
| 31575 |
|
1,328 |
1,154 |
$81K |
| 99223 |
Prolong inpt eval add15 m |
1,087 |
1,014 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,342 |
1,255 |
$64K |
| 31231 |
|
822 |
716 |
$62K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
773 |
686 |
$62K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,919 |
1,758 |
$52K |
| 92557 |
|
1,373 |
1,222 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,435 |
3,912 |
$27K |
| 92567 |
|
2,760 |
2,437 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
305 |
234 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
338 |
312 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
952 |
485 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
325 |
250 |
$11K |
| 92504 |
|
767 |
702 |
$10K |
| 20610 |
|
314 |
219 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
51 |
50 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
301 |
267 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
77 |
$5K |
| 81025 |
|
853 |
762 |
$5K |
| 95117 |
|
551 |
267 |
$4K |
| 69210 |
|
243 |
209 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
38 |
24 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
95 |
75 |
$3K |
| 43249 |
|
40 |
37 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
66 |
60 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
84 |
79 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
261 |
216 |
$1K |
| 59025 |
Fetal non-stress test |
45 |
27 |
$971.71 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$935.28 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
171 |
144 |
$809.44 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
15 |
$740.30 |
| 93016 |
|
20 |
16 |
$309.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$195.23 |
| 93018 |
|
20 |
16 |
$184.96 |
| 92556 |
|
13 |
13 |
$141.31 |
| 92552 |
|
14 |
14 |
$119.03 |
| 81002 |
|
27 |
26 |
$43.61 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$24.75 |
| G8484 |
Influenza immunization was not administered, reason not given |
28 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
119 |
114 |
$0.00 |
| 1036F |
|
27 |
26 |
$0.00 |
| 99024 |
|
89 |
71 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
12 |
$0.00 |