| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242,914 |
212,973 |
$2.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89,416 |
83,043 |
$1.45M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,837 |
13,287 |
$528K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22,298 |
19,270 |
$438K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32,246 |
29,282 |
$437K |
| 59425 |
|
3,821 |
2,842 |
$361K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
17,662 |
14,204 |
$297K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,647 |
4,207 |
$293K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,634 |
2,968 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,999 |
15,577 |
$192K |
| 99223 |
Prolong inpt eval add15 m |
2,858 |
2,769 |
$182K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,917 |
2,756 |
$163K |
| 99429 |
|
6,545 |
6,506 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,975 |
12,009 |
$128K |
| G9920 |
Screening performed and negative |
3,477 |
2,973 |
$119K |
| 99233 |
Prolong inpt eval add15 m |
2,645 |
1,326 |
$100K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,635 |
1,406 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,028 |
7,590 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,964 |
2,750 |
$86K |
| 96112 |
|
758 |
673 |
$78K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,184 |
4,565 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,783 |
1,687 |
$66K |
| 92015 |
Determination of refractive state |
6,376 |
6,081 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,103 |
2,037 |
$62K |
| 99078 |
|
2,430 |
2,047 |
$56K |
| 99442 |
|
2,197 |
2,092 |
$55K |
| 20610 |
|
1,097 |
1,057 |
$53K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,451 |
1,001 |
$53K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,068 |
1,056 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
576 |
572 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
761 |
716 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
991 |
978 |
$33K |
| 99443 |
|
937 |
861 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
518 |
515 |
$31K |
| 99385 |
|
721 |
599 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
928 |
872 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,022 |
11,707 |
$29K |
| 59430 |
|
409 |
356 |
$24K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
67 |
66 |
$24K |
| 99215 |
Prolong outpt/office vis |
469 |
445 |
$21K |
| 99404 |
|
2,660 |
2,355 |
$17K |
| 96127 |
|
2,937 |
2,844 |
$16K |
| 94060 |
|
713 |
708 |
$16K |
| 99383 |
|
455 |
400 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
577 |
375 |
$16K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
433 |
409 |
$12K |
| 11721 |
|
669 |
669 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
488 |
445 |
$11K |
| 94726 |
|
641 |
636 |
$9K |
| 99384 |
|
211 |
203 |
$7K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$7K |
| 92002 |
|
151 |
145 |
$6K |
| 93351 |
|
38 |
38 |
$6K |
| 94729 |
|
667 |
662 |
$6K |
| 99201 |
|
162 |
144 |
$5K |
| 99205 |
Prolong outpt/office vis |
23 |
15 |
$4K |
| 93227 |
|
119 |
119 |
$4K |
| 99241 |
|
59 |
50 |
$3K |
| 93325 |
|
69 |
69 |
$3K |
| 92133 |
|
96 |
96 |
$3K |
| 90688 |
|
152 |
152 |
$3K |
| 93018 |
|
113 |
113 |
$3K |
| 99382 |
|
68 |
63 |
$2K |
| 92083 |
|
95 |
95 |
$2K |
| 92250 |
|
72 |
71 |
$2K |
| 64483 |
|
12 |
12 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| 93321 |
|
69 |
69 |
$1K |
| 0002A |
|
48 |
48 |
$1K |
| 99381 |
|
26 |
24 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
194 |
185 |
$910.55 |
| 99315 |
|
24 |
24 |
$811.92 |
| 93350 |
|
14 |
14 |
$768.89 |
| 99441 |
|
52 |
50 |
$737.83 |
| 90686 |
|
46 |
44 |
$501.47 |
| 99348 |
|
26 |
25 |
$494.92 |
| 99304 |
|
12 |
12 |
$331.27 |
| 93280 |
|
12 |
12 |
$266.27 |
| 71045 |
Radiologic examination, chest; single view |
29 |
29 |
$251.33 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$238.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
95 |
$238.16 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
830 |
799 |
$184.68 |
| 94375 |
|
15 |
14 |
$171.45 |
| 97810 |
|
12 |
12 |
$121.56 |
| 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 |
15 |
14 |
$90.73 |
| 3074F |
|
1,598 |
1,566 |
$0.00 |
| 3075F |
|
156 |
156 |
$0.00 |
| 3079F |
|
119 |
117 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
96 |
96 |
$0.00 |
| 3078F |
|
3,163 |
3,112 |
$0.00 |
| 3077F |
|
329 |
326 |
$0.00 |