| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96,879 |
84,761 |
$7.75M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
21,708 |
6,806 |
$4.04M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58,150 |
24,058 |
$2.48M |
| 99233 |
Prolong inpt eval add15 m |
37,144 |
15,182 |
$2.41M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
5,135 |
4,622 |
$1.72M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
32,414 |
29,653 |
$1.56M |
| 99223 |
Prolong inpt eval add15 m |
11,508 |
9,855 |
$1.29M |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
16,867 |
14,864 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,410 |
22,544 |
$1.19M |
| 99222 |
Initial hospital care, per day, moderate complexity |
13,445 |
9,855 |
$1.05M |
| 99215 |
Prolong outpt/office vis |
6,172 |
5,264 |
$595K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,499 |
5,820 |
$572K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,454 |
2,244 |
$478K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,136 |
1,039 |
$229K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
8,396 |
4,003 |
$220K |
| 43235 |
|
999 |
914 |
$130K |
| 93458 |
|
909 |
817 |
$121K |
| 99152 |
|
4,773 |
4,124 |
$115K |
| 93000 |
|
9,813 |
8,843 |
$90K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
721 |
642 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,776 |
1,582 |
$69K |
| 90961 |
|
703 |
607 |
$69K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,258 |
1,400 |
$65K |
| 95811 |
|
589 |
491 |
$56K |
| 99205 |
Prolong outpt/office vis |
1,003 |
916 |
$48K |
| 36902 |
|
184 |
171 |
$44K |
| 93351 |
|
623 |
543 |
$42K |
| 93227 |
|
1,788 |
1,634 |
$33K |
| 94010 |
|
4,576 |
4,203 |
$32K |
| 94729 |
|
4,560 |
4,160 |
$32K |
| 95251 |
|
1,174 |
1,027 |
$30K |
| 93307 |
|
905 |
798 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
502 |
470 |
$27K |
| 93272 |
|
1,529 |
1,347 |
$27K |
| 90966 |
|
274 |
213 |
$25K |
| 43264 |
|
204 |
185 |
$22K |
| 93248 |
|
1,031 |
960 |
$22K |
| 90937 |
|
377 |
199 |
$17K |
| 94726 |
|
1,653 |
1,493 |
$16K |
| 93320 |
|
1,454 |
1,309 |
$15K |
| 93295 |
|
625 |
555 |
$14K |
| 94060 |
|
1,734 |
1,544 |
$14K |
| 93018 |
|
1,855 |
1,732 |
$13K |
| 91200 |
|
2,171 |
1,892 |
$13K |
| 99221 |
|
522 |
440 |
$12K |
| 85097 |
|
206 |
176 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
339 |
293 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,349 |
1,210 |
$9K |
| 93244 |
|
334 |
312 |
$7K |
| 36556 |
|
59 |
41 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
359 |
310 |
$5K |
| 90945 |
|
157 |
64 |
$5K |
| 95800 |
|
137 |
125 |
$5K |
| 95806 |
|
88 |
79 |
$4K |
| 94727 |
|
353 |
326 |
$4K |
| 93296 |
|
360 |
301 |
$4K |
| 74328 |
|
184 |
162 |
$3K |
| 31500 |
|
33 |
27 |
$2K |
| 93750 |
|
47 |
14 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
540 |
472 |
$2K |
| 43253 |
|
18 |
15 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
117 |
100 |
$1K |
| 93350 |
|
376 |
359 |
$1K |
| 93312 |
|
66 |
59 |
$1K |
| 93016 |
|
209 |
203 |
$1K |
| 43241 |
|
13 |
12 |
$1K |
| 93294 |
|
85 |
78 |
$995.74 |
| 93297 |
|
52 |
41 |
$666.89 |
| 20611 |
|
17 |
12 |
$562.79 |
| 93228 |
|
16 |
12 |
$467.31 |
| 99442 |
|
55 |
41 |
$461.48 |
| 77001 |
|
50 |
38 |
$352.24 |
| 93280 |
|
12 |
12 |
$247.69 |
| 99451 |
|
23 |
16 |
$169.65 |
| 93246 |
|
13 |
12 |
$157.32 |
| 90785 |
|
33 |
28 |
$139.25 |
| 93325 |
|
120 |
110 |
$115.36 |
| 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) |
1,778 |
1,468 |
$108.88 |
| 76937 |
|
20 |
13 |
$61.46 |
| 99446 |
|
12 |
12 |
$17.36 |
| 36416 |
|
134 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
92 |
$0.00 |
| 92928 |
|
13 |
12 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
13 |
13 |
$0.00 |
| 93460 |
|
13 |
12 |
$0.00 |
| 99449 |
|
34 |
27 |
$0.00 |
| 0298T |
|
13 |
12 |
$0.00 |