| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,533 |
22,628 |
$1.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,529 |
8,145 |
$884K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,952 |
13,713 |
$821K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,287 |
12,274 |
$791K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,595 |
4,545 |
$495K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,129 |
8,117 |
$489K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,124 |
2,122 |
$361K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,835 |
8,716 |
$327K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,085 |
4,072 |
$261K |
| 99460 |
|
2,086 |
2,070 |
$191K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,488 |
2,469 |
$179K |
| 99215 |
Prolong outpt/office vis |
1,126 |
1,115 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,936 |
3,884 |
$130K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
912 |
907 |
$110K |
| 99205 |
Prolong outpt/office vis |
443 |
443 |
$86K |
| 93308 |
|
914 |
873 |
$64K |
| 93000 |
|
2,399 |
2,390 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
182 |
176 |
$31K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
227 |
50 |
$28K |
| 99442 |
|
513 |
498 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
247 |
$26K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
961 |
961 |
$21K |
| 99462 |
|
498 |
417 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
225 |
145 |
$19K |
| 54150 |
|
199 |
198 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
177 |
$12K |
| 99464 |
|
184 |
184 |
$12K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
197 |
193 |
$10K |
| 97802 |
|
131 |
131 |
$10K |
| 97803 |
|
186 |
185 |
$9K |
| 99441 |
|
210 |
206 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
120 |
55 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
106 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
56 |
54 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
124 |
124 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
58 |
58 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
781 |
677 |
$6K |
| 99381 |
|
119 |
119 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
18 |
12 |
$4K |
| 99221 |
|
33 |
31 |
$3K |
| 99443 |
|
25 |
25 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
213 |
212 |
$580.31 |
| H0049 |
Alcohol and/or drug screening |
279 |
277 |
$380.03 |
| 96127 |
|
159 |
155 |
$130.50 |
| 3074F |
|
341 |
325 |
$2.12 |
| 3078F |
|
190 |
184 |
$2.12 |
| 1220F |
|
249 |
249 |
$0.00 |
| 1000F |
|
250 |
249 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
256 |
256 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
516 |
491 |
$0.00 |
| 4293F |
|
217 |
217 |
$0.00 |
| 3510F |
|
155 |
154 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
504 |
479 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
119 |
119 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12 |
12 |
$0.00 |