| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,173 |
13,556 |
$355K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,790 |
4,648 |
$291K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,174 |
3,036 |
$143K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,855 |
3,738 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,506 |
3,265 |
$59K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,661 |
8,100 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,850 |
641 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,557 |
3,478 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,153 |
657 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
789 |
762 |
$12K |
| 92587 |
|
264 |
261 |
$11K |
| 92567 |
|
699 |
681 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
193 |
74 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
93 |
91 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,353 |
1,021 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
78 |
70 |
$2K |
| 31623 |
|
32 |
30 |
$2K |
| 31624 |
|
48 |
45 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
187 |
185 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
128 |
114 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
216 |
204 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$996.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$817.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
46 |
$740.63 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
24 |
$708.43 |
| 99215 |
Prolong outpt/office vis |
49 |
45 |
$625.43 |
| 94060 |
|
76 |
75 |
$606.46 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$596.61 |
| 97597 |
|
82 |
36 |
$578.56 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
30 |
27 |
$534.61 |
| 93248 |
|
68 |
66 |
$525.77 |
| 76801 |
|
13 |
12 |
$433.34 |
| 90686 |
|
31 |
31 |
$423.60 |
| 95811 |
|
12 |
12 |
$314.44 |
| 90961 |
|
63 |
63 |
$290.29 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
27 |
$287.20 |
| 94726 |
|
88 |
88 |
$207.71 |
| 99490 |
Ccm add 20min |
2,543 |
2,377 |
$188.13 |
| 74018 |
|
44 |
41 |
$186.33 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$135.48 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$128.01 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$96.76 |
| 51798 |
|
15 |
12 |
$83.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
24 |
$65.52 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
15 |
$61.30 |
| 94729 |
|
52 |
52 |
$61.26 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$28.35 |
| 99442 |
|
14 |
12 |
$5.31 |
| 93299 |
|
18 |
18 |
$0.00 |
| 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) |
20 |
18 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |