| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,448 |
18,593 |
$1.20M |
| 99233 |
Prolong inpt eval add15 m |
7,567 |
2,711 |
$336K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,863 |
6,582 |
$298K |
| 99215 |
Prolong outpt/office vis |
4,125 |
3,921 |
$291K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,581 |
4,412 |
$228K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,323 |
2,131 |
$213K |
| 99223 |
Prolong inpt eval add15 m |
802 |
774 |
$78K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,410 |
15,675 |
$69K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
301 |
139 |
$41K |
| 95812 |
|
695 |
684 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
175 |
169 |
$20K |
| 0002A |
|
786 |
774 |
$18K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
313 |
293 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
118 |
$15K |
| 0001A |
|
883 |
857 |
$15K |
| 90686 |
|
985 |
979 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
176 |
159 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
172 |
163 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,056 |
1,045 |
$11K |
| 31231 |
|
69 |
66 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
116 |
49 |
$10K |
| 90961 |
|
184 |
183 |
$9K |
| 95874 |
|
114 |
114 |
$7K |
| 92557 |
|
247 |
244 |
$6K |
| 99219 |
|
90 |
87 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
169 |
12 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
89 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
127 |
125 |
$5K |
| 99242 |
|
75 |
73 |
$5K |
| 0012A |
|
227 |
227 |
$4K |
| 93922 |
|
87 |
85 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
24 |
$3K |
| 0004A |
|
157 |
134 |
$3K |
| 93000 |
|
264 |
258 |
$2K |
| 0124A |
|
68 |
66 |
$2K |
| 94729 |
|
52 |
52 |
$2K |
| 0011A |
|
202 |
201 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
93 |
$2K |
| 99243 |
|
25 |
25 |
$2K |
| 99490 |
Ccm add 20min |
620 |
620 |
$2K |
| 92133 |
|
59 |
58 |
$2K |
| 94726 |
|
40 |
39 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
12 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
23 |
12 |
$1K |
| 94010 |
|
79 |
76 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
24 |
$1K |
| 92083 |
|
29 |
29 |
$1K |
| 99253 |
|
17 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
55 |
$1K |
| 31575 |
|
13 |
12 |
$998.98 |
| 64643 |
|
13 |
13 |
$966.03 |
| 93926 |
|
12 |
12 |
$943.87 |
| 97802 |
|
59 |
58 |
$855.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$814.71 |
| 0064A |
|
41 |
39 |
$806.00 |
| 92567 |
|
71 |
68 |
$736.48 |
| 93750 |
|
25 |
12 |
$719.23 |
| 90656 |
|
57 |
56 |
$695.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
91 |
$587.14 |
| 95819 |
|
12 |
12 |
$536.65 |
| 96415 |
|
13 |
12 |
$503.72 |
| 73630 |
|
18 |
12 |
$484.03 |
| 90962 |
|
12 |
12 |
$464.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
27 |
$381.16 |
| J7050 |
Infusion, normal saline solution, 250 cc |
829 |
303 |
$379.54 |
| 92134 |
|
13 |
13 |
$374.83 |
| 92550 |
|
25 |
25 |
$346.05 |
| 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) |
972 |
932 |
$345.96 |
| 95251 |
|
12 |
12 |
$278.43 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
12 |
$214.56 |
| 93970 |
|
16 |
12 |
$206.98 |
| 90480 |
|
15 |
15 |
$184.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
104 |
86 |
$8.92 |
| 91300 |
|
1,217 |
1,110 |
$0.00 |
| 91301 |
|
162 |
142 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| J3490 |
Unclassified drugs |
18 |
12 |
$0.00 |