| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,343 |
28,467 |
$1.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,071 |
24,764 |
$972K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,494 |
741 |
$82K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,716 |
10,094 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
864 |
830 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,164 |
1,483 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
459 |
448 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
723 |
704 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
892 |
573 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
553 |
$29K |
| 99215 |
Prolong outpt/office vis |
409 |
385 |
$28K |
| 99307 |
|
1,900 |
827 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
238 |
227 |
$14K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
259 |
202 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
225 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
330 |
143 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
148 |
133 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
215 |
145 |
$8K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
138 |
129 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
303 |
287 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
259 |
120 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
332 |
144 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
83 |
79 |
$6K |
| 64615 |
|
134 |
125 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
323 |
182 |
$5K |
| 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) |
4,390 |
4,135 |
$5K |
| 99205 |
Prolong outpt/office vis |
64 |
63 |
$4K |
| 92551 |
|
346 |
344 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35 |
32 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
37 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
52 |
51 |
$2K |
| 91320 |
|
54 |
32 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
38 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
33 |
28 |
$1K |
| 99218 |
|
49 |
26 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$753.48 |
| 31575 |
|
27 |
25 |
$736.40 |
| 99173 |
|
179 |
179 |
$706.51 |
| 92567 |
|
109 |
106 |
$682.21 |
| G0400 |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
15 |
15 |
$641.88 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
17 |
$617.61 |
| 90480 |
|
54 |
32 |
$469.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$431.90 |
| 99348 |
|
24 |
14 |
$351.93 |
| 64405 |
|
15 |
13 |
$348.91 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$340.39 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
12 |
12 |
$291.31 |
| 64450 |
|
15 |
13 |
$263.14 |
| 92557 |
|
14 |
12 |
$239.91 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$197.98 |
| 99459 |
|
14 |
14 |
$162.17 |
| 92134 |
|
27 |
24 |
$144.32 |
| 92504 |
|
29 |
27 |
$124.50 |
| 73600 |
|
24 |
24 |
$117.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$91.52 |
| 76376 |
|
14 |
13 |
$89.56 |
| 99152 |
|
14 |
12 |
$76.95 |
| 77080 |
|
14 |
12 |
$51.70 |
| 92015 |
Determination of refractive state |
13 |
13 |
$37.31 |
| 0004A |
|
190 |
190 |
$36.98 |
| 90686 |
|
38 |
38 |
$27.80 |
| 86580 |
|
18 |
17 |
$4.31 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 91307 |
|
273 |
272 |
$0.00 |
| 91305 |
|
36 |
36 |
$0.00 |
| 0072A |
|
215 |
215 |
$0.00 |
| 0124A |
|
88 |
88 |
$0.00 |
| 91312 |
|
55 |
55 |
$0.00 |
| 0054A |
|
40 |
40 |
$0.00 |
| 0071A |
|
229 |
229 |
$0.00 |
| 91300 |
|
166 |
166 |
$0.00 |
| 91308 |
|
16 |
15 |
$0.00 |