| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,748 |
46,769 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,404 |
41,808 |
$977K |
| 99223 |
Prolong inpt eval add15 m |
2,970 |
2,785 |
$217K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,752 |
5,289 |
$184K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,409 |
2,337 |
$181K |
| 99215 |
Prolong outpt/office vis |
2,876 |
2,693 |
$167K |
| 99233 |
Prolong inpt eval add15 m |
4,025 |
2,144 |
$141K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,008 |
3,811 |
$139K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,674 |
2,882 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,510 |
1,461 |
$138K |
| 59025 |
Fetal non-stress test |
6,030 |
3,802 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,881 |
3,080 |
$130K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,769 |
2,513 |
$108K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,550 |
2,713 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,571 |
1,515 |
$82K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,954 |
4,150 |
$79K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,781 |
2,003 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,533 |
2,262 |
$48K |
| 99205 |
Prolong outpt/office vis |
533 |
507 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
464 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
488 |
$38K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,042 |
859 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
295 |
$30K |
| 76820 |
|
1,347 |
1,032 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
803 |
761 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
376 |
$25K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,254 |
3,904 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
298 |
295 |
$21K |
| 95806 |
|
368 |
356 |
$20K |
| 99306 |
Prolong nursin fac eval 15m |
245 |
237 |
$16K |
| 76818 |
|
435 |
302 |
$16K |
| 90686 |
|
1,589 |
1,543 |
$14K |
| 90461 |
|
813 |
781 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
781 |
526 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
53 |
52 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
115 |
108 |
$11K |
| 99305 |
|
244 |
241 |
$11K |
| 99459 |
|
814 |
746 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
585 |
342 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
916 |
891 |
$10K |
| 99243 |
|
86 |
86 |
$9K |
| 99385 |
|
176 |
174 |
$6K |
| 99443 |
|
317 |
302 |
$6K |
| 94010 |
|
431 |
408 |
$6K |
| 94729 |
|
393 |
375 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
188 |
167 |
$6K |
| 51701 |
|
154 |
145 |
$5K |
| 76821 |
|
172 |
130 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
462 |
278 |
$5K |
| 93000 |
|
456 |
439 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$5K |
| 95800 |
|
94 |
94 |
$4K |
| 95811 |
|
26 |
26 |
$4K |
| 94726 |
|
209 |
195 |
$3K |
| 76801 |
|
101 |
89 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
81 |
$3K |
| 99349 |
|
302 |
293 |
$3K |
| 90734 |
|
96 |
94 |
$2K |
| 95816 |
|
69 |
66 |
$2K |
| 90651 |
|
38 |
37 |
$2K |
| 99442 |
|
1,042 |
963 |
$2K |
| 20610 |
|
52 |
42 |
$2K |
| 99307 |
|
148 |
118 |
$2K |
| 90677 |
|
158 |
157 |
$1K |
| 90662 |
|
53 |
53 |
$1K |
| 99454 |
|
90 |
88 |
$1K |
| 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) |
1,341 |
1,247 |
$1K |
| 99253 |
|
15 |
15 |
$997.66 |
| 99457 |
|
172 |
156 |
$990.75 |
| 94727 |
|
78 |
76 |
$723.25 |
| 90656 |
|
277 |
276 |
$715.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
55 |
$704.60 |
| 99221 |
|
19 |
19 |
$675.08 |
| 90716 |
|
31 |
30 |
$638.46 |
| 99441 |
|
334 |
305 |
$595.15 |
| 99497 |
|
27 |
25 |
$434.37 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
26 |
$361.25 |
| 99458 |
|
29 |
27 |
$320.46 |
| 90723 |
|
140 |
136 |
$283.23 |
| 90707 |
|
27 |
26 |
$267.36 |
| 82948 |
|
80 |
77 |
$264.22 |
| 90633 |
|
69 |
67 |
$258.04 |
| 81002 |
|
492 |
450 |
$257.44 |
| 90715 |
|
53 |
51 |
$250.77 |
| 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) |
22 |
14 |
$249.55 |
| 99406 |
|
70 |
64 |
$226.93 |
| 90670 |
|
23 |
22 |
$226.43 |
| 76937 |
|
30 |
26 |
$177.69 |
| 99453 |
|
38 |
38 |
$175.90 |
| 90648 |
|
225 |
221 |
$159.90 |
| 93296 |
|
28 |
24 |
$156.27 |
| 94060 |
|
15 |
15 |
$109.60 |
| 90688 |
|
13 |
13 |
$108.26 |
| 93016 |
|
12 |
12 |
$97.39 |
| 87428 |
|
14 |
13 |
$73.49 |
| 93018 |
|
12 |
12 |
$72.37 |
| 81025 |
|
15 |
15 |
$35.61 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
65 |
54 |
$22.46 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$11.50 |
| 90681 |
|
40 |
40 |
$0.00 |