| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,245 |
29,401 |
$1.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,594 |
19,205 |
$940K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,435 |
2,213 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,291 |
2,109 |
$121K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,103 |
1,817 |
$115K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,927 |
19,837 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,552 |
1,406 |
$104K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,167 |
900 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
583 |
530 |
$45K |
| 76830 |
Ultrasound, transvaginal |
701 |
612 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
621 |
528 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
840 |
529 |
$23K |
| 93000 |
|
2,928 |
2,705 |
$21K |
| 99215 |
Prolong outpt/office vis |
380 |
304 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
359 |
152 |
$21K |
| 99385 |
|
240 |
201 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
913 |
789 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
219 |
192 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
706 |
607 |
$13K |
| 81025 |
|
2,937 |
2,364 |
$13K |
| 93298 |
|
912 |
826 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
224 |
179 |
$11K |
| 20610 |
|
317 |
272 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
297 |
266 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
578 |
273 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
165 |
147 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
150 |
60 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
75 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
131 |
116 |
$5K |
| 99225 |
|
163 |
135 |
$2K |
| 59025 |
Fetal non-stress test |
162 |
141 |
$2K |
| 93990 |
|
27 |
27 |
$1K |
| 99460 |
|
29 |
26 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
16 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
70 |
25 |
$1K |
| 73560 |
|
89 |
83 |
$1K |
| 81002 |
|
430 |
358 |
$760.87 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
13 |
$703.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
56 |
$682.29 |
| 94375 |
|
126 |
87 |
$675.94 |
| 87210 |
|
424 |
199 |
$625.60 |
| 99220 |
|
14 |
12 |
$607.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
619 |
561 |
$559.88 |
| 99462 |
|
16 |
12 |
$399.68 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
60 |
34 |
$240.02 |
| 99152 |
|
162 |
116 |
$221.61 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
314 |
221 |
$202.31 |
| 99226 |
|
12 |
12 |
$181.80 |
| 73610 |
|
13 |
12 |
$169.34 |
| 94726 |
|
12 |
12 |
$105.68 |
| 73630 |
|
18 |
14 |
$86.10 |
| 1033F |
|
22,892 |
17,889 |
$50.25 |
| 99217 |
|
14 |
13 |
$42.20 |
| 93793 |
|
18 |
12 |
$39.75 |
| 3044F |
|
3,996 |
3,097 |
$30.00 |
| 1160F |
|
46,658 |
39,252 |
$1.81 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
122 |
87 |
$1.22 |
| 1036F |
|
3,954 |
3,566 |
$0.53 |
| 99499 |
|
16 |
13 |
$0.02 |
| 3078F |
|
32,059 |
25,932 |
$0.01 |
| 3075F |
|
3,232 |
2,665 |
$0.01 |
| 1159F |
|
46,696 |
39,342 |
$0.00 |
| 1158F |
|
96 |
76 |
$0.00 |
| 3077F |
|
1,208 |
1,068 |
$0.00 |
| 3016F |
|
166 |
139 |
$0.00 |
| 1032F |
|
736 |
581 |
$0.00 |
| 3050F |
|
99 |
82 |
$0.00 |
| 3288F |
|
833 |
689 |
$0.00 |
| 4004F |
|
83 |
72 |
$0.00 |
| 3725F |
|
31 |
24 |
$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) |
14 |
14 |
$0.00 |
| 1125F |
|
10,608 |
8,458 |
$0.00 |
| 3074F |
|
38,664 |
30,721 |
$0.00 |
| 3008F |
|
39,746 |
33,285 |
$0.00 |
| 1126F |
|
22,392 |
18,796 |
$0.00 |
| 1170F |
|
1,954 |
1,425 |
$0.00 |
| 3080F |
|
373 |
338 |
$0.00 |
| 3079F |
|
12,527 |
10,424 |
$0.00 |
| 4010F |
|
5,000 |
4,521 |
$0.00 |
| 3048F |
|
981 |
885 |
$0.00 |
| 3351F |
|
1,307 |
1,112 |
$0.00 |
| 1220F |
|
237 |
208 |
$0.00 |
| 1031F |
|
808 |
604 |
$0.00 |
| 1034F |
|
313 |
268 |
$0.00 |
| 1111F |
|
280 |
254 |
$0.00 |
| 4000F |
|
88 |
78 |
$0.00 |
| 3049F |
|
88 |
81 |
$0.00 |
| 1157F |
|
15 |
12 |
$0.00 |