| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,019 |
55,154 |
$5.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,393 |
40,002 |
$5.30M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,770 |
4,994 |
$942K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,855 |
2,690 |
$402K |
| 99215 |
Prolong outpt/office vis |
2,055 |
1,842 |
$308K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,834 |
1,763 |
$267K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,826 |
10,437 |
$246K |
| 98926 |
|
4,496 |
3,531 |
$237K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,592 |
2,413 |
$214K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,540 |
5,363 |
$200K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,282 |
1,186 |
$193K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,423 |
1,345 |
$177K |
| 98927 |
|
1,864 |
1,478 |
$132K |
| 99221 |
|
785 |
720 |
$87K |
| 99223 |
Prolong inpt eval add15 m |
483 |
441 |
$84K |
| 99222 |
Initial hospital care, per day, moderate complexity |
420 |
377 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,181 |
1,079 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
391 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
560 |
299 |
$58K |
| 80305 |
|
5,859 |
4,036 |
$57K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,169 |
474 |
$42K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
199 |
191 |
$41K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
116 |
96 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
171 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
313 |
$29K |
| 98925 |
|
634 |
509 |
$24K |
| D1206 |
Topical application of fluoride varnish |
883 |
862 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
224 |
167 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
872 |
788 |
$11K |
| 94726 |
|
779 |
738 |
$9K |
| 95251 |
|
203 |
189 |
$8K |
| 94729 |
|
734 |
696 |
$7K |
| 95115 |
|
610 |
263 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
258 |
192 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
19 |
15 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13 |
12 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
282 |
134 |
$4K |
| 99460 |
|
26 |
24 |
$4K |
| 99177 |
|
341 |
332 |
$3K |
| 94010 |
|
282 |
269 |
$3K |
| 96127 |
|
987 |
363 |
$3K |
| 90474 |
|
201 |
194 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
24 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
98 |
54 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 11100 |
|
12 |
12 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
16 |
16 |
$2K |
| 95117 |
|
141 |
50 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
22 |
13 |
$2K |
| 95806 |
|
26 |
25 |
$1K |
| 94060 |
|
70 |
64 |
$1K |
| 59025 |
Fetal non-stress test |
19 |
12 |
$960.62 |
| 99441 |
|
48 |
40 |
$919.80 |
| 99443 |
|
16 |
16 |
$725.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
26 |
$672.84 |
| 99152 |
|
15 |
15 |
$556.02 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
30 |
25 |
$551.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
65 |
$399.59 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$341.40 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$171.16 |
| 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) |
183 |
105 |
$135.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$99.92 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$96.18 |
| 95199 |
|
16 |
16 |
$57.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
53 |
$16.16 |
| 81003 |
|
262 |
248 |
$8.41 |