| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
65,360 |
17,972 |
$3.88M |
| 99215 |
Prolong outpt/office vis |
50,955 |
43,909 |
$3.70M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
25,280 |
4,863 |
$2.11M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
7,807 |
1,282 |
$2.00M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
24,603 |
4,880 |
$1.95M |
| 99223 |
Prolong inpt eval add15 m |
12,372 |
11,050 |
$1.34M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20,800 |
19,731 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,308 |
23,700 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,130 |
21,770 |
$929K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
3,461 |
609 |
$854K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,574 |
8,573 |
$827K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,375 |
9,051 |
$526K |
| 99468 |
|
648 |
619 |
$391K |
| 99205 |
Prolong outpt/office vis |
3,891 |
3,740 |
$367K |
| 99243 |
|
5,564 |
5,298 |
$320K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,712 |
3,547 |
$309K |
| 99220 |
|
2,866 |
2,706 |
$298K |
| 99417 |
Prolong home eval add 15m |
7,522 |
7,040 |
$269K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,314 |
3,172 |
$264K |
| 99356 |
|
4,569 |
2,703 |
$245K |
| 99477 |
|
993 |
960 |
$230K |
| 99254 |
|
2,237 |
1,913 |
$229K |
| 99253 |
|
3,094 |
2,637 |
$205K |
| 92567 |
|
22,637 |
21,452 |
$187K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,563 |
1,525 |
$180K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,871 |
1,706 |
$138K |
| 92579 |
|
5,640 |
5,412 |
$136K |
| 95251 |
|
5,693 |
5,524 |
$114K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,386 |
2,648 |
$109K |
| 99217 |
|
2,033 |
1,941 |
$80K |
| 99605 |
|
1,589 |
1,561 |
$72K |
| 99245 |
|
852 |
803 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,930 |
2,740 |
$63K |
| 92582 |
|
1,792 |
1,689 |
$58K |
| 92555 |
|
3,464 |
3,289 |
$39K |
| 92587 |
|
3,428 |
3,239 |
$33K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
189 |
188 |
$32K |
| 99607 |
|
1,258 |
1,233 |
$29K |
| 99354 |
|
468 |
430 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
493 |
484 |
$23K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
318 |
309 |
$22K |
| 99242 |
|
455 |
448 |
$21K |
| 92557 |
|
1,071 |
1,012 |
$20K |
| 99606 |
|
598 |
591 |
$18K |
| 99255 |
|
123 |
112 |
$16K |
| V5264 |
Ear mold/insert, not disposable, any type |
423 |
231 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
414 |
408 |
$14K |
| 99418 |
Prolong nursin fac eval 15m |
391 |
182 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,917 |
3,131 |
$13K |
| 99464 |
|
265 |
259 |
$12K |
| 99443 |
|
183 |
165 |
$12K |
| 99219 |
|
168 |
160 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
182 |
174 |
$12K |
| 92652 |
|
165 |
162 |
$11K |
| 99252 |
|
188 |
174 |
$8K |
| 99221 |
|
164 |
150 |
$6K |
| 69210 |
|
270 |
256 |
$6K |
| 92585 |
|
148 |
142 |
$5K |
| 92552 |
|
346 |
340 |
$4K |
| 31575 |
|
41 |
39 |
$3K |
| 42830 |
|
28 |
27 |
$3K |
| 94060 |
|
524 |
517 |
$3K |
| 96450 |
|
51 |
39 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
53 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 92586 |
|
40 |
37 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 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) |
74 |
69 |
$2K |
| 92593 |
|
94 |
78 |
$1K |
| 95782 |
|
13 |
13 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
144 |
104 |
$958.65 |
| 31526 |
|
16 |
12 |
$834.46 |
| 99460 |
|
12 |
12 |
$724.27 |
| 71045 |
Radiologic examination, chest; single view |
131 |
52 |
$688.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$681.89 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
14 |
14 |
$598.27 |
| 92551 |
|
110 |
105 |
$567.97 |
| 99188 |
|
55 |
54 |
$540.76 |
| 31622 |
|
15 |
13 |
$478.83 |
| 62252 |
|
20 |
16 |
$368.03 |
| 92553 |
|
14 |
14 |
$277.16 |
| 92650 |
|
13 |
13 |
$245.96 |
| 93320 |
|
14 |
14 |
$171.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$105.12 |
| 99173 |
|
91 |
87 |
$70.50 |
| 93325 |
|
28 |
22 |
$56.02 |
| 96160 |
|
27 |
26 |
$0.15 |
| 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) |
41 |
36 |
$0.00 |