| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88,225 |
78,878 |
$3.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,210 |
73,327 |
$2.37M |
| 99215 |
Prolong outpt/office vis |
20,706 |
18,846 |
$1.16M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
11,159 |
10,330 |
$906K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23,239 |
9,776 |
$549K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,795 |
2,324 |
$410K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,508 |
8,228 |
$393K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,997 |
8,369 |
$372K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,119 |
4,757 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,501 |
5,880 |
$243K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,153 |
5,709 |
$204K |
| 99245 |
|
2,062 |
1,764 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,945 |
3,832 |
$180K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,589 |
2,259 |
$177K |
| 99417 |
Prolong home eval add 15m |
3,177 |
2,790 |
$153K |
| 99254 |
|
2,498 |
2,166 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,049 |
2,721 |
$148K |
| 99243 |
|
2,429 |
2,263 |
$135K |
| 99233 |
Prolong inpt eval add15 m |
3,270 |
1,477 |
$112K |
| 93295 |
|
3,175 |
2,911 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
1,065 |
978 |
$70K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
811 |
734 |
$59K |
| 54150 |
|
1,049 |
1,000 |
$55K |
| 95251 |
|
3,592 |
3,056 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,512 |
4,165 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,646 |
1,504 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
801 |
672 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
621 |
602 |
$31K |
| 49083 |
|
701 |
456 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
8,723 |
7,656 |
$30K |
| 93298 |
|
2,620 |
2,296 |
$28K |
| 80305 |
|
3,013 |
1,877 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
498 |
418 |
$25K |
| 99495 |
|
316 |
292 |
$24K |
| 87631 |
|
187 |
173 |
$21K |
| 99205 |
Prolong outpt/office vis |
383 |
279 |
$20K |
| 94010 |
|
2,192 |
1,832 |
$18K |
| 93294 |
|
1,169 |
1,074 |
$16K |
| 99381 |
|
373 |
337 |
$16K |
| 81025 |
|
3,058 |
2,710 |
$14K |
| 82075 |
|
586 |
419 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
551 |
519 |
$12K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
13 |
$12K |
| 99253 |
|
233 |
223 |
$12K |
| 99406 |
|
1,895 |
1,399 |
$11K |
| 59025 |
Fetal non-stress test |
458 |
317 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
988 |
888 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
192 |
179 |
$10K |
| 43762 |
|
373 |
343 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
345 |
263 |
$9K |
| 92504 |
|
1,254 |
1,105 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
478 |
467 |
$8K |
| 81003 |
|
14,912 |
12,013 |
$8K |
| 99442 |
|
434 |
354 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
265 |
221 |
$7K |
| H0049 |
Alcohol and/or drug screening |
666 |
342 |
$7K |
| 69210 |
|
461 |
379 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
169 |
158 |
$6K |
| 96127 |
|
2,559 |
1,975 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
211 |
200 |
$6K |
| 51798 |
|
722 |
684 |
$6K |
| 31231 |
|
281 |
155 |
$6K |
| 99459 |
|
453 |
427 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
322 |
120 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
410 |
392 |
$5K |
| 99252 |
|
114 |
109 |
$4K |
| 99443 |
|
156 |
145 |
$4K |
| 91200 |
|
488 |
461 |
$4K |
| 99173 |
|
117 |
115 |
$4K |
| 94060 |
|
299 |
282 |
$4K |
| 99385 |
|
89 |
61 |
$4K |
| 90686 |
|
327 |
290 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
155 |
137 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
237 |
221 |
$2K |
| 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) |
406 |
401 |
$2K |
| 90636 |
|
35 |
29 |
$2K |
| 51701 |
|
74 |
65 |
$2K |
| 20610 |
|
44 |
41 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
227 |
144 |
$1K |
| 11100 |
|
66 |
49 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
118 |
$1K |
| 81002 |
|
1,957 |
1,554 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
40 |
$1K |
| 90715 |
|
38 |
37 |
$1K |
| 99255 |
|
15 |
12 |
$925.47 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
41 |
25 |
$902.73 |
| 87210 |
|
231 |
168 |
$825.79 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$810.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
143 |
86 |
$760.36 |
| 36569 |
|
14 |
12 |
$649.20 |
| 92551 |
|
72 |
71 |
$637.15 |
| 96160 |
|
356 |
335 |
$623.95 |
| 96111 |
|
13 |
12 |
$599.36 |
| 99242 |
|
12 |
12 |
$540.45 |
| 87807 |
|
42 |
42 |
$465.99 |
| 90632 |
|
15 |
13 |
$421.69 |
| 99496 |
|
12 |
12 |
$414.74 |
| 90461 |
|
46 |
46 |
$396.79 |
| 99174 |
|
27 |
27 |
$297.74 |
| 99201 |
|
15 |
12 |
$179.70 |
| 99188 |
|
12 |
12 |
$158.18 |
| 3046F |
|
111 |
106 |
$100.22 |
| 87088 |
|
14 |
14 |
$87.76 |
| 95117 |
|
71 |
39 |
$60.18 |
| 87400 |
|
12 |
12 |
$52.74 |
| 83986 |
|
36 |
14 |
$26.16 |
| 99490 |
Ccm add 20min |
15 |
14 |
$24.94 |
| 93296 |
|
23 |
19 |
$22.48 |
| 3044F |
|
74 |
73 |
$20.02 |
| 3045F |
|
84 |
79 |
$0.06 |
| 3051F |
|
29 |
28 |
$0.03 |
| 3052F |
|
18 |
18 |
$0.01 |
| 99024 |
|
5,332 |
3,767 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |