| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,867 |
6,665 |
$472K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,299 |
8,829 |
$462K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,843 |
8,329 |
$290K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,354 |
4,188 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,143 |
1,120 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,016 |
952 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
861 |
843 |
$66K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
622 |
604 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
933 |
916 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
785 |
767 |
$44K |
| 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) |
3,870 |
3,683 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,349 |
1,272 |
$24K |
| 99243 |
|
288 |
273 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
670 |
653 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
230 |
227 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
234 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,275 |
2,091 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
341 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
143 |
$11K |
| 92015 |
Determination of refractive state |
1,716 |
1,688 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
192 |
190 |
$8K |
| 99215 |
Prolong outpt/office vis |
111 |
106 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
709 |
677 |
$7K |
| 20610 |
|
367 |
286 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
215 |
212 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
118 |
$6K |
| 99242 |
|
93 |
92 |
$5K |
| 92134 |
|
281 |
266 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
202 |
199 |
$5K |
| 76830 |
Ultrasound, transvaginal |
120 |
116 |
$4K |
| 90670 |
|
380 |
373 |
$4K |
| 90686 |
|
1,003 |
981 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
58 |
49 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
38 |
38 |
$3K |
| 90647 |
|
243 |
238 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
198 |
$2K |
| 90723 |
|
166 |
165 |
$2K |
| 90656 |
|
336 |
334 |
$2K |
| 90680 |
|
105 |
105 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$783.88 |
| 90677 |
|
241 |
238 |
$706.00 |
| 92551 |
|
743 |
739 |
$612.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$436.68 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$397.30 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$290.80 |
| 99188 |
|
13 |
13 |
$244.26 |
| G0009 |
Administration of pneumococcal vaccine |
25 |
25 |
$239.60 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
24 |
$221.39 |
| 99177 |
|
219 |
217 |
$148.25 |
| 81025 |
|
34 |
30 |
$141.96 |
| 90651 |
|
13 |
13 |
$137.50 |
| 90633 |
|
48 |
48 |
$127.20 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
14 |
$115.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$87.41 |
| 83655 |
|
207 |
206 |
$74.75 |
| 81003 |
|
12 |
12 |
$38.10 |
| 99173 |
|
247 |
246 |
$24.15 |
| 96127 |
|
72 |
72 |
$4.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
173 |
163 |
$0.00 |
| 3008F |
|
255 |
231 |
$0.00 |
| 96160 |
|
84 |
84 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
547 |
534 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
70 |
69 |
$0.00 |
| 90715 |
|
125 |
123 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |