| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
144,896 |
61,991 |
$4.91M |
| 99223 |
Prolong inpt eval add15 m |
36,524 |
31,637 |
$3.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,500 |
38,369 |
$1.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,654 |
24,167 |
$1.59M |
| 99233 |
Prolong inpt eval add15 m |
33,705 |
14,841 |
$1.57M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21,312 |
18,725 |
$892K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,621 |
14,212 |
$863K |
| 90791 |
Psychiatric diagnostic evaluation |
12,892 |
10,880 |
$795K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14,791 |
12,684 |
$775K |
| 59425 |
|
11,681 |
8,983 |
$627K |
| 99222 |
Initial hospital care, per day, moderate complexity |
7,382 |
6,316 |
$482K |
| 59426 |
|
8,150 |
4,201 |
$452K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,840 |
5,218 |
$394K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,345 |
1,032 |
$378K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,133 |
8,699 |
$354K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,088 |
736 |
$290K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,404 |
3,023 |
$288K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,847 |
1,874 |
$261K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
10,662 |
5,841 |
$211K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,773 |
3,844 |
$160K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,133 |
854 |
$154K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,015 |
815 |
$146K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,722 |
4,084 |
$128K |
| 99215 |
Prolong outpt/office vis |
1,089 |
943 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,816 |
1,619 |
$71K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,665 |
1,325 |
$67K |
| 99221 |
|
1,258 |
1,071 |
$67K |
| 95117 |
|
8,741 |
5,089 |
$65K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,093 |
1,561 |
$64K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,726 |
1,331 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,043 |
2,555 |
$53K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,194 |
805 |
$53K |
| 76820 |
|
2,566 |
1,474 |
$52K |
| 59025 |
Fetal non-stress test |
1,752 |
1,197 |
$47K |
| 81002 |
|
16,460 |
11,265 |
$45K |
| 96130 |
|
763 |
610 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,154 |
4,702 |
$32K |
| 96137 |
|
538 |
424 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
679 |
615 |
$28K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
328 |
272 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
160 |
147 |
$22K |
| 96131 |
|
462 |
378 |
$21K |
| 95251 |
|
1,182 |
991 |
$20K |
| 11721 |
|
1,669 |
1,295 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
678 |
589 |
$15K |
| 96136 |
|
650 |
526 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
499 |
437 |
$11K |
| 99217 |
|
901 |
742 |
$11K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
57 |
12 |
$11K |
| 59430 |
|
387 |
312 |
$10K |
| 73562 |
|
470 |
420 |
$10K |
| 81003 |
|
4,804 |
3,326 |
$9K |
| 20610 |
|
668 |
498 |
$9K |
| 96132 |
|
216 |
127 |
$8K |
| 90839 |
|
148 |
134 |
$7K |
| 94010 |
|
273 |
240 |
$6K |
| 81025 |
|
1,006 |
873 |
$5K |
| 73630 |
|
314 |
278 |
$5K |
| 99219 |
|
595 |
481 |
$5K |
| 73610 |
|
298 |
257 |
$5K |
| 99220 |
|
114 |
104 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
627 |
510 |
$4K |
| 73110 |
|
164 |
131 |
$3K |
| 90686 |
|
324 |
270 |
$3K |
| 99225 |
|
452 |
277 |
$3K |
| 99205 |
Prolong outpt/office vis |
29 |
28 |
$3K |
| 99354 |
|
42 |
40 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53 |
37 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
19 |
$2K |
| 99442 |
|
161 |
117 |
$2K |
| 11043 |
|
15 |
13 |
$1K |
| 73130 |
|
65 |
56 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
397 |
348 |
$1K |
| 95024 |
|
12 |
12 |
$1K |
| 95115 |
|
197 |
128 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$1K |
| 96156 |
|
22 |
12 |
$1K |
| 73140 |
|
55 |
46 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
19 |
19 |
$1K |
| 99459 |
|
69 |
60 |
$990.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
335 |
267 |
$886.19 |
| 72100 |
|
42 |
42 |
$850.78 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
12 |
$679.95 |
| 91200 |
|
70 |
67 |
$565.62 |
| 73030 |
|
41 |
38 |
$543.24 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
170 |
129 |
$536.58 |
| 11719 |
|
434 |
370 |
$510.39 |
| 73564 |
|
19 |
14 |
$341.01 |
| 99443 |
|
28 |
21 |
$298.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
18 |
$237.58 |
| 98960 |
|
14 |
12 |
$226.42 |
| 99441 |
|
30 |
19 |
$200.99 |
| 90656 |
|
15 |
13 |
$193.32 |
| 76937 |
|
24 |
12 |
$134.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
12 |
$106.01 |
| 96127 |
|
16 |
12 |
$72.10 |
| 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) |
2,308 |
2,075 |
$5.77 |
| 90715 |
|
108 |
104 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
56 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
60 |
52 |
$0.00 |
| 59514 |
|
37 |
28 |
$0.00 |
| 90698 |
|
23 |
12 |
$0.00 |