| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,215 |
32,515 |
$1.33M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,753 |
17,439 |
$1.19M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,276 |
15,204 |
$1.12M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,682 |
7,652 |
$571K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,288 |
7,094 |
$450K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,147 |
591 |
$285K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,573 |
8,434 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,515 |
3,505 |
$265K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,537 |
5,461 |
$224K |
| 99460 |
|
3,185 |
3,129 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,727 |
9,590 |
$196K |
| 99223 |
Prolong inpt eval add15 m |
1,457 |
1,404 |
$165K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,694 |
1,491 |
$162K |
| 99254 |
|
1,342 |
1,297 |
$160K |
| 92551 |
|
8,868 |
8,741 |
$123K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,876 |
1,837 |
$101K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,332 |
1,286 |
$100K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,266 |
1,251 |
$95K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
284 |
77 |
$71K |
| 99215 |
Prolong outpt/office vis |
743 |
730 |
$67K |
| 99173 |
|
9,107 |
8,973 |
$46K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
281 |
106 |
$37K |
| 92523 |
|
318 |
305 |
$31K |
| 96161 |
|
4,842 |
4,719 |
$29K |
| 99205 |
Prolong outpt/office vis |
233 |
222 |
$23K |
| 93325 |
|
1,195 |
1,105 |
$21K |
| 96131 |
|
90 |
89 |
$20K |
| 93304 |
|
483 |
463 |
$19K |
| 99462 |
|
1,048 |
799 |
$19K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,788 |
1,623 |
$17K |
| 96113 |
|
205 |
201 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
151 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
144 |
141 |
$16K |
| 96112 |
|
218 |
213 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
450 |
424 |
$15K |
| 90474 |
|
467 |
457 |
$9K |
| 99354 |
|
178 |
168 |
$8K |
| 93321 |
|
740 |
705 |
$8K |
| 96137 |
|
66 |
65 |
$7K |
| 54150 |
|
50 |
48 |
$7K |
| 96130 |
|
90 |
89 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
125 |
114 |
$6K |
| 99188 |
|
334 |
333 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
28 |
13 |
$5K |
| 99221 |
|
117 |
115 |
$5K |
| 96136 |
|
90 |
89 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
84 |
79 |
$4K |
| 96101 |
|
16 |
15 |
$4K |
| 96111 |
|
59 |
50 |
$3K |
| 99252 |
|
30 |
29 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
31 |
25 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
50 |
$2K |
| 99253 |
|
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90785 |
|
158 |
129 |
$402.30 |
| 90651 |
|
135 |
135 |
$152.69 |
| 99417 |
Prolong home eval add 15m |
168 |
164 |
$69.00 |
| 90686 |
|
3,787 |
3,741 |
$20.55 |
| 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) |
40 |
39 |
$11.16 |
| 90647 |
|
1,177 |
1,155 |
$0.00 |
| 90723 |
|
1,286 |
1,269 |
$0.00 |
| 90716 |
|
114 |
110 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
471 |
469 |
$0.00 |
| 90670 |
|
2,228 |
2,192 |
$0.00 |
| G9920 |
Screening performed and negative |
15,022 |
14,960 |
$0.00 |
| 90633 |
|
234 |
229 |
$0.00 |
| 90681 |
|
450 |
441 |
$0.00 |
| 90707 |
|
126 |
122 |
$0.00 |
| 90734 |
|
91 |
91 |
$0.00 |