| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,506 |
34,424 |
$2.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,822 |
27,303 |
$1.06M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,779 |
2,731 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,856 |
2,820 |
$151K |
| 99215 |
Prolong outpt/office vis |
1,905 |
1,853 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,604 |
1,496 |
$123K |
| 99058 |
|
1,500 |
1,381 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,147 |
1,055 |
$78K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,202 |
546 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
313 |
298 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
714 |
702 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
545 |
541 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
158 |
149 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
673 |
635 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
354 |
$9K |
| 99496 |
|
76 |
73 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,463 |
1,227 |
$7K |
| 99205 |
Prolong outpt/office vis |
58 |
58 |
$6K |
| 93970 |
|
339 |
329 |
$6K |
| 93971 |
|
481 |
479 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
244 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
93 |
90 |
$3K |
| 90686 |
|
136 |
125 |
$2K |
| 98966 |
|
191 |
146 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
184 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
305 |
296 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
12 |
$995.58 |
| 81003 |
|
838 |
791 |
$894.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
130 |
$809.46 |
| 99442 |
|
101 |
90 |
$710.92 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$620.68 |
| 98967 |
|
78 |
65 |
$612.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
12 |
$607.92 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
148 |
127 |
$517.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
159 |
$445.67 |
| 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) |
628 |
617 |
$386.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
494 |
437 |
$338.33 |
| 93925 |
|
17 |
15 |
$246.29 |
| 99051 |
|
14 |
12 |
$225.94 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
25 |
$221.14 |
| 99000 |
|
19 |
18 |
$218.96 |
| 93016 |
|
12 |
12 |
$122.93 |
| 93356 |
|
12 |
12 |
$96.04 |
| 93018 |
|
12 |
12 |
$81.95 |
| 99441 |
|
16 |
16 |
$76.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
16 |
$29.93 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$29.76 |
| 81000 |
|
16 |
15 |
$3.33 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
396 |
364 |
$0.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
589 |
547 |
$0.09 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
48 |
44 |
$0.09 |
| 3077F |
|
95 |
93 |
$0.00 |
| 3078F |
|
417 |
399 |
$0.00 |
| 3080F |
|
155 |
151 |
$0.00 |
| 3074F |
|
686 |
654 |
$0.00 |
| 3079F |
|
427 |
412 |
$0.00 |
| 3075F |
|
181 |
180 |
$0.00 |
| 3008F |
|
786 |
736 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
267 |
251 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,012 |
5,006 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |