| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,847 |
69,010 |
$3.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,515 |
46,108 |
$2.88M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
7,749 |
1,162 |
$2.73M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45,390 |
45,339 |
$2.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53,154 |
49,476 |
$2.61M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
19,020 |
2,107 |
$2.02M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27,891 |
27,871 |
$1.63M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15,112 |
15,104 |
$1.00M |
| 99468 |
|
1,077 |
1,023 |
$859K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18,155 |
18,048 |
$783K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,331 |
13,157 |
$760K |
| 99460 |
|
13,782 |
13,741 |
$758K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,747 |
888 |
$520K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,240 |
3,185 |
$391K |
| 99215 |
Prolong outpt/office vis |
3,204 |
3,125 |
$305K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,921 |
4,877 |
$265K |
| 99381 |
|
4,363 |
4,348 |
$233K |
| 99477 |
|
720 |
714 |
$211K |
| 99462 |
|
8,565 |
7,090 |
$206K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,195 |
3,187 |
$201K |
| 99383 |
|
2,994 |
2,989 |
$194K |
| 99464 |
|
4,321 |
4,312 |
$184K |
| 99478 |
|
1,561 |
159 |
$168K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,161 |
2,149 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,702 |
6,577 |
$163K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,097 |
2,089 |
$148K |
| 99384 |
|
1,631 |
1,628 |
$118K |
| 99382 |
|
1,702 |
1,699 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,661 |
1,659 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,065 |
1,061 |
$82K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,352 |
1,930 |
$81K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
176 |
12 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
899 |
899 |
$60K |
| 99442 |
|
595 |
584 |
$27K |
| 99443 |
|
286 |
278 |
$20K |
| 17250 |
|
832 |
804 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
612 |
611 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
149 |
148 |
$17K |
| 99221 |
|
271 |
270 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,892 |
1,841 |
$9K |
| 99205 |
Prolong outpt/office vis |
72 |
72 |
$7K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
164 |
155 |
$6K |
| 99465 |
|
55 |
55 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
49 |
49 |
$3K |
| 98966 |
|
7,861 |
6,306 |
$2K |
| G2214 |
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
70 |
70 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
29 |
12 |
$2K |
| 93320 |
|
147 |
139 |
$2K |
| 99441 |
|
82 |
80 |
$1K |
| 31720 |
|
45 |
45 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
198 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
56 |
$982.34 |
| 98967 |
|
2,851 |
2,566 |
$971.92 |
| 69210 |
|
40 |
39 |
$803.32 |
| 99487 |
Ccm add 20min |
23 |
17 |
$686.06 |
| 12011 |
|
12 |
12 |
$415.65 |
| 93325 |
|
172 |
157 |
$304.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
44 |
$180.10 |
| 98968 |
|
91 |
87 |
$124.00 |
| 96161 |
|
754 |
752 |
$90.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
44 |
44 |
$72.96 |
| 96160 |
|
179 |
179 |
$10.90 |
| 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) |
2,273 |
2,132 |
$10.05 |
| G9007 |
Coordinated care fee, scheduled team conference |
1,264 |
1,052 |
$0.01 |
| 3351F |
|
212 |
212 |
$0.00 |
| 3074F |
|
1,233 |
1,219 |
$0.00 |
| 99422 |
|
13 |
13 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3044F |
|
61 |
61 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
362 |
353 |
$0.00 |
| 3078F |
|
1,196 |
1,182 |
$0.00 |
| 99421 |
|
34 |
34 |
$0.00 |