| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
11,645 |
3,544 |
$366K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,421 |
4,017 |
$139K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16,115 |
7,607 |
$93K |
| 99310 |
Prolong nursin fac eval 15m |
5,194 |
2,258 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,109 |
1,033 |
$23K |
| 99215 |
Prolong outpt/office vis |
674 |
607 |
$20K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
15 |
15 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,338 |
1,824 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
90 |
82 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
111 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
70 |
$4K |
| A0436 |
Rotary wing air mileage, per statute mile |
15 |
15 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
120 |
58 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
80 |
61 |
$2K |
| 99254 |
|
12 |
12 |
$1K |
| 99255 |
|
30 |
24 |
$1K |
| 99442 |
|
68 |
57 |
$625.63 |
| H2010 |
Comprehensive medication services, per 15 minutes |
45 |
23 |
$593.20 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$262.07 |
| 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) |
237 |
185 |
$228.36 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$55.62 |
| 3017F |
|
99 |
90 |
$0.00 |
| 1036F |
|
75 |
69 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
761 |
642 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
243 |
233 |
$0.00 |
| 99490 |
Ccm add 20min |
16 |
12 |
$0.00 |