| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
99,650 |
94,708 |
$5.75M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
63,401 |
59,553 |
$4.93M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
78,534 |
73,897 |
$2.47M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
64,129 |
23,574 |
$1.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,845 |
42,189 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,033 |
35,972 |
$850K |
| 99223 |
Prolong inpt eval add15 m |
13,706 |
12,937 |
$800K |
| 99233 |
Prolong inpt eval add15 m |
23,733 |
12,288 |
$656K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,805 |
5,034 |
$556K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15,004 |
13,872 |
$487K |
| 59025 |
Fetal non-stress test |
7,781 |
4,770 |
$314K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
89,749 |
71,556 |
$282K |
| 11043 |
|
4,691 |
2,092 |
$277K |
| 90791 |
Psychiatric diagnostic evaluation |
7,438 |
5,877 |
$258K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,844 |
2,695 |
$207K |
| 99215 |
Prolong outpt/office vis |
4,090 |
3,077 |
$188K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,934 |
5,510 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,928 |
2,763 |
$156K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,469 |
1,391 |
$122K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,029 |
4,591 |
$121K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
12,064 |
5,569 |
$112K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,989 |
1,870 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,602 |
2,294 |
$86K |
| 99220 |
|
1,492 |
1,437 |
$83K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,916 |
1,447 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,182 |
3,017 |
$54K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,222 |
2,171 |
$44K |
| 97597 |
|
3,842 |
1,948 |
$36K |
| 99254 |
|
386 |
374 |
$35K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,040 |
1,006 |
$32K |
| 99241 |
|
1,013 |
929 |
$31K |
| 95811 |
|
304 |
284 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
251 |
206 |
$25K |
| 99442 |
|
747 |
691 |
$24K |
| 76813 |
|
801 |
747 |
$24K |
| 99236 |
Prolong inpt eval add15 m |
152 |
144 |
$22K |
| 99205 |
Prolong outpt/office vis |
276 |
269 |
$21K |
| 99443 |
|
330 |
319 |
$18K |
| 11045 |
|
1,006 |
371 |
$16K |
| 95806 |
|
281 |
266 |
$11K |
| 95251 |
|
817 |
764 |
$10K |
| 99221 |
|
335 |
316 |
$9K |
| 94060 |
|
1,049 |
1,014 |
$7K |
| 99243 |
|
89 |
80 |
$7K |
| 95886 |
|
157 |
150 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,736 |
753 |
$5K |
| 93272 |
|
323 |
315 |
$5K |
| 94726 |
|
780 |
753 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
102 |
$5K |
| 94729 |
|
1,022 |
988 |
$4K |
| 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) |
1,044 |
909 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
915 |
603 |
$3K |
| 99217 |
|
131 |
127 |
$3K |
| 99255 |
|
30 |
25 |
$3K |
| 62323 |
|
69 |
66 |
$3K |
| 93018 |
|
410 |
378 |
$2K |
| 11046 |
|
38 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
75 |
69 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
281 |
259 |
$2K |
| 64721 |
|
13 |
12 |
$2K |
| 99234 |
|
32 |
31 |
$2K |
| 93356 |
|
259 |
253 |
$1K |
| 76376 |
|
304 |
295 |
$1K |
| 99242 |
|
18 |
18 |
$1K |
| 99253 |
|
15 |
13 |
$937.02 |
| 90834 |
Psychotherapy, 45 minutes with patient |
69 |
55 |
$761.53 |
| 99292 |
|
13 |
13 |
$575.19 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$436.32 |
| 95909 |
|
13 |
12 |
$423.81 |
| 93000 |
|
25 |
21 |
$367.31 |
| 98967 |
|
38 |
38 |
$343.29 |
| 93016 |
|
19 |
16 |
$167.18 |
| 99449 |
|
15 |
14 |
$162.43 |
| 99219 |
|
12 |
12 |
$127.90 |
| 76000 |
|
25 |
24 |
$106.92 |
| 98966 |
|
12 |
12 |
$36.22 |
| 3078F |
|
349 |
338 |
$0.00 |
| 3077F |
|
85 |
77 |
$0.00 |
| 3074F |
|
221 |
212 |
$0.00 |
| 3075F |
|
126 |
123 |
$0.00 |
| 3079F |
|
251 |
242 |
$0.00 |