| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31,462 |
11,086 |
$1.43M |
| 99233 |
Prolong inpt eval add15 m |
22,107 |
8,390 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,460 |
12,876 |
$945K |
| 99223 |
Prolong inpt eval add15 m |
6,474 |
6,002 |
$431K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,320 |
3,014 |
$132K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,498 |
2,364 |
$124K |
| 99220 |
|
1,766 |
1,680 |
$98K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,580 |
1,535 |
$79K |
| 99222 |
Initial hospital care, per day, moderate complexity |
988 |
939 |
$70K |
| 99225 |
|
976 |
529 |
$28K |
| 99217 |
|
635 |
618 |
$25K |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
788 |
478 |
$24K |
| 99215 |
Prolong outpt/office vis |
340 |
295 |
$21K |
| 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) |
400 |
390 |
$12K |
| 99418 |
Prolong nursin fac eval 15m |
134 |
97 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
271 |
135 |
$8K |
| 99226 |
|
299 |
205 |
$7K |
| 99219 |
|
102 |
102 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
224 |
193 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
29 |
$4K |
| 99255 |
|
12 |
12 |
$3K |
| 99221 |
|
110 |
104 |
$2K |
| 99442 |
|
114 |
110 |
$2K |
| 99497 |
|
77 |
49 |
$2K |
| 90662 |
|
43 |
29 |
$784.48 |
| 99218 |
|
13 |
12 |
$496.95 |
| 99441 |
|
29 |
26 |
$328.13 |
| 90686 |
|
57 |
40 |
$311.47 |
| 99443 |
|
12 |
12 |
$149.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$93.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$75.02 |