| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,074 |
31,228 |
$1.68M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,682 |
20,409 |
$1.25M |
| 99215 |
Prolong outpt/office vis |
13,754 |
12,997 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,530 |
16,039 |
$610K |
| 99223 |
Prolong inpt eval add15 m |
5,400 |
5,071 |
$544K |
| 99233 |
Prolong inpt eval add15 m |
7,523 |
3,731 |
$453K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,441 |
6,383 |
$408K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,475 |
5,447 |
$404K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,844 |
4,595 |
$374K |
| 99464 |
|
7,127 |
7,112 |
$308K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,422 |
1,388 |
$293K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,406 |
3,027 |
$190K |
| 99205 |
Prolong outpt/office vis |
1,927 |
1,909 |
$187K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,916 |
3,901 |
$182K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,533 |
3,907 |
$182K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,145 |
2,122 |
$143K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,294 |
1,262 |
$135K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,839 |
2,898 |
$112K |
| 99220 |
|
1,135 |
1,110 |
$112K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,679 |
1,655 |
$109K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,461 |
1,428 |
$105K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,485 |
1,482 |
$85K |
| 99418 |
Prolong nursin fac eval 15m |
1,870 |
1,344 |
$75K |
| 99292 |
|
597 |
300 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,337 |
1,333 |
$72K |
| 99217 |
|
1,125 |
1,099 |
$44K |
| 99465 |
|
508 |
502 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
897 |
871 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
701 |
701 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,382 |
1,335 |
$28K |
| 99460 |
|
456 |
455 |
$26K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
213 |
42 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
377 |
376 |
$25K |
| 95251 |
|
1,068 |
1,065 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
398 |
396 |
$19K |
| 99406 |
|
2,479 |
2,210 |
$16K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,764 |
2,651 |
$13K |
| 99443 |
|
266 |
261 |
$12K |
| 99219 |
|
159 |
153 |
$11K |
| 99442 |
|
250 |
248 |
$11K |
| 99254 |
|
121 |
115 |
$11K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
26 |
13 |
$10K |
| 99255 |
|
74 |
68 |
$8K |
| 49083 |
|
116 |
63 |
$7K |
| 99384 |
|
76 |
76 |
$7K |
| 54150 |
|
108 |
108 |
$6K |
| 99221 |
|
102 |
100 |
$5K |
| 99245 |
|
34 |
33 |
$4K |
| 36568 |
|
75 |
51 |
$4K |
| 58340 |
|
123 |
122 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
102 |
$3K |
| 99383 |
|
37 |
37 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
103 |
100 |
$3K |
| 99497 |
|
75 |
64 |
$3K |
| 31720 |
|
101 |
101 |
$3K |
| 99349 |
|
41 |
41 |
$3K |
| 92552 |
|
123 |
122 |
$2K |
| 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) |
284 |
198 |
$2K |
| 99417 |
Prolong home eval add 15m |
91 |
83 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 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) |
979 |
961 |
$1K |
| 99235 |
|
12 |
12 |
$1K |
| 36620 |
|
42 |
36 |
$999.07 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
34 |
34 |
$775.26 |
| 99225 |
|
127 |
93 |
$758.87 |
| 46600 |
|
26 |
26 |
$598.39 |
| 69210 |
|
28 |
26 |
$551.29 |
| 96127 |
|
198 |
197 |
$550.04 |
| 90832 |
Psychotherapy, 30 minutes with patient |
23 |
17 |
$531.63 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
68 |
$474.57 |
| 99462 |
|
16 |
14 |
$415.41 |
| 82465 |
|
58 |
58 |
$142.30 |
| 99226 |
|
28 |
26 |
$140.80 |
| G9488 |
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
13 |
13 |
$117.09 |
| 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 |
30 |
30 |
$103.18 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
194 |
194 |
$100.00 |
| 85018 |
|
59 |
59 |
$83.11 |
| 3075F |
|
867 |
865 |
$0.00 |
| 3352F |
|
926 |
918 |
$0.00 |
| 3079F |
|
1,516 |
1,507 |
$0.00 |
| 3353F |
|
1,189 |
1,153 |
$0.00 |
| 3351F |
|
1,774 |
1,763 |
$0.00 |
| 3074F |
|
4,446 |
4,377 |
$0.00 |
| 3080F |
|
560 |
559 |
$0.00 |
| 3354F |
|
47 |
45 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 3078F |
|
4,238 |
4,175 |
$0.00 |
| 99173 |
|
71 |
71 |
$0.00 |
| 3077F |
|
982 |
972 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |