| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,045 |
17,863 |
$890K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,467 |
8,088 |
$322K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,089 |
4,308 |
$295K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,834 |
1,782 |
$99K |
| 99233 |
Prolong inpt eval add15 m |
1,760 |
913 |
$69K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,467 |
1,445 |
$58K |
| 99460 |
|
563 |
559 |
$48K |
| 99443 |
|
1,107 |
1,020 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
530 |
494 |
$34K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
282 |
124 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
357 |
345 |
$24K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,191 |
499 |
$24K |
| 99442 |
|
1,026 |
987 |
$23K |
| 99462 |
|
515 |
419 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
275 |
265 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
843 |
838 |
$11K |
| 99490 |
Ccm add 20min |
6,888 |
6,444 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
105 |
100 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
391 |
350 |
$9K |
| 99221 |
|
282 |
208 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
69 |
69 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
110 |
$6K |
| 90686 |
|
387 |
378 |
$5K |
| 99254 |
|
50 |
49 |
$5K |
| 99215 |
Prolong outpt/office vis |
65 |
62 |
$4K |
| 90715 |
|
78 |
77 |
$3K |
| 95720 |
|
43 |
33 |
$3K |
| 99241 |
|
45 |
44 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
69 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
38 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
15 |
$1K |
| 94016 |
|
112 |
112 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
470 |
448 |
$1K |
| 94375 |
|
135 |
132 |
$1K |
| 99439 |
|
1,250 |
1,098 |
$872.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$768.53 |
| 94726 |
|
134 |
133 |
$736.43 |
| 99464 |
|
12 |
12 |
$714.63 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
16 |
13 |
$672.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$666.17 |
| 99251 |
|
12 |
12 |
$650.00 |
| 90662 |
|
145 |
141 |
$574.58 |
| 90674 |
|
31 |
31 |
$535.08 |
| 94729 |
|
132 |
131 |
$525.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
206 |
187 |
$507.51 |
| 90658 |
|
26 |
26 |
$490.35 |
| 90461 |
|
29 |
29 |
$403.30 |
| 90656 |
|
16 |
16 |
$266.78 |
| 90682 |
|
83 |
72 |
$236.20 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
58 |
58 |
$125.45 |
| 99487 |
Ccm add 20min |
22 |
22 |
$0.00 |