| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,396 |
3,001 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,320 |
2,091 |
$136K |
| 99223 |
Prolong inpt eval add15 m |
661 |
536 |
$54K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
965 |
897 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
747 |
342 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
167 |
155 |
$17K |
| 99215 |
Prolong outpt/office vis |
410 |
346 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
364 |
196 |
$9K |
| 95806 |
|
99 |
89 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,744 |
1,475 |
$9K |
| 93000 |
|
398 |
384 |
$7K |
| 1100F |
|
246 |
216 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
273 |
220 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
108 |
39 |
$4K |
| 93248 |
|
233 |
219 |
$4K |
| 3044F |
|
251 |
197 |
$4K |
| 99459 |
|
207 |
189 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
29 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
244 |
166 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
100 |
$2K |
| 97803 |
|
62 |
49 |
$2K |
| 93247 |
|
15 |
14 |
$1K |
| 95250 |
|
13 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
125 |
55 |
$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) |
71 |
68 |
$1K |
| 3051F |
|
49 |
38 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,329 |
1,170 |
$623.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
42 |
$619.65 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$614.99 |
| 3061F |
|
123 |
113 |
$582.21 |
| 3288F |
|
494 |
448 |
$378.80 |
| 1101F |
|
356 |
323 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 90961 |
|
21 |
17 |
$0.00 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
29 |
29 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
29 |
26 |
$0.00 |