| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,407 |
55,583 |
$1.30M |
| 99233 |
Prolong inpt eval add15 m |
32,125 |
10,223 |
$1.24M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,751 |
6,717 |
$427K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18,068 |
17,855 |
$418K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,137 |
2,298 |
$388K |
| 99215 |
Prolong outpt/office vis |
7,049 |
6,347 |
$307K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
62,789 |
56,686 |
$183K |
| 99223 |
Prolong inpt eval add15 m |
2,133 |
1,875 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,615 |
5,236 |
$80K |
| 90961 |
|
854 |
851 |
$73K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
924 |
876 |
$30K |
| 76377 |
|
2,158 |
2,128 |
$29K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
439 |
438 |
$25K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,912 |
881 |
$25K |
| 77080 |
|
2,346 |
2,094 |
$22K |
| 91200 |
|
3,307 |
3,301 |
$21K |
| 99443 |
|
1,628 |
1,509 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
434 |
418 |
$19K |
| 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) |
4,159 |
3,893 |
$16K |
| 77081 |
|
2,547 |
2,347 |
$15K |
| 94010 |
|
5,562 |
5,534 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,163 |
629 |
$11K |
| 93018 |
|
2,008 |
1,993 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
176 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
61 |
61 |
$9K |
| 93294 |
|
1,020 |
1,020 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
144 |
144 |
$6K |
| 93248 |
|
917 |
908 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
64 |
64 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
227 |
139 |
$4K |
| 94729 |
|
985 |
979 |
$3K |
| 99292 |
|
69 |
39 |
$3K |
| 93295 |
|
175 |
174 |
$3K |
| 77085 |
|
279 |
263 |
$3K |
| 93356 |
|
869 |
863 |
$2K |
| 0298T |
|
202 |
201 |
$2K |
| 99442 |
|
337 |
300 |
$2K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
607 |
603 |
$1K |
| 93325 |
|
822 |
799 |
$1K |
| 91065 |
|
185 |
173 |
$1K |
| 93000 |
|
227 |
222 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$925.12 |
| 74328 |
|
66 |
66 |
$913.18 |
| 93320 |
|
107 |
105 |
$754.75 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$747.60 |
| 93298 |
|
69 |
69 |
$659.66 |
| 93272 |
|
64 |
64 |
$615.06 |
| 93280 |
|
60 |
58 |
$538.65 |
| 36556 |
|
12 |
12 |
$522.07 |
| 93244 |
|
47 |
47 |
$312.11 |
| 93016 |
|
27 |
22 |
$231.10 |
| 99152 |
|
12 |
12 |
$229.08 |
| 93308 |
|
13 |
13 |
$193.16 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
24 |
24 |
$191.57 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
12 |
$142.61 |
| 93227 |
|
12 |
12 |
$107.20 |
| 81000 |
|
103 |
103 |
$87.13 |
| 93321 |
|
12 |
12 |
$58.04 |
| 94727 |
|
13 |
12 |
$55.33 |
| 99153 |
Mod sedat endo service >5yrs |
27 |
27 |
$47.23 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |