| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,228 |
19,366 |
$963K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,989 |
10,162 |
$703K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,464 |
6,595 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,484 |
6,901 |
$271K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,320 |
569 |
$56K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,653 |
1,514 |
$54K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,463 |
4,381 |
$21K |
| 99215 |
Prolong outpt/office vis |
251 |
242 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
465 |
431 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
281 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
112 |
$5K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
83 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$882.18 |
| 97597 |
|
27 |
25 |
$389.46 |
| 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) |
15 |
13 |
$3.28 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |