| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,847 |
8,719 |
$588K |
| 99233 |
Prolong inpt eval add15 m |
6,733 |
2,511 |
$280K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,210 |
3,187 |
$264K |
| 99223 |
Prolong inpt eval add15 m |
2,974 |
2,952 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,054 |
4,913 |
$211K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,591 |
1,568 |
$71K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,133 |
1,084 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
496 |
$52K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
210 |
210 |
$45K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
388 |
388 |
$43K |
| 95811 |
|
243 |
242 |
$30K |
| 99215 |
Prolong outpt/office vis |
197 |
197 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
267 |
266 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
172 |
$13K |
| 94726 |
|
916 |
914 |
$10K |
| 94729 |
|
1,089 |
1,087 |
$9K |
| 99442 |
|
319 |
316 |
$9K |
| 94060 |
|
386 |
383 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
442 |
438 |
$9K |
| 90686 |
|
709 |
708 |
$8K |
| 94010 |
|
676 |
668 |
$7K |
| 90961 |
|
34 |
34 |
$6K |
| 82947 |
|
1,440 |
1,418 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
576 |
576 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
408 |
407 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
117 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
86 |
49 |
$3K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 90962 |
|
17 |
17 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
63 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
74 |
37 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$778.73 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$694.09 |
| 0031A |
|
14 |
14 |
$467.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
12 |
$429.17 |
| 99221 |
|
14 |
14 |
$383.90 |
| 95251 |
|
15 |
15 |
$335.85 |
| 96127 |
|
47 |
47 |
$153.86 |
| 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) |
242 |
242 |
$145.41 |
| 82948 |
|
71 |
71 |
$134.86 |
| 94664 |
|
15 |
12 |
$73.66 |
| 99080 |
|
6,489 |
4,131 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |