| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,798 |
2,378 |
$214K |
| 99310 |
Prolong nursin fac eval 15m |
4,630 |
1,421 |
$110K |
| 99233 |
Prolong inpt eval add15 m |
8,574 |
1,331 |
$102K |
| 99205 |
Prolong outpt/office vis |
686 |
521 |
$84K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,880 |
352 |
$82K |
| 94729 |
|
730 |
727 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,442 |
1,376 |
$34K |
| 94060 |
|
657 |
654 |
$33K |
| 94727 |
|
600 |
600 |
$28K |
| 99418 |
Prolong nursin fac eval 15m |
395 |
149 |
$21K |
| 99497 |
|
310 |
265 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
612 |
546 |
$11K |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
182 |
123 |
$6K |
| 94664 |
|
525 |
520 |
$6K |
| 99292 |
|
183 |
68 |
$4K |
| 99451 |
|
681 |
664 |
$4K |
| 99417 |
Prolong home eval add 15m |
80 |
80 |
$3K |
| 94618 |
|
83 |
80 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
90 |
87 |
$3K |
| 94375 |
|
74 |
74 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
286 |
223 |
$2K |
| 99356 |
|
183 |
136 |
$1K |
| 94010 |
|
47 |
47 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
101 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
21 |
14 |
$990.19 |
| 95012 |
|
37 |
37 |
$973.54 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$421.70 |
| 94760 |
|
330 |
330 |
$322.87 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$238.80 |
| 99407 |
|
12 |
12 |
$219.69 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
12 |
12 |
$200.90 |
| 94726 |
|
14 |
13 |
$48.26 |
| 94016 |
|
15 |
13 |
$5.56 |
| 94762 |
|
38 |
38 |
$0.00 |
| 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) |
13 |
12 |
$0.00 |