| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,496 |
14,250 |
$296K |
| 99233 |
Prolong inpt eval add15 m |
5,763 |
1,576 |
$130K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,438 |
2,125 |
$101K |
| H1000 |
Prenatal care, at-risk assessment |
2,065 |
1,742 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,066 |
7,950 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
711 |
670 |
$47K |
| 99222 |
Initial hospital care, per day, moderate complexity |
924 |
684 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
685 |
381 |
$27K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
231 |
213 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
571 |
178 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
402 |
322 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
300 |
252 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
107 |
64 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
651 |
506 |
$8K |
| T1015 |
Clinic visit/encounter, all-inclusive |
197 |
118 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
40 |
37 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
425 |
173 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
45 |
44 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
147 |
51 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
14 |
$3K |
| 99221 |
|
61 |
43 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
115 |
81 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
490 |
354 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
71 |
$2K |
| 99491 |
Ccm add 20min |
326 |
235 |
$2K |
| 3074F |
|
1,546 |
1,413 |
$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) |
373 |
262 |
$825.76 |
| 99490 |
Ccm add 20min |
1,126 |
760 |
$799.90 |
| 36832 |
|
16 |
13 |
$768.04 |
| 36415 |
Collection of venous blood by venipuncture |
4,247 |
2,763 |
$717.66 |
| 99215 |
Prolong outpt/office vis |
21 |
13 |
$212.20 |
| 96127 |
|
158 |
126 |
$41.07 |
| 3044F |
|
1,941 |
1,460 |
$20.00 |
| 1126F |
|
1,943 |
1,557 |
$0.00 |
| 1170F |
|
476 |
401 |
$0.00 |
| 3080F |
|
450 |
420 |
$0.00 |
| 59514 |
|
59 |
57 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
13 |
13 |
$0.00 |
| 90686 |
|
40 |
28 |
$0.00 |
| 1125F |
|
60 |
55 |
$0.00 |
| 75820 |
|
16 |
12 |
$0.00 |
| 3078F |
|
1,030 |
938 |
$0.00 |
| 85060 |
|
13 |
13 |
$0.00 |