| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35,079 |
32,610 |
$1.93M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49,632 |
22,651 |
$1.29M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21,940 |
20,299 |
$1.11M |
| 99233 |
Prolong inpt eval add15 m |
18,016 |
7,637 |
$619K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,349 |
14,301 |
$561K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,266 |
3,516 |
$228K |
| 59025 |
Fetal non-stress test |
5,512 |
3,762 |
$219K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,931 |
4,364 |
$173K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,695 |
5,500 |
$150K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
269 |
238 |
$139K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,982 |
343 |
$139K |
| 99223 |
Prolong inpt eval add15 m |
2,366 |
2,077 |
$136K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,549 |
417 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,060 |
4,458 |
$105K |
| 99460 |
|
2,811 |
1,842 |
$88K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
345 |
87 |
$74K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,952 |
1,501 |
$63K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,237 |
2,046 |
$63K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
479 |
285 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,033 |
1,662 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
665 |
608 |
$25K |
| 99221 |
|
662 |
528 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
221 |
204 |
$6K |
| 99217 |
|
273 |
229 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
317 |
216 |
$4K |
| 99463 |
|
80 |
31 |
$3K |
| 99219 |
|
65 |
55 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
200 |
136 |
$3K |
| 99215 |
Prolong outpt/office vis |
23 |
16 |
$1K |
| 99225 |
|
45 |
28 |
$236.47 |
| 97597 |
|
17 |
13 |
$196.74 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,537 |
2,043 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,066 |
961 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
149 |
136 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
526 |
466 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
108 |
85 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
85 |
75 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
37 |
17 |
$0.00 |