| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,400 |
8,087 |
$921K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32,300 |
8,971 |
$652K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,023 |
12,826 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,292 |
7,928 |
$428K |
| 99233 |
Prolong inpt eval add15 m |
6,792 |
1,798 |
$383K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,913 |
5,517 |
$371K |
| 99254 |
|
3,463 |
3,238 |
$306K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,128 |
6,785 |
$268K |
| 99221 |
|
5,140 |
4,844 |
$237K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,579 |
3,474 |
$195K |
| 99253 |
|
2,748 |
2,576 |
$169K |
| 99215 |
Prolong outpt/office vis |
1,741 |
1,687 |
$144K |
| 99223 |
Prolong inpt eval add15 m |
1,066 |
1,030 |
$97K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
623 |
219 |
$77K |
| 99217 |
|
2,022 |
1,984 |
$65K |
| 99218 |
|
1,424 |
1,400 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,561 |
1,454 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
557 |
552 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
220 |
$19K |
| 90686 |
|
961 |
960 |
$17K |
| 99219 |
|
269 |
264 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,417 |
1,406 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
137 |
$10K |
| 82962 |
|
4,495 |
4,107 |
$8K |
| 99252 |
|
206 |
198 |
$8K |
| 99234 |
|
84 |
40 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
446 |
394 |
$4K |
| 99251 |
|
50 |
50 |
$1K |
| 90732 |
|
14 |
14 |
$1K |
| 36620 |
|
50 |
40 |
$1K |
| 0002A |
|
21 |
21 |
$728.13 |
| 99495 |
|
12 |
12 |
$632.99 |
| 0001A |
|
24 |
24 |
$606.75 |
| 99442 |
|
116 |
108 |
$524.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
39 |
$510.00 |
| 99224 |
|
73 |
26 |
$485.77 |
| 90656 |
|
27 |
27 |
$308.00 |
| 96127 |
|
143 |
121 |
$288.17 |
| 98966 |
|
147 |
144 |
$86.79 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$80.58 |
| 99441 |
|
14 |
14 |
$29.91 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$3.35 |
| 4025F |
|
3,258 |
2,961 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,797 |
2,570 |
$0.00 |
| 3015F |
|
863 |
786 |
$0.00 |
| 3046F |
|
630 |
543 |
$0.00 |
| 1160F |
|
3,302 |
3,185 |
$0.00 |
| 3725F |
|
3,291 |
3,246 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
410 |
405 |
$0.00 |
| 3051F |
|
59 |
54 |
$0.00 |
| 2022F |
|
205 |
194 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
169 |
166 |
$0.00 |
| 1159F |
|
3,266 |
3,149 |
$0.00 |
| 4013F |
|
3,464 |
3,170 |
$0.00 |
| 3077F |
|
2,796 |
2,658 |
$0.00 |
| 3078F |
|
3,776 |
3,601 |
$0.00 |
| 4040F |
|
3,048 |
2,822 |
$0.00 |
| 4001F |
|
212 |
200 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 1111F |
|
1,911 |
1,831 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,116 |
2,090 |
$0.00 |
| 3017F |
|
2,464 |
2,273 |
$0.00 |
| 1000F |
|
8,664 |
8,099 |
$0.00 |
| 3075F |
|
2,083 |
2,032 |
$0.00 |
| 3066F |
|
922 |
833 |
$0.00 |
| 4140F |
|
1,620 |
1,473 |
$0.00 |
| 3044F |
|
3,960 |
3,640 |
$0.00 |
| 3080F |
|
2,081 |
1,989 |
$0.00 |
| 1036F |
|
5,270 |
4,940 |
$0.00 |
| 1034F |
|
3,512 |
3,272 |
$0.00 |
| 4010F |
|
3,183 |
2,927 |
$0.00 |
| 4008F |
|
2,331 |
2,129 |
$0.00 |
| 3060F |
|
484 |
439 |
$0.00 |
| 3014F |
|
936 |
875 |
$0.00 |
| 3061F |
|
833 |
760 |
$0.00 |
| 4000F |
|
121 |
120 |
$0.00 |
| 3074F |
|
5,078 |
4,816 |
$0.00 |
| 3079F |
|
3,780 |
3,658 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
124 |
124 |
$0.00 |
| 4037F |
|
366 |
366 |
$0.00 |
| 3052F |
|
25 |
24 |
$0.00 |
| 98967 |
|
30 |
29 |
$0.00 |