| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,877 |
13,131 |
$663K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,538 |
13,861 |
$442K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
787 |
763 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
296 |
291 |
$13K |
| 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) |
1,254 |
1,223 |
$12K |
| 99407 |
|
666 |
638 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
195 |
110 |
$7K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
296 |
241 |
$5K |
| 99406 |
|
470 |
454 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
18 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
43 |
$2K |
| 3077F |
|
380 |
371 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$1K |
| 3079F |
|
256 |
248 |
$770.20 |
| 3074F |
|
227 |
222 |
$695.08 |
| 3078F |
|
186 |
184 |
$665.09 |
| 3080F |
|
190 |
182 |
$540.19 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$497.99 |
| 3044F |
|
154 |
151 |
$415.00 |
| 3075F |
|
67 |
66 |
$320.01 |
| 96127 |
|
14 |
14 |
$26.52 |
| G9920 |
Screening performed and negative |
182 |
182 |
$0.62 |
| 1160F |
|
14 |
14 |
$0.07 |
| G9919 |
Screening performed and positive and provision of recommendations |
31 |
29 |
$0.07 |
| 1124F |
|
616 |
572 |
$0.00 |
| 3046F |
|
16 |
15 |
$0.00 |