| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,199 |
7,062 |
$775K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,948 |
8,824 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,240 |
8,255 |
$353K |
| 99199 |
Unlisted special service, procedure or report |
60,048 |
29,474 |
$281K |
| 99233 |
Prolong inpt eval add15 m |
3,521 |
1,067 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,209 |
6,589 |
$188K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,324 |
2,187 |
$100K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,445 |
660 |
$86K |
| 99223 |
Prolong inpt eval add15 m |
368 |
280 |
$40K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,413 |
7,686 |
$36K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
402 |
312 |
$25K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
548 |
155 |
$19K |
| 0002A |
|
338 |
189 |
$11K |
| 97803 |
|
220 |
163 |
$8K |
| 0001A |
|
336 |
186 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
83 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
36 |
13 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
81 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
68 |
63 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
28 |
25 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
16 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
31 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
24 |
$2K |
| 97597 |
|
144 |
94 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
29 |
13 |
$782.00 |
| 36415 |
Collection of venous blood by venipuncture |
441 |
369 |
$755.93 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
15 |
$487.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
23 |
$476.30 |
| 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) |
143 |
130 |
$447.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$346.37 |
| 90686 |
|
267 |
255 |
$266.50 |
| 90674 |
|
14 |
13 |
$171.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$148.05 |
| 91300 |
|
667 |
326 |
$0.00 |
| 99053 |
|
119 |
115 |
$0.00 |