| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
871 |
693 |
$67K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,893 |
529 |
$54K |
| 99233 |
Prolong inpt eval add15 m |
4,573 |
1,411 |
$42K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,679 |
2,852 |
$40K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,345 |
900 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
808 |
667 |
$6K |
| 99304 |
|
640 |
453 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
484 |
273 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,966 |
1,239 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,009 |
652 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
923 |
$1K |
| 99305 |
|
35 |
24 |
$908.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
12 |
$786.46 |
| 94060 |
|
56 |
43 |
$461.60 |
| 31624 |
|
132 |
66 |
$339.13 |
| 94010 |
|
164 |
139 |
$118.35 |
| 94727 |
|
54 |
42 |
$64.04 |
| 94729 |
|
54 |
42 |
$24.73 |
| 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) |
133 |
102 |
$14.67 |
| 94619 |
|
17 |
13 |
$14.32 |
| 94250 |
|
38 |
30 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
15 |
$0.00 |
| G9699 |
Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified |
32 |
27 |
$0.00 |
| 94003 |
|
872 |
80 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
178 |
28 |
$0.00 |
| M1216 |
No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter |
34 |
28 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
13 |
$0.00 |