| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
69,921 |
31,243 |
$3.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,035 |
31,487 |
$2.11M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
10,929 |
4,057 |
$1.16M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37,149 |
16,223 |
$1.10M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21,079 |
9,639 |
$461K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
9,837 |
8,799 |
$457K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,474 |
8,295 |
$405K |
| 99223 |
Prolong inpt eval add15 m |
5,128 |
4,471 |
$374K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,997 |
1,802 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,051 |
855 |
$80K |
| 99310 |
Prolong nursin fac eval 15m |
1,399 |
713 |
$74K |
| 99215 |
Prolong outpt/office vis |
899 |
838 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,109 |
1,012 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
763 |
695 |
$64K |
| 99306 |
Prolong nursin fac eval 15m |
1,246 |
1,011 |
$62K |
| 99205 |
Prolong outpt/office vis |
498 |
445 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,119 |
972 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
281 |
271 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,659 |
1,926 |
$22K |
| 99305 |
|
529 |
420 |
$16K |
| 99217 |
|
647 |
599 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
580 |
262 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,507 |
2,278 |
$10K |
| 99220 |
|
394 |
366 |
$7K |
| 90670 |
|
64 |
41 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
68 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
319 |
298 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
769 |
674 |
$5K |
| 99226 |
|
194 |
122 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
535 |
492 |
$4K |
| 90686 |
|
385 |
341 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
269 |
223 |
$1K |
| 36556 |
|
17 |
15 |
$959.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
349 |
257 |
$898.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
87 |
$887.07 |
| 99383 |
|
12 |
12 |
$757.00 |
| 93000 |
|
86 |
76 |
$746.67 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$699.84 |
| 94726 |
|
118 |
102 |
$628.66 |
| 99316 |
|
39 |
38 |
$562.04 |
| 94729 |
|
119 |
103 |
$473.49 |
| 95806 |
|
13 |
13 |
$473.15 |
| 96127 |
|
48 |
45 |
$176.86 |
| 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) |
2,070 |
1,757 |
$168.48 |
| 94060 |
|
26 |
24 |
$126.50 |
| 99225 |
|
204 |
161 |
$117.88 |
| 76937 |
|
17 |
15 |
$117.08 |
| 90674 |
|
178 |
174 |
$21.97 |
| 90461 |
|
61 |
50 |
$18.75 |
| G0008 |
Administration of influenza virus vaccine |
113 |
110 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
67 |
67 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| 90688 |
|
22 |
18 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
93 |
$0.00 |
| 99497 |
|
21 |
12 |
$0.00 |
| 99219 |
|
104 |
96 |
$0.00 |