| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
15,099 |
5,705 |
$1.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,312 |
17,178 |
$741K |
| 99215 |
Prolong outpt/office vis |
9,339 |
9,237 |
$584K |
| 95720 |
|
3,549 |
1,791 |
$361K |
| 99233 |
Prolong inpt eval add15 m |
4,991 |
2,331 |
$239K |
| 95886 |
|
4,068 |
3,963 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,714 |
4,570 |
$149K |
| 99223 |
Prolong inpt eval add15 m |
1,588 |
1,539 |
$139K |
| 95951 |
|
801 |
431 |
$132K |
| 62323 |
|
2,158 |
2,141 |
$120K |
| 95913 |
|
945 |
941 |
$112K |
| 95912 |
|
1,049 |
1,044 |
$109K |
| 95911 |
|
969 |
961 |
$80K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,510 |
1,180 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
811 |
809 |
$65K |
| 99205 |
Prolong outpt/office vis |
610 |
605 |
$59K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
887 |
884 |
$58K |
| 99222 |
Initial hospital care, per day, moderate complexity |
503 |
496 |
$31K |
| 20553 |
|
1,641 |
1,574 |
$30K |
| 95811 |
|
432 |
430 |
$30K |
| 64615 |
|
310 |
308 |
$19K |
| 95806 |
|
492 |
490 |
$14K |
| 95819 |
|
417 |
413 |
$14K |
| 95910 |
|
152 |
150 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
344 |
$9K |
| 95816 |
|
238 |
231 |
$7K |
| 64405 |
|
167 |
164 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$6K |
| 99443 |
|
260 |
257 |
$4K |
| 62321 |
|
61 |
61 |
$4K |
| 99292 |
|
81 |
69 |
$4K |
| 99418 |
Prolong nursin fac eval 15m |
51 |
47 |
$3K |
| 99220 |
|
26 |
25 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
168 |
84 |
$2K |
| 99417 |
Prolong home eval add 15m |
61 |
61 |
$2K |
| 95800 |
|
63 |
63 |
$2K |
| 64493 |
|
28 |
27 |
$2K |
| 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) |
631 |
627 |
$2K |
| 99442 |
|
127 |
124 |
$1K |
| 99221 |
|
30 |
26 |
$1K |
| 99226 |
|
24 |
19 |
$1K |
| 99219 |
|
13 |
12 |
$1K |
| 96132 |
|
13 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
27 |
$896.08 |
| 64483 |
|
13 |
13 |
$867.52 |
| 99356 |
|
100 |
37 |
$798.04 |
| 64494 |
|
14 |
13 |
$514.57 |
| 64495 |
|
13 |
13 |
$485.03 |
| 20552 |
|
25 |
24 |
$451.75 |
| 64484 |
|
13 |
13 |
$400.33 |
| 99441 |
|
81 |
81 |
$353.56 |
| 64450 |
|
29 |
29 |
$333.86 |
| 95970 |
|
16 |
12 |
$263.25 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
15 |
13 |
$211.22 |
| 76942 |
|
12 |
12 |
$170.86 |