| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,537 |
42,341 |
$3.44M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,866 |
19,167 |
$2.32M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,495 |
14,130 |
$761K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,057 |
5,810 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,305 |
12,227 |
$467K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,541 |
3,336 |
$301K |
| 99223 |
Prolong inpt eval add15 m |
1,812 |
1,677 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,008 |
1,923 |
$164K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,232 |
2,439 |
$157K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,586 |
2,412 |
$129K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,743 |
1,653 |
$98K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,213 |
1,154 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,398 |
3,173 |
$89K |
| 95886 |
|
1,158 |
1,075 |
$63K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
313 |
295 |
$62K |
| 99215 |
Prolong outpt/office vis |
863 |
806 |
$54K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
503 |
475 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
735 |
708 |
$37K |
| 99220 |
|
336 |
320 |
$26K |
| 64615 |
|
354 |
347 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
432 |
185 |
$19K |
| 95251 |
|
222 |
210 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
137 |
134 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
350 |
337 |
$11K |
| 95800 |
|
268 |
265 |
$10K |
| 95912 |
|
95 |
93 |
$10K |
| 98926 |
|
449 |
219 |
$8K |
| 94010 |
|
264 |
256 |
$4K |
| 62323 |
|
70 |
67 |
$4K |
| 99235 |
|
25 |
24 |
$4K |
| 20611 |
|
57 |
50 |
$3K |
| 99221 |
|
44 |
42 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
68 |
68 |
$2K |
| 90686 |
|
91 |
87 |
$2K |
| 96127 |
|
170 |
154 |
$2K |
| 94726 |
|
84 |
81 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
194 |
189 |
$1K |
| 94729 |
|
87 |
84 |
$1K |
| 95910 |
|
12 |
12 |
$866.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$763.94 |
| 64493 |
|
12 |
12 |
$733.01 |
| 99217 |
|
13 |
13 |
$714.84 |
| 94060 |
|
30 |
28 |
$629.93 |
| 0124A |
|
14 |
14 |
$568.40 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
19 |
18 |
$511.24 |
| 82962 |
|
133 |
126 |
$347.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
87 |
$334.54 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
108 |
$256.26 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
80 |
66 |
$246.27 |
| 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) |
53 |
43 |
$164.95 |
| 99347 |
|
26 |
26 |
$95.37 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
30 |
$32.84 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99075 |
|
26 |
25 |
$0.00 |
| 99406 |
|
60 |
57 |
$0.00 |
| 36416 |
|
75 |
69 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |