| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
378,847 |
341,910 |
$18.01M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
188,043 |
169,367 |
$8.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
111,961 |
99,602 |
$3.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,907 |
45,439 |
$2.72M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
18,231 |
16,460 |
$1.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,746 |
7,830 |
$796K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
111,481 |
94,408 |
$643K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,980 |
5,268 |
$220K |
| H0049 |
Alcohol and/or drug screening |
8,887 |
5,774 |
$175K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
904 |
779 |
$60K |
| 99215 |
Prolong outpt/office vis |
209 |
195 |
$11K |
| 99236 |
Prolong inpt eval add15 m |
92 |
82 |
$10K |
| 93308 |
|
301 |
272 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
75 |
63 |
$3K |
| 99053 |
|
164,108 |
151,262 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
76 |
49 |
$2K |
| 97597 |
|
94 |
52 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
32 |
30 |
$758.74 |
| 99292 |
|
19 |
15 |
$489.28 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
12 |
$341.73 |
| 99217 |
|
14 |
12 |
$331.92 |
| 93042 |
|
14 |
12 |
$72.99 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,136 |
5,007 |
$39.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
29,339 |
27,339 |
$0.00 |
| 99406 |
|
456 |
400 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
1,468 |
1,412 |
$0.00 |
| 1036F |
|
2,180 |
2,079 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
472 |
444 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
71,096 |
66,116 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17,341 |
16,044 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
11,479 |
10,805 |
$0.00 |
| 4004F |
|
458 |
424 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
15 |
15 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
14 |
12 |
$0.00 |