| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,408 |
1,334 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
725 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
176 |
54 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
42 |
40 |
$4K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
184 |
172 |
$898.74 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$619.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$536.45 |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
78 |
$472.03 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20 |
18 |
$102.20 |
| 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) |
22 |
22 |
$23.30 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
80 |
71 |
$0.16 |
| 3078F |
|
13 |
13 |
$0.00 |