| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
136,771 |
35,077 |
$4.36M |
| 99223 |
Prolong inpt eval add15 m |
22,707 |
21,622 |
$2.39M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
19,294 |
4,704 |
$1.65M |
| 99222 |
Initial hospital care, per day, moderate complexity |
13,537 |
13,075 |
$1.03M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13,400 |
12,920 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,765 |
14,990 |
$730K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
10,070 |
9,810 |
$705K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,151 |
6,476 |
$602K |
| 95811 |
|
1,107 |
1,097 |
$347K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
724 |
723 |
$226K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,250 |
3,199 |
$223K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,869 |
3,841 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,319 |
6,650 |
$174K |
| 99221 |
|
2,560 |
2,492 |
$150K |
| 94060 |
|
1,980 |
1,959 |
$126K |
| 99215 |
Prolong outpt/office vis |
816 |
735 |
$84K |
| 94727 |
|
1,335 |
1,321 |
$56K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,025 |
1,551 |
$56K |
| 94726 |
|
973 |
958 |
$53K |
| 94729 |
|
1,531 |
1,507 |
$52K |
| 94760 |
|
14,627 |
13,888 |
$50K |
| 99306 |
Prolong nursin fac eval 15m |
996 |
972 |
$42K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
296 |
285 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
906 |
893 |
$39K |
| 99310 |
Prolong nursin fac eval 15m |
1,410 |
700 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
248 |
243 |
$30K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
3,223 |
3,021 |
$25K |
| 94664 |
|
1,217 |
1,189 |
$16K |
| 99235 |
|
119 |
117 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
992 |
971 |
$11K |
| 94761 |
|
1,770 |
1,688 |
$11K |
| 94010 |
|
457 |
437 |
$10K |
| 99205 |
Prolong outpt/office vis |
115 |
115 |
$9K |
| 94750 |
|
435 |
433 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
708 |
191 |
$7K |
| 90688 |
|
235 |
235 |
$5K |
| 99385 |
|
58 |
57 |
$4K |
| 99217 |
|
84 |
83 |
$2K |
| 99000 |
|
103 |
86 |
$2K |
| 99386 |
|
25 |
25 |
$2K |
| 90674 |
|
56 |
56 |
$2K |
| 99219 |
|
44 |
40 |
$2K |
| 99334 |
|
448 |
432 |
$1K |
| 99442 |
|
48 |
43 |
$1K |
| 99218 |
|
48 |
41 |
$1K |
| 1126F |
|
3,050 |
2,925 |
$1K |
| 1036F |
|
3,422 |
3,222 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 1159F |
|
4,984 |
4,523 |
$969.97 |
| 1160F |
|
4,949 |
4,503 |
$968.76 |
| 90682 |
|
15 |
15 |
$867.45 |
| 3074F |
|
2,546 |
2,399 |
$733.87 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,329 |
3,988 |
$690.97 |
| 99254 |
|
12 |
12 |
$658.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$601.70 |
| 0521F |
|
566 |
545 |
$549.26 |
| 93000 |
|
26 |
24 |
$515.40 |
| 3078F |
|
2,019 |
1,915 |
$514.59 |
| 90756 |
|
13 |
13 |
$429.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
26 |
$397.45 |
| 90686 |
|
16 |
16 |
$389.70 |
| 94660 |
|
62 |
12 |
$281.16 |
| 1030F |
|
121 |
120 |
$246.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$203.20 |
| 1090F |
|
85 |
85 |
$140.90 |
| 99401 |
|
106 |
106 |
$121.48 |
| 3075F |
|
296 |
289 |
$120.98 |
| 1125F |
|
414 |
398 |
$99.89 |
| 4010F |
|
195 |
172 |
$50.40 |
| 99304 |
|
13 |
13 |
$47.25 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,703 |
2,521 |
$27.56 |
| 3079F |
|
904 |
877 |
$5.33 |
| 3077F |
|
305 |
287 |
$0.00 |
| 1158F |
|
52 |
52 |
$0.00 |
| 4013F |
|
440 |
424 |
$0.00 |
| 1100F |
|
74 |
74 |
$0.00 |
| 3288F |
|
27 |
27 |
$0.00 |
| 1003F |
|
13 |
13 |
$0.00 |
| 99336 |
|
16 |
13 |
$0.00 |
| 1000F |
|
624 |
590 |
$0.00 |
| 1220F |
|
219 |
216 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
266 |
261 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
602 |
584 |
$0.00 |
| 3080F |
|
227 |
218 |
$0.00 |
| 99335 |
|
22 |
15 |
$0.00 |
| 1170F |
|
60 |
60 |
$0.00 |
| 4008F |
|
24 |
24 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |