| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,768 |
6,703 |
$191K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,956 |
4,227 |
$102K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,876 |
1,746 |
$63K |
| 99223 |
Prolong inpt eval add15 m |
1,488 |
1,129 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,513 |
1,332 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
314 |
268 |
$14K |
| 99215 |
Prolong outpt/office vis |
260 |
221 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
218 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
77 |
13 |
$5K |
| 90961 |
|
255 |
218 |
$4K |
| 99443 |
|
366 |
361 |
$1K |
| 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) |
1,415 |
1,173 |
$902.70 |
| 99497 |
|
85 |
62 |
$868.92 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
65 |
59 |
$530.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
87 |
36 |
$361.34 |
| 99442 |
|
57 |
55 |
$37.06 |