| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
14,706 |
5,184 |
$517K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,014 |
12,449 |
$494K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,312 |
4,307 |
$313K |
| 99460 |
|
3,333 |
3,274 |
$232K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,331 |
4,209 |
$190K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,186 |
2,100 |
$128K |
| 99223 |
Prolong inpt eval add15 m |
1,415 |
1,323 |
$108K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,081 |
705 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,044 |
5,361 |
$98K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,119 |
703 |
$71K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,632 |
2,297 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
300 |
289 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,640 |
1,105 |
$11K |
| 54150 |
|
66 |
65 |
$11K |
| 96133 |
|
28 |
27 |
$8K |
| 99462 |
|
406 |
359 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
420 |
165 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
389 |
373 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
54 |
53 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
121 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
55 |
52 |
$3K |
| 90686 |
|
405 |
388 |
$3K |
| 96139 |
|
26 |
25 |
$3K |
| 96132 |
|
28 |
27 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
60 |
55 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
290 |
254 |
$1K |
| 99217 |
|
42 |
40 |
$1K |
| 91322 |
|
17 |
15 |
$768.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$729.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$679.08 |
| 96138 |
|
26 |
25 |
$668.17 |
| 99221 |
|
12 |
12 |
$651.72 |
| 96127 |
|
119 |
102 |
$587.23 |
| 90674 |
|
45 |
41 |
$542.49 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
38 |
36 |
$339.96 |
| 90688 |
|
70 |
57 |
$304.72 |
| 99305 |
|
14 |
14 |
$287.04 |
| 99304 |
|
14 |
14 |
$216.04 |
| 99443 |
|
39 |
29 |
$207.50 |
| 90785 |
|
58 |
38 |
$150.45 |
| 88313 |
|
12 |
12 |
$99.66 |
| 90480 |
|
16 |
14 |
$84.90 |
| 99349 |
|
15 |
13 |
$4.74 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
14 |
14 |
$4.07 |
| 90715 |
|
30 |
26 |
$0.00 |
| 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) |
16 |
15 |
$0.00 |
| 90619 |
|
95 |
90 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
169 |
155 |
$0.00 |
| 3044F |
|
17 |
12 |
$0.00 |
| 90651 |
|
17 |
14 |
$0.00 |
| 1111F |
|
19 |
13 |
$0.00 |