| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,896 |
2,049 |
$982K |
| 99215 |
Prolong outpt/office vis |
9,952 |
9,822 |
$759K |
| 99205 |
Prolong outpt/office vis |
7,364 |
7,343 |
$743K |
| 95720 |
|
3,688 |
1,309 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,835 |
7,729 |
$404K |
| 99223 |
Prolong inpt eval add15 m |
3,323 |
3,178 |
$356K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,828 |
4,813 |
$356K |
| 95951 |
|
2,246 |
915 |
$337K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,771 |
2,852 |
$322K |
| 99233 |
Prolong inpt eval add15 m |
4,545 |
1,726 |
$266K |
| 95886 |
|
5,199 |
5,174 |
$188K |
| 64615 |
|
1,532 |
1,532 |
$107K |
| 95718 |
|
1,313 |
1,272 |
$100K |
| 95910 |
|
1,498 |
1,497 |
$88K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,397 |
1,374 |
$57K |
| 95911 |
|
769 |
765 |
$56K |
| 95816 |
|
1,679 |
1,639 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,325 |
1,297 |
$47K |
| 95909 |
|
1,080 |
1,076 |
$47K |
| 95819 |
|
1,436 |
1,419 |
$46K |
| 99255 |
|
358 |
354 |
$39K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,391 |
824 |
$30K |
| 99245 |
|
199 |
196 |
$22K |
| 95908 |
|
425 |
423 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
207 |
206 |
$15K |
| 99254 |
|
155 |
151 |
$14K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
399 |
398 |
$10K |
| 95913 |
|
69 |
69 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
110 |
110 |
$7K |
| 99417 |
Prolong home eval add 15m |
242 |
241 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
138 |
$6K |
| 95822 |
|
139 |
132 |
$4K |
| 95885 |
|
256 |
252 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
53 |
22 |
$2K |
| 96040 |
|
43 |
43 |
$2K |
| 99443 |
|
40 |
40 |
$2K |
| 95912 |
|
14 |
14 |
$1K |
| 95937 |
|
58 |
56 |
$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) |
820 |
817 |
$993.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$660.99 |
| 95938 |
|
14 |
14 |
$344.48 |
| 95874 |
|
13 |
13 |
$117.41 |
| 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 |
22 |
22 |
$62.59 |
| 3074F |
|
18 |
18 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |