| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,158 |
22,893 |
$1.00M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,910 |
3,300 |
$646K |
| 99233 |
Prolong inpt eval add15 m |
16,752 |
6,124 |
$532K |
| 99215 |
Prolong outpt/office vis |
5,632 |
5,527 |
$285K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,594 |
1,257 |
$260K |
| 95811 |
|
1,440 |
1,143 |
$204K |
| 95806 |
|
2,598 |
1,853 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,220 |
1,214 |
$111K |
| 99223 |
Prolong inpt eval add15 m |
785 |
762 |
$49K |
| 99310 |
Prolong nursin fac eval 15m |
1,942 |
1,769 |
$40K |
| 99205 |
Prolong outpt/office vis |
346 |
345 |
$31K |
| 95800 |
|
440 |
344 |
$23K |
| 99292 |
|
283 |
109 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
271 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
31 |
31 |
$5K |
| 94010 |
|
208 |
124 |
$1K |
| 94060 |
|
269 |
251 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
15 |
$948.74 |
| 95117 |
|
145 |
88 |
$854.83 |
| 94726 |
|
160 |
152 |
$770.98 |
| 94729 |
|
195 |
179 |
$753.77 |
| 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) |
198 |
197 |
$374.35 |
| 99406 |
|
25 |
25 |
$140.00 |
| 99072 |
|
144 |
144 |
$135.79 |
| 3023F |
|
42 |
41 |
$0.00 |
| 4004F |
|
45 |
43 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
56 |
55 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 1036F |
|
515 |
501 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
83 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$0.00 |