| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,509 |
6,840 |
$202K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,225 |
3,100 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,030 |
6,894 |
$145K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,496 |
3,380 |
$105K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,565 |
1,467 |
$85K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,492 |
615 |
$63K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
454 |
437 |
$36K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,658 |
1,436 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
229 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
291 |
282 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
922 |
860 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
507 |
501 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
256 |
251 |
$6K |
| 11721 |
|
1,178 |
1,096 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
622 |
612 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
215 |
193 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
93 |
90 |
$5K |
| 99215 |
Prolong outpt/office vis |
154 |
99 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
58 |
57 |
$3K |
| 99305 |
|
148 |
122 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
107 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
130 |
117 |
$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) |
1,020 |
743 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$976.17 |
| 90473 |
|
75 |
74 |
$603.15 |
| 20610 |
|
94 |
55 |
$499.22 |
| 99349 |
|
13 |
13 |
$489.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$479.65 |
| 99173 |
|
91 |
91 |
$293.49 |
| 92551 |
|
37 |
37 |
$269.53 |
| 99304 |
|
15 |
12 |
$229.16 |
| 99188 |
|
12 |
12 |
$144.50 |
| 90474 |
|
13 |
13 |
$61.14 |
| 11056 |
|
41 |
25 |
$9.59 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,190 |
1,008 |
$0.00 |
| 1034F |
|
28 |
28 |
$0.00 |
| 3074F |
|
414 |
362 |
$0.00 |
| 90680 |
|
78 |
78 |
$0.00 |
| 1031F |
|
41 |
40 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 90686 |
|
193 |
192 |
$0.00 |
| 90698 |
|
92 |
92 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 1101F |
|
26 |
24 |
$0.00 |
| 1170F |
|
82 |
67 |
$0.00 |
| 1126F |
|
70 |
63 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 3078F |
|
749 |
634 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
652 |
571 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |
| 90670 |
|
122 |
122 |
$0.00 |
| 90685 |
|
41 |
40 |
$0.00 |
| 3288F |
|
59 |
57 |
$0.00 |
| 1158F |
|
16 |
12 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |