| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
4,012 |
3,056 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,176 |
16,289 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,448 |
10,088 |
$64K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,540 |
1,403 |
$63K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
506 |
204 |
$54K |
| 99233 |
Prolong inpt eval add15 m |
1,226 |
716 |
$41K |
| 95816 |
|
1,145 |
884 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
386 |
266 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
701 |
235 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
45 |
42 |
$8K |
| 99215 |
Prolong outpt/office vis |
324 |
279 |
$6K |
| 95720 |
|
49 |
30 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
97 |
78 |
$4K |
| 72141 |
|
81 |
70 |
$4K |
| 64635 |
|
88 |
64 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
138 |
$2K |
| 64493 |
|
250 |
140 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
212 |
204 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
13 |
$1K |
| 95822 |
|
36 |
26 |
$1K |
| 99152 |
|
650 |
474 |
$1K |
| 72050 |
|
116 |
95 |
$770.54 |
| 99205 |
Prolong outpt/office vis |
65 |
56 |
$734.16 |
| 90834 |
Psychotherapy, 45 minutes with patient |
146 |
124 |
$650.07 |
| 99442 |
|
587 |
536 |
$612.46 |
| 64636 |
|
55 |
45 |
$604.96 |
| 72110 |
|
101 |
79 |
$583.17 |
| 72040 |
|
158 |
132 |
$570.87 |
| 62323 |
|
27 |
25 |
$529.85 |
| 64483 |
|
28 |
24 |
$472.69 |
| 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) |
4,916 |
4,193 |
$425.99 |
| 72100 |
|
61 |
53 |
$394.64 |
| 64490 |
|
89 |
50 |
$262.07 |
| 64494 |
|
231 |
128 |
$171.30 |
| 99443 |
|
66 |
61 |
$169.75 |
| 90863 |
|
26 |
25 |
$112.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$72.19 |
| 64491 |
|
89 |
50 |
$57.22 |
| 99441 |
|
59 |
53 |
$55.30 |
| 64484 |
|
15 |
12 |
$51.04 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$50.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
144 |
126 |
$30.18 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
176 |
154 |
$2.15 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
60 |
52 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
60 |
52 |
$0.00 |