| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,604 |
2,892 |
$78K |
| 99233 |
Prolong inpt eval add15 m |
2,274 |
780 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
685 |
$17K |
| 96415 |
|
511 |
280 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
517 |
279 |
$9K |
| 99356 |
|
177 |
175 |
$8K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
515 |
281 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
310 |
163 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
156 |
64 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
127 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
133 |
111 |
$905.40 |
| 96417 |
|
41 |
27 |
$515.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$473.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
14 |
$81.13 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
12 |
12 |
$43.04 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
55 |
37 |
$14.11 |