| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,457 |
1,289 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
635 |
563 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
459 |
177 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
276 |
210 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
534 |
181 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
239 |
220 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
71 |
$5K |
| 99215 |
Prolong outpt/office vis |
68 |
65 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
70 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
99 |
99 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 93000 |
|
204 |
196 |
$979.64 |
| 99397 |
|
37 |
37 |
$948.62 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
55 |
$546.28 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
16 |
$534.55 |
| 71045 |
Radiologic examination, chest; single view |
172 |
119 |
$494.83 |
| 71046 |
Radiologic examination, chest; 2 views |
103 |
95 |
$390.20 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
27 |
$360.90 |
| 93296 |
|
38 |
38 |
$286.62 |
| 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) |
39 |
38 |
$237.44 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
15 |
$210.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45 |
41 |
$92.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
20 |
$9.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$7.61 |
| 3725F |
|
127 |
126 |
$0.00 |
| 3078F |
|
751 |
675 |
$0.00 |
| 1160F |
|
1,018 |
888 |
$0.00 |
| 3077F |
|
195 |
180 |
$0.00 |
| 1159F |
|
1,019 |
889 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 3074F |
|
512 |
475 |
$0.00 |
| 3079F |
|
156 |
151 |
$0.00 |
| 1036F |
|
876 |
758 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$0.00 |
| 4010F |
|
42 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 3075F |
|
227 |
216 |
$0.00 |
| 3008F |
|
872 |
769 |
$0.00 |