| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,820 |
2,651 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,104 |
980 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
825 |
414 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
757 |
685 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
254 |
114 |
$15K |
| 99215 |
Prolong outpt/office vis |
123 |
116 |
$11K |
| 88307 |
|
30 |
28 |
$4K |
| 17250 |
|
194 |
185 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
32 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
87 |
78 |
$2K |
| 88342 |
|
50 |
49 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$833.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$727.33 |
| 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) |
60 |
57 |
$278.29 |
| 88304 |
|
12 |
12 |
$146.71 |