| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99,889 |
94,978 |
$5.23M |
| 99233 |
Prolong inpt eval add15 m |
60,884 |
16,258 |
$3.51M |
| 99223 |
Prolong inpt eval add15 m |
22,457 |
19,090 |
$2.42M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47,617 |
16,541 |
$2.00M |
| 99215 |
Prolong outpt/office vis |
24,548 |
22,407 |
$1.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,773 |
29,832 |
$1.27M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,702 |
12,609 |
$954K |
| 99205 |
Prolong outpt/office vis |
6,808 |
6,751 |
$656K |
| 99220 |
|
6,292 |
6,161 |
$622K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,791 |
3,773 |
$571K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13,287 |
12,778 |
$565K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,179 |
7,172 |
$538K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,956 |
6,707 |
$514K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,087 |
2,917 |
$503K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,525 |
6,331 |
$401K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,620 |
5,614 |
$375K |
| 99217 |
|
5,722 |
5,590 |
$218K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,245 |
1,986 |
$205K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,504 |
2,490 |
$188K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,471 |
3,617 |
$184K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,480 |
2,462 |
$153K |
| 99219 |
|
2,090 |
2,052 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,131 |
3,126 |
$150K |
| 99255 |
|
1,267 |
1,134 |
$141K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,086 |
2,290 |
$135K |
| 99385 |
|
1,646 |
1,645 |
$122K |
| 99236 |
Prolong inpt eval add15 m |
957 |
953 |
$115K |
| 99254 |
|
1,034 |
944 |
$93K |
| 90945 |
|
1,792 |
532 |
$82K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
960 |
960 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,050 |
1,981 |
$52K |
| 99386 |
|
552 |
552 |
$49K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,678 |
1,322 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
676 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
739 |
$37K |
| 99221 |
|
580 |
570 |
$31K |
| 99306 |
Prolong nursin fac eval 15m |
332 |
315 |
$27K |
| 99418 |
Prolong nursin fac eval 15m |
539 |
331 |
$25K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,633 |
1,632 |
$23K |
| 90947 |
|
307 |
89 |
$21K |
| 99235 |
|
166 |
165 |
$15K |
| 99406 |
|
2,136 |
1,961 |
$13K |
| 99225 |
|
1,743 |
1,372 |
$12K |
| 99443 |
|
303 |
300 |
$11K |
| 95806 |
|
451 |
450 |
$11K |
| 95811 |
|
140 |
139 |
$10K |
| 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) |
6,253 |
6,013 |
$10K |
| 99226 |
|
771 |
645 |
$9K |
| 90961 |
|
81 |
81 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
131 |
131 |
$9K |
| 95251 |
|
476 |
474 |
$9K |
| 99349 |
|
108 |
107 |
$8K |
| G9488 |
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
352 |
332 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
386 |
386 |
$4K |
| 99442 |
|
234 |
232 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
885 |
858 |
$4K |
| 99245 |
|
29 |
29 |
$3K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
196 |
192 |
$3K |
| 99417 |
Prolong home eval add 15m |
170 |
165 |
$3K |
| 36556 |
|
59 |
53 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
111 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
17 |
15 |
$1K |
| 90966 |
|
12 |
12 |
$1K |
| 94010 |
|
257 |
257 |
$1K |
| 36620 |
|
42 |
38 |
$1K |
| 99495 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$906.17 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$859.75 |
| 99451 |
|
41 |
36 |
$833.44 |
| 93971 |
|
68 |
68 |
$777.46 |
| 99253 |
|
13 |
13 |
$775.14 |
| 99441 |
|
106 |
103 |
$646.40 |
| 90750 |
|
193 |
193 |
$612.24 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
30 |
16 |
$500.58 |
| 94729 |
|
95 |
95 |
$483.46 |
| 99421 |
|
169 |
162 |
$482.89 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
38 |
38 |
$455.01 |
| G9487 |
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
43 |
39 |
$383.82 |
| 98967 |
|
3,096 |
2,524 |
$336.88 |
| 98966 |
|
3,480 |
2,844 |
$224.98 |
| 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) |
15 |
14 |
$144.34 |
| 77001 |
|
12 |
12 |
$118.13 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
125 |
124 |
$107.77 |
| 98968 |
|
626 |
486 |
$98.47 |
| G9007 |
Coordinated care fee, scheduled team conference |
243 |
212 |
$20.59 |
| G9002 |
Coordinated care fee, maintenance rate |
602 |
554 |
$0.01 |
| 3077F |
|
10,216 |
9,930 |
$0.00 |
| 1100F |
|
60 |
60 |
$0.00 |
| 3078F |
|
41,484 |
40,116 |
$0.00 |
| 3051F |
|
190 |
189 |
$0.00 |
| 3046F |
|
61 |
59 |
$0.00 |
| 1101F |
|
629 |
627 |
$0.00 |
| 3351F |
|
19,995 |
19,924 |
$0.00 |
| 3080F |
|
6,428 |
6,280 |
$0.00 |
| 3079F |
|
21,480 |
21,066 |
$0.00 |
| 3353F |
|
588 |
586 |
$0.00 |
| 3352F |
|
342 |
341 |
$0.00 |
| 3044F |
|
1,066 |
1,063 |
$0.00 |
| 1111F |
|
165 |
164 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
284 |
282 |
$0.00 |
| 3074F |
|
44,901 |
43,341 |
$0.00 |
| 3075F |
|
14,267 |
14,074 |
$0.00 |
| 3052F |
|
124 |
124 |
$0.00 |