| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
53,948 |
15,943 |
$2.64M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,862 |
4,241 |
$266K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,065 |
5,800 |
$196K |
| 1123F |
|
20,739 |
3,728 |
$180K |
| 99223 |
Prolong inpt eval add15 m |
5,534 |
5,278 |
$156K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,356 |
1,455 |
$137K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,559 |
891 |
$86K |
| 99220 |
|
1,004 |
977 |
$75K |
| 1124F |
|
4,136 |
1,001 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
518 |
505 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
414 |
154 |
$5K |
| 99418 |
Prolong nursin fac eval 15m |
92 |
49 |
$5K |
| 99219 |
|
41 |
39 |
$4K |
| 99217 |
|
77 |
77 |
$3K |
| 99215 |
Prolong outpt/office vis |
155 |
125 |
$3K |
| 99205 |
Prolong outpt/office vis |
48 |
48 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
56 |
$2K |
| 99226 |
|
114 |
89 |
$2K |
| 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) |
1,209 |
645 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
23,805 |
4,378 |
$1K |
| 99356 |
|
93 |
55 |
$1K |
| G9996 |
Documentation stating the patient has received or is currently receiving palliative or hospice care |
52 |
12 |
$708.66 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
15 |
12 |
$538.91 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
64 |
$181.86 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
648 |
211 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$0.00 |