| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
354,615 |
337,537 |
$52.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
284,666 |
269,273 |
$43.53M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
129,861 |
124,535 |
$7.32M |
| 99233 |
Prolong inpt eval add15 m |
81,429 |
29,314 |
$5.65M |
| 99223 |
Prolong inpt eval add15 m |
19,358 |
17,435 |
$2.64M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,354 |
6,289 |
$1.74M |
| 99236 |
Prolong inpt eval add15 m |
5,389 |
5,050 |
$1.65M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58,579 |
20,302 |
$1.54M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
8,429 |
7,569 |
$774K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,843 |
2,545 |
$325K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,093 |
3,743 |
$209K |
| 99497 |
|
3,689 |
3,072 |
$122K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,024 |
1,426 |
$80K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,151 |
1,105 |
$48K |
| 99235 |
|
131 |
122 |
$34K |
| 93042 |
|
13,827 |
12,453 |
$21K |
| 99053 |
|
83,937 |
76,133 |
$19K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,058 |
6,552 |
$17K |
| 99221 |
|
192 |
166 |
$15K |
| 99254 |
|
72 |
64 |
$13K |
| 99253 |
|
175 |
166 |
$11K |
| 99220 |
|
297 |
252 |
$7K |
| 99251 |
|
177 |
170 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
226 |
219 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
309 |
275 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$4K |
| 99252 |
|
54 |
54 |
$3K |
| 99219 |
|
141 |
138 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
200 |
69 |
$2K |
| 99498 |
|
38 |
26 |
$1K |
| 69210 |
|
17 |
13 |
$608.09 |
| 99407 |
|
27 |
24 |
$565.30 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
31 |
31 |
$512.96 |
| 99217 |
|
44 |
38 |
$447.62 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
29 |
$176.17 |
| 93308 |
|
14 |
12 |
$90.91 |
| 1123F |
|
6,245 |
5,667 |
$0.06 |
| 4124F |
|
78 |
78 |
$0.00 |
| G8806 |
Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented |
93 |
85 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
13 |
13 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
711 |
702 |
$0.00 |