| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
67,180 |
66,519 |
$5.45M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,692 |
25,505 |
$1.50M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,353 |
11,398 |
$555K |
| 99233 |
Prolong inpt eval add15 m |
16,147 |
8,044 |
$542K |
| 99223 |
Prolong inpt eval add15 m |
6,524 |
6,399 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,043 |
3,563 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,233 |
5,230 |
$222K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,495 |
5,412 |
$207K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,639 |
2,601 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,280 |
3,105 |
$106K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,634 |
2,126 |
$77K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
840 |
692 |
$71K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,540 |
1,433 |
$51K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
512 |
509 |
$37K |
| 90791 |
Psychiatric diagnostic evaluation |
321 |
318 |
$36K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
889 |
884 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
569 |
562 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
464 |
289 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
345 |
311 |
$18K |
| 76813 |
|
311 |
311 |
$14K |
| 99454 |
|
438 |
437 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
585 |
529 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
58 |
40 |
$7K |
| 99221 |
|
198 |
197 |
$7K |
| 99220 |
|
91 |
91 |
$5K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
19 |
12 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
274 |
169 |
$4K |
| 99217 |
|
131 |
131 |
$4K |
| 97597 |
|
330 |
205 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$4K |
| 76942 |
|
147 |
145 |
$3K |
| 59025 |
Fetal non-stress test |
53 |
53 |
$2K |
| 00731 |
|
29 |
26 |
$1K |
| 01810 |
|
22 |
14 |
$1K |
| 99453 |
|
160 |
159 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
52 |
$890.71 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$833.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$632.46 |
| 62323 |
|
33 |
33 |
$623.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
20 |
12 |
$614.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
58 |
$532.95 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$474.72 |
| 99219 |
|
13 |
13 |
$466.12 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$246.36 |
| 93308 |
|
12 |
12 |
$179.82 |
| 94060 |
|
14 |
14 |
$88.86 |
| 94726 |
|
15 |
15 |
$85.14 |
| 99447 |
|
13 |
13 |
$81.28 |
| 94729 |
|
15 |
15 |
$63.18 |
| 96127 |
|
88 |
78 |
$61.62 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12 |
12 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
12 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
869 |
857 |
$0.00 |