| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
9,091 |
1,559 |
$171K |
| 99497 |
|
2,874 |
2,352 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,786 |
1,698 |
$36K |
| 99215 |
Prolong outpt/office vis |
993 |
905 |
$30K |
| 99358 |
Prolong nursin fac eval 15m |
1,332 |
843 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
831 |
793 |
$19K |
| 99443 |
|
632 |
581 |
$14K |
| 99356 |
|
704 |
449 |
$14K |
| 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) |
206 |
196 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
706 |
304 |
$3K |
| 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) |
136 |
69 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
41 |
$642.61 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
12 |
$413.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$0.00 |