| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91,561 |
87,305 |
$4.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,278 |
59,155 |
$2.61M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,989 |
6,972 |
$525K |
| 99215 |
Prolong outpt/office vis |
6,212 |
6,126 |
$498K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,890 |
5,875 |
$455K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,674 |
6,664 |
$445K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,862 |
8,842 |
$442K |
| 99233 |
Prolong inpt eval add15 m |
3,966 |
1,469 |
$231K |
| 99223 |
Prolong inpt eval add15 m |
2,046 |
1,999 |
$227K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,095 |
3,093 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,890 |
2,886 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,430 |
2,428 |
$160K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,112 |
1,308 |
$134K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,458 |
2,014 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,280 |
2,200 |
$110K |
| 99385 |
|
1,454 |
1,454 |
$109K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,140 |
2,116 |
$92K |
| 20610 |
|
2,847 |
2,246 |
$85K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,765 |
1,451 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,070 |
2,030 |
$58K |
| 99386 |
|
585 |
585 |
$53K |
| 99222 |
Initial hospital care, per day, moderate complexity |
615 |
605 |
$47K |
| 99306 |
Prolong nursin fac eval 15m |
340 |
334 |
$35K |
| 99421 |
|
2,911 |
2,670 |
$28K |
| 99381 |
|
343 |
343 |
$18K |
| 99406 |
|
1,068 |
1,054 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
118 |
114 |
$7K |
| 99383 |
|
110 |
110 |
$7K |
| 99384 |
|
81 |
81 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
178 |
178 |
$6K |
| 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) |
2,760 |
2,675 |
$3K |
| 99382 |
|
45 |
45 |
$3K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 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 |
110 |
108 |
$2K |
| 99305 |
|
32 |
31 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$1K |
| 20611 |
|
43 |
41 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
84 |
$1K |
| 99307 |
|
43 |
37 |
$986.66 |
| 99443 |
|
26 |
24 |
$875.24 |
| 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 |
54 |
53 |
$854.06 |
| 99442 |
|
69 |
66 |
$831.57 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$819.05 |
| 98968 |
|
906 |
663 |
$798.65 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
60 |
60 |
$650.40 |
| G2214 |
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
26 |
26 |
$631.45 |
| 98967 |
|
1,754 |
1,435 |
$548.51 |
| 0004A |
|
12 |
12 |
$488.31 |
| 90686 |
|
42 |
42 |
$435.09 |
| 99441 |
|
45 |
43 |
$405.99 |
| 99417 |
Prolong home eval add 15m |
17 |
17 |
$328.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$245.44 |
| 98966 |
|
1,673 |
1,423 |
$215.41 |
| 90688 |
|
15 |
15 |
$118.86 |
| 90656 |
|
12 |
12 |
$46.94 |
| 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 |
66 |
65 |
$38.10 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$31.32 |
| G9002 |
Coordinated care fee, maintenance rate |
151 |
134 |
$0.00 |
| 3077F |
|
8,786 |
8,505 |
$0.00 |
| 3051F |
|
111 |
110 |
$0.00 |
| 3078F |
|
57,197 |
55,017 |
$0.00 |
| 3046F |
|
19 |
19 |
$0.00 |
| 3351F |
|
16,688 |
16,588 |
$0.00 |
| 3074F |
|
61,474 |
58,938 |
$0.00 |
| 3075F |
|
12,219 |
12,043 |
$0.00 |
| 3080F |
|
5,579 |
5,424 |
$0.00 |
| 1111F |
|
43 |
43 |
$0.00 |
| 3079F |
|
19,700 |
19,221 |
$0.00 |
| 3353F |
|
349 |
349 |
$0.00 |
| 3352F |
|
598 |
590 |
$0.00 |
| 1101F |
|
238 |
237 |
$0.00 |
| 3044F |
|
1,015 |
1,015 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
43 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
53 |
39 |
$0.00 |
| 3052F |
|
25 |
25 |
$0.00 |