| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,115 |
974 |
$940K |
| 95720 |
|
5,741 |
2,809 |
$687K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,906 |
13,333 |
$497K |
| 95951 |
|
3,100 |
1,269 |
$328K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,070 |
1,628 |
$281K |
| 64615 |
|
3,427 |
3,272 |
$237K |
| 99215 |
Prolong outpt/office vis |
3,365 |
3,228 |
$151K |
| 99255 |
|
1,133 |
1,085 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,601 |
2,518 |
$58K |
| 99233 |
Prolong inpt eval add15 m |
1,859 |
973 |
$56K |
| G0427 |
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
368 |
339 |
$39K |
| 99223 |
Prolong inpt eval add15 m |
685 |
645 |
$32K |
| 99205 |
Prolong outpt/office vis |
311 |
304 |
$25K |
| 99254 |
|
310 |
305 |
$22K |
| 99245 |
|
195 |
167 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
184 |
183 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
554 |
295 |
$13K |
| 95886 |
|
643 |
624 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
135 |
130 |
$9K |
| 95885 |
|
998 |
976 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
623 |
323 |
$8K |
| 95816 |
|
389 |
378 |
$8K |
| 64405 |
|
130 |
116 |
$7K |
| 95718 |
|
55 |
53 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
126 |
124 |
$3K |
| 99253 |
|
43 |
38 |
$2K |
| 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) |
78 |
78 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
57 |
55 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
54 |
50 |
$1K |
| 95912 |
|
14 |
14 |
$1K |
| 99221 |
|
20 |
20 |
$759.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$653.11 |
| 99358 |
Prolong nursin fac eval 15m |
38 |
38 |
$245.45 |
| 95970 |
|
12 |
12 |
$215.72 |
| 99152 |
|
27 |
24 |
$208.18 |
| 64450 |
|
17 |
12 |
$107.67 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$106.80 |
| 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) |
96 |
89 |
$90.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
38 |
$36.64 |