| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,370 |
25,924 |
$1.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,349 |
18,069 |
$802K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,441 |
2,425 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,854 |
1,834 |
$155K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,958 |
1,955 |
$136K |
| 99215 |
Prolong outpt/office vis |
1,253 |
1,219 |
$119K |
| 99233 |
Prolong inpt eval add15 m |
1,551 |
635 |
$85K |
| 99223 |
Prolong inpt eval add15 m |
721 |
708 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,605 |
766 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
772 |
770 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
574 |
571 |
$38K |
| 98927 |
|
1,223 |
1,037 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
490 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
404 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
403 |
400 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
225 |
222 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
275 |
273 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
426 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
135 |
134 |
$5K |
| 99493 |
|
42 |
42 |
$3K |
| 99495 |
|
40 |
39 |
$3K |
| 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) |
2,296 |
2,173 |
$1K |
| 20611 |
|
40 |
39 |
$1K |
| 99442 |
|
27 |
27 |
$1K |
| 20610 |
|
39 |
35 |
$1K |
| 98966 |
|
1,842 |
1,614 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
36 |
$649.15 |
| 95806 |
|
24 |
24 |
$602.90 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
150 |
150 |
$593.73 |
| 99217 |
|
14 |
14 |
$479.68 |
| 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 |
36 |
36 |
$271.99 |
| 98967 |
|
742 |
643 |
$254.02 |
| 99051 |
|
254 |
242 |
$220.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$197.91 |
| 99441 |
|
13 |
13 |
$80.40 |
| G9002 |
Coordinated care fee, maintenance rate |
69 |
65 |
$40.67 |
| 98968 |
|
317 |
271 |
$18.26 |
| 3075F |
|
5,088 |
4,977 |
$0.00 |
| 3074F |
|
24,028 |
22,951 |
$0.00 |
| 3351F |
|
22,412 |
20,920 |
$0.00 |
| 3079F |
|
7,891 |
7,662 |
$0.00 |
| 3353F |
|
1,864 |
1,812 |
$0.00 |
| 1101F |
|
140 |
136 |
$0.00 |
| 3044F |
|
424 |
424 |
$0.00 |
| 3352F |
|
1,066 |
1,050 |
$0.00 |
| 3354F |
|
531 |
519 |
$0.00 |
| 3080F |
|
1,501 |
1,466 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
12 |
12 |
$0.00 |
| 3078F |
|
22,150 |
21,191 |
$0.00 |
| 3077F |
|
2,429 |
2,347 |
$0.00 |
| 99421 |
|
18 |
16 |
$0.00 |