| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,695 |
1,089 |
$1.24M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,453 |
5,134 |
$415K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,176 |
488 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,983 |
3,416 |
$166K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,983 |
2,499 |
$162K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,287 |
404 |
$135K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,177 |
976 |
$78K |
| 99464 |
|
850 |
760 |
$50K |
| 99233 |
Prolong inpt eval add15 m |
771 |
330 |
$34K |
| 99254 |
|
574 |
498 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
476 |
373 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,299 |
538 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
660 |
534 |
$18K |
| 99468 |
|
16 |
13 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
136 |
136 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
41 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
73 |
66 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
130 |
127 |
$3K |
| 99460 |
|
26 |
26 |
$2K |
| 80305 |
|
137 |
137 |
$1K |
| 95813 |
|
36 |
24 |
$1K |
| 54150 |
|
15 |
12 |
$1K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
18 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$884.17 |
| 95819 |
|
29 |
28 |
$422.38 |
| 99221 |
|
14 |
12 |
$295.42 |
| 3077F |
|
14 |
12 |
$0.00 |
| 1159F |
|
164 |
137 |
$0.00 |
| 1160F |
|
157 |
133 |
$0.00 |
| 3078F |
|
37 |
32 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
27 |
26 |
$0.00 |
| 99024 |
|
298 |
206 |
$0.00 |
| 3074F |
|
15 |
14 |
$0.00 |