| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,955 |
3,837 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,952 |
3,661 |
$219K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,660 |
1,374 |
$72K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,183 |
1,624 |
$64K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
731 |
183 |
$24K |
| 99305 |
|
455 |
433 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
240 |
212 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
103 |
103 |
$10K |
| 90686 |
|
401 |
398 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,454 |
1,232 |
$6K |
| 99205 |
Prolong outpt/office vis |
51 |
51 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
480 |
476 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
68 |
64 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$2K |
| 90656 |
|
20 |
19 |
$464.97 |
| 99442 |
|
34 |
29 |
$439.66 |
| 90658 |
|
36 |
35 |
$434.43 |
| 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) |
342 |
333 |
$284.85 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
29 |
28 |
$269.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
94 |
93 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
40 |
38 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
24 |
23 |
$0.00 |
| 1036F |
|
93 |
88 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
64 |
59 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
225 |
224 |
$0.00 |
| 4004F |
|
1,084 |
1,029 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
73 |
69 |
$0.00 |
| 4040F |
|
15 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
134 |
123 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
71 |
67 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
50 |
47 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
104 |
96 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
36 |
35 |
$0.00 |