| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,086 |
2,025 |
$65K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,523 |
1,632 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,096 |
1,146 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
253 |
$5K |
| 94621 |
|
94 |
93 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
776 |
312 |
$4K |
| 94060 |
|
187 |
183 |
$2K |
| 94729 |
|
179 |
177 |
$2K |
| 94727 |
|
193 |
191 |
$2K |
| 96127 |
|
611 |
595 |
$809.93 |
| 99307 |
|
49 |
35 |
$352.09 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
36 |
16 |
$335.36 |
| 99306 |
Prolong nursin fac eval 15m |
28 |
27 |
$253.51 |
| 99233 |
Prolong inpt eval add15 m |
22 |
14 |
$74.22 |
| H0001 |
Alcohol and/or drug assessment |
110 |
108 |
$55.40 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
84 |
$27.30 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
206 |
195 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
305 |
291 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
156 |
143 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
103 |
101 |
$0.00 |
| 1159F |
|
74 |
72 |
$0.00 |
| 3016F |
|
55 |
54 |
$0.00 |
| 3078F |
|
206 |
194 |
$0.00 |
| 3074F |
|
71 |
66 |
$0.00 |
| 3008F |
|
681 |
652 |
$0.00 |
| 1000F |
|
56 |
55 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
68 |
66 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| 1036F |
|
69 |
67 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
103 |
99 |
$0.00 |