| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
645 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
291 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
347 |
285 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
635 |
230 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
102 |
82 |
$4K |
| 4086F |
|
945 |
872 |
$1K |
| 1036F |
|
991 |
877 |
$875.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
453 |
401 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
54 |
45 |
$0.00 |
| 4040F |
|
645 |
531 |
$0.00 |
| M1178 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine) |
300 |
268 |
$0.00 |
| M1175 |
Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine) |
334 |
299 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,419 |
1,230 |
$0.00 |
| M1168 |
Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period |
15 |
15 |
$0.00 |
| G9989 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) |
106 |
100 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
201 |
167 |
$0.00 |
| M1176 |
Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period |
86 |
84 |
$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) |
75 |
74 |
$0.00 |
| M1170 |
Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period |
29 |
29 |
$0.00 |
| G9665 |
Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy |
64 |
61 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
952 |
856 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
907 |
803 |
$0.00 |
| G8968 |
Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment) |
642 |
588 |
$0.00 |
| M1172 |
Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine) |
336 |
300 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
128 |
119 |
$0.00 |
| M1169 |
Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) |
241 |
214 |
$0.00 |
| G8969 |
Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation) |
103 |
98 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
12 |
12 |
$0.00 |
| M1173 |
Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period |
91 |
89 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
41 |
29 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |