| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,691 |
4,592 |
$362K |
| 99233 |
Prolong inpt eval add15 m |
5,820 |
1,832 |
$251K |
| 99223 |
Prolong inpt eval add15 m |
1,613 |
1,438 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
465 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
596 |
549 |
$17K |
| 99401 |
|
374 |
174 |
$10K |
| 99220 |
|
55 |
53 |
$6K |
| 99490 |
Ccm add 20min |
431 |
422 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
524 |
187 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
102 |
83 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
78 |
$893.37 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
40 |
$736.58 |
| 99306 |
Prolong nursin fac eval 15m |
20 |
15 |
$477.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
43 |
$365.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
14 |
$279.14 |
| 80061 |
Lipid panel |
47 |
28 |
$272.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
26 |
$269.78 |
| 82607 |
|
25 |
12 |
$216.00 |
| 80053 |
Comprehensive metabolic panel |
25 |
14 |
$196.84 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
41 |
$123.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
264 |
230 |
$79.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
272 |
237 |
$78.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
38 |
31 |
$24.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
289 |
220 |
$15.13 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
120 |
105 |
$10.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
738 |
619 |
$1.04 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
123 |
108 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
114 |
94 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
16 |
13 |
$0.00 |
| 4004F |
|
172 |
136 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
190 |
150 |
$0.00 |
| 3044F |
|
79 |
68 |
$0.00 |
| 1036F |
|
123 |
108 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
273 |
199 |
$0.00 |
| 1111F |
|
38 |
28 |
$0.00 |