| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,127 |
1,061 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
222 |
218 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
268 |
$10K |
| 99307 |
|
1,590 |
874 |
$10K |
| 11721 |
|
2,080 |
2,009 |
$9K |
| 11720 |
|
1,782 |
1,708 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$3K |
| 11719 |
|
1,184 |
1,136 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$450.59 |
| 99304 |
|
68 |
55 |
$416.82 |
| 73630 |
|
17 |
13 |
$218.96 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
54 |
25 |
$34.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,207 |
3,248 |
$4.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,782 |
1,378 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
421 |
344 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
485 |
372 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
484 |
365 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,315 |
1,814 |
$0.00 |
| G2105 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
185 |
152 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
689 |
503 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
16 |
15 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
197 |
161 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,409 |
1,946 |
$0.00 |
| 1036F |
|
2,439 |
1,970 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
576 |
431 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
924 |
774 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
503 |
371 |
$0.00 |
| 3044F |
|
239 |
149 |
$0.00 |