| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,564 |
33,304 |
$1.20M |
| 99233 |
Prolong inpt eval add15 m |
9,414 |
3,551 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,737 |
6,350 |
$284K |
| 99223 |
Prolong inpt eval add15 m |
2,838 |
2,351 |
$169K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,003 |
4,827 |
$161K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,392 |
1,170 |
$106K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,844 |
992 |
$82K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,225 |
1,844 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
364 |
310 |
$28K |
| 80305 |
|
2,378 |
1,356 |
$24K |
| 99220 |
|
95 |
85 |
$8K |
| 99307 |
|
643 |
551 |
$7K |
| 99490 |
Ccm add 20min |
942 |
656 |
$4K |
| 90961 |
|
48 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
40 |
$2K |
| 99217 |
|
45 |
42 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
53 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
45 |
45 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
19 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
64 |
51 |
$1K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
60 |
49 |
$942.31 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
76 |
61 |
$600.00 |
| 90688 |
|
70 |
68 |
$478.32 |
| 99318 |
|
13 |
13 |
$392.60 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
15 |
$152.63 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
18 |
12 |
$66.99 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
25 |
15 |
$35.10 |
| 81003 |
|
18 |
15 |
$5.54 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
842 |
777 |
$2.48 |
| 1036F |
|
55 |
54 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
409 |
384 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
496 |
473 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
65 |
62 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
34 |
33 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
46 |
37 |
$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) |
27 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
32 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
73 |
70 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
436 |
412 |
$0.00 |
| 3008F |
|
83 |
77 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
55 |
54 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
20 |
20 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
19 |
16 |
$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) |
70 |
68 |
$0.00 |