| Code | Description | Claims | Beneficiaries | Total Paid |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
390 |
260 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,014 |
812 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
872 |
$44K |
| 95811 |
|
75 |
51 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
120 |
113 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
59 |
$4K |
| 94010 |
|
201 |
184 |
$3K |
| 95806 |
|
12 |
12 |
$2K |
| 94729 |
|
87 |
82 |
$1K |
| 94727 |
|
89 |
78 |
$901.02 |
| 99458 |
|
13 |
13 |
$165.11 |
| 99457 |
|
13 |
13 |
$112.19 |
| 99454 |
|
12 |
12 |
$96.14 |
| G8432 |
Depression screening not documented, reason not given |
522 |
457 |
$0.00 |
| 3017F |
|
319 |
285 |
$0.00 |
| 3079F |
|
45 |
44 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
71 |
54 |
$0.00 |
| 3074F |
|
65 |
59 |
$0.00 |
| 1036F |
|
71 |
54 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
21 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
705 |
614 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
180 |
140 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
151 |
121 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
12 |
12 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |