| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,181 |
4,238 |
$94K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,048 |
1,664 |
$88K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,174 |
1,292 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,099 |
803 |
$35K |
| 99221 |
|
1,201 |
873 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,780 |
5,322 |
$19K |
| 95117 |
|
1,769 |
757 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
286 |
206 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
433 |
198 |
$10K |
| 95115 |
|
1,326 |
563 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,653 |
1,528 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
46 |
46 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,639 |
2,044 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
399 |
320 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
978 |
615 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
105 |
36 |
$1K |
| 99218 |
|
18 |
14 |
$660.91 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
85 |
47 |
$168.10 |
| 93000 |
|
411 |
321 |
$136.77 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
40 |
14 |
$119.26 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
26 |
$54.41 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
46 |
41 |
$8.17 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
12 |
$0.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
699 |
494 |
$0.01 |
| 1036F |
|
65 |
56 |
$0.00 |
| 51798 |
|
53 |
36 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
248 |
207 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
29 |
25 |
$0.00 |
| 3074F |
|
41 |
38 |
$0.00 |
| 1170F |
|
31 |
27 |
$0.00 |
| 1126F |
|
18 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
12 |
$0.00 |
| 1101F |
|
15 |
13 |
$0.00 |
| 1158F |
|
14 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
582 |
415 |
$0.00 |
| 80305 |
|
65 |
54 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
147 |
130 |
$0.00 |
| 1159F |
|
67 |
58 |
$0.00 |
| 1160F |
|
68 |
58 |
$0.00 |
| 1090F |
|
29 |
26 |
$0.00 |
| 81002 |
|
15 |
12 |
$0.00 |
| 80061 |
Lipid panel |
15 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$0.00 |
| 3078F |
|
33 |
29 |
$0.00 |