| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,575 |
2,196 |
$664K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,215 |
3,055 |
$254K |
| 99223 |
Prolong inpt eval add15 m |
1,905 |
1,519 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,291 |
2,025 |
$115K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,647 |
1,472 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,774 |
1,488 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
1,003 |
426 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
256 |
$24K |
| 95816 |
|
419 |
369 |
$24K |
| 99406 |
|
163 |
141 |
$877.76 |
| 99457 |
|
86 |
77 |
$635.20 |
| 99454 |
|
60 |
51 |
$445.60 |
| 1036F |
|
1,766 |
1,475 |
$225.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,621 |
1,525 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,633 |
1,535 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,054 |
3,517 |
$0.01 |
| 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) |
561 |
479 |
$0.01 |
| G9696 |
Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects) |
497 |
405 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,680 |
1,419 |
$0.00 |
| G8924 |
Spirometry results documented (fev1/fvc < 70%) |
1,914 |
1,618 |
$0.00 |
| M1172 |
Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine) |
410 |
383 |
$0.00 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
641 |
595 |
$0.00 |
| M1171 |
Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period |
140 |
132 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
194 |
170 |
$0.00 |
| M1169 |
Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) |
393 |
368 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
478 |
387 |
$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) |
194 |
170 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
157 |
152 |
$0.00 |
| M1179 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period |
35 |
32 |
$0.00 |
| M1178 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine) |
492 |
463 |
$0.00 |
| 4040F |
|
1,326 |
1,137 |
$0.00 |
| M1168 |
Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period |
174 |
167 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
350 |
332 |
$0.00 |
| M1175 |
Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine) |
406 |
380 |
$0.00 |
| 4004F |
|
311 |
256 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
1,509 |
1,265 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
783 |
662 |
$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 |
50 |
42 |
$0.00 |
| G9434 |
Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given |
568 |
469 |
$0.00 |
| M1174 |
Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period |
92 |
87 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
259 |
221 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
158 |
153 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
157 |
152 |
$0.00 |
| 3023F |
|
41 |
37 |
$0.00 |