| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,056 |
11,190 |
$505K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
8,892 |
8,819 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,611 |
3,341 |
$113K |
| 99233 |
Prolong inpt eval add15 m |
2,570 |
944 |
$72K |
| 99223 |
Prolong inpt eval add15 m |
845 |
788 |
$48K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
457 |
452 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,879 |
1,502 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
874 |
822 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
319 |
312 |
$23K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,629 |
1,251 |
$12K |
| 99443 |
|
301 |
287 |
$12K |
| 99215 |
Prolong outpt/office vis |
1,291 |
970 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,527 |
1,199 |
$8K |
| 80053 |
Comprehensive metabolic panel |
2,316 |
1,817 |
$7K |
| 93015 |
|
141 |
138 |
$7K |
| 80061 |
Lipid panel |
1,625 |
1,263 |
$7K |
| 99442 |
|
227 |
211 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,754 |
1,356 |
$6K |
| 90961 |
|
254 |
251 |
$6K |
| 82607 |
|
1,078 |
864 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,382 |
1,854 |
$5K |
| 84439 |
|
1,451 |
1,137 |
$5K |
| 93000 |
|
512 |
491 |
$5K |
| 82746 |
|
816 |
671 |
$4K |
| 36902 |
|
42 |
39 |
$3K |
| 90966 |
|
43 |
43 |
$3K |
| 83735 |
|
1,310 |
1,037 |
$3K |
| 99406 |
|
280 |
258 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
82 |
82 |
$3K |
| 82043 |
|
851 |
687 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
209 |
199 |
$2K |
| 83970 |
|
272 |
214 |
$2K |
| 90756 |
|
120 |
103 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$2K |
| 84100 |
|
1,163 |
909 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
34 |
31 |
$1K |
| 37252 |
|
25 |
25 |
$1K |
| 80050 |
General health panel |
104 |
97 |
$994.91 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
60 |
52 |
$980.60 |
| 99152 |
|
499 |
460 |
$933.10 |
| 93923 |
|
58 |
57 |
$785.47 |
| 93970 |
|
18 |
15 |
$433.70 |
| 84156 |
|
394 |
335 |
$305.92 |
| 99497 |
|
547 |
500 |
$277.15 |
| 90661 |
|
13 |
12 |
$232.30 |
| 99305 |
|
20 |
19 |
$211.86 |
| 99490 |
Ccm add 20min |
151 |
150 |
$166.64 |
| 93990 |
|
198 |
194 |
$128.76 |
| 84481 |
|
43 |
23 |
$110.67 |
| 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) |
1,183 |
1,041 |
$81.42 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
39 |
28 |
$71.27 |
| 37253 |
|
12 |
12 |
$59.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
296 |
274 |
$45.00 |
| 3044F |
|
13 |
13 |
$40.00 |
| 82248 |
|
53 |
33 |
$18.72 |
| 99457 |
|
180 |
180 |
$10.60 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
224 |
202 |
$1.72 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
321 |
294 |
$1.32 |
| 36415 |
Collection of venous blood by venipuncture |
2,843 |
2,203 |
$0.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17,073 |
15,233 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,186 |
7,534 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,352 |
5,041 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,661 |
4,303 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
1,083 |
993 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
171 |
161 |
$0.00 |
| G9317 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed |
1,213 |
1,116 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,067 |
943 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
880 |
804 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
225 |
217 |
$0.00 |
| 1124F |
|
747 |
720 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
710 |
677 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
201 |
176 |
$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) |
351 |
275 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
133 |
123 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
337 |
311 |
$0.00 |
| 3725F |
|
168 |
160 |
$0.00 |
| 4004F |
|
95 |
85 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
26 |
24 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
935 |
791 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
1,004 |
943 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,472 |
6,004 |
$0.00 |
| 93922 |
|
93 |
93 |
$0.00 |
| 4086F |
|
140 |
138 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,700 |
4,236 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
145 |
134 |
$0.00 |
| 1123F |
|
370 |
350 |
$0.00 |
| 4010F |
|
73 |
71 |
$0.00 |
| 1036F |
|
4,397 |
4,005 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
116 |
113 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
319 |
297 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
587 |
556 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,718 |
1,545 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
182 |
175 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
603 |
555 |
$0.00 |
| 1111F |
|
46 |
41 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
220 |
206 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
311 |
265 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |
| 99458 |
|
12 |
12 |
$0.00 |
| 0529F |
|
129 |
122 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
205 |
156 |
$0.00 |
| 99407 |
|
15 |
13 |
$0.00 |
| 3017F |
|
74 |
54 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 80069 |
|
17 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13 |
12 |
$0.00 |