| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,613 |
759 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,750 |
1,401 |
$33K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,066 |
3,898 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,628 |
1,341 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
122 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
62 |
57 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
37 |
37 |
$726.85 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$523.88 |
| 99318 |
|
40 |
38 |
$282.90 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,798 |
2,099 |
$159.25 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,807 |
1,303 |
$104.30 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
379 |
321 |
$44.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$23.91 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
334 |
250 |
$21.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,932 |
2,210 |
$10.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
95 |
79 |
$5.25 |
| A4657 |
Syringe, with or without needle, each |
47 |
39 |
$3.15 |
| A4245 |
Alcohol wipes, per box |
129 |
103 |
$1.75 |
| A4452 |
Tape, waterproof, per 18 square inches |
28 |
27 |
$0.70 |
| 1111F |
|
269 |
236 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,277 |
1,692 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
322 |
239 |
$0.00 |
| G9707 |
Patient received hospice services any time during the measurement period |
1,845 |
1,366 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,340 |
974 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
340 |
254 |
$0.00 |
| 1101F |
|
258 |
195 |
$0.00 |
| 1036F |
|
403 |
339 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
122 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
335 |
250 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
27 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
95 |
56 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
16 |
12 |
$0.00 |
| 82962 |
|
15 |
13 |
$0.00 |
| G9720 |
Hospice services for patient occurred any time during the measurement period |
16 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,049 |
3,079 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
583 |
435 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,196 |
3,266 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,594 |
4,938 |
$0.00 |
| G9996 |
Documentation stating the patient has received or is currently receiving palliative or hospice care |
804 |
568 |
$0.00 |
| G9718 |
Hospice services for patient provided any time during the measurement period |
1,324 |
943 |
$0.00 |
| 3288F |
|
1,025 |
769 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
163 |
104 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
337 |
251 |
$0.00 |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
463 |
335 |
$0.00 |
| 4040F |
|
376 |
300 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
310 |
286 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
96 |
72 |
$0.00 |
| 99307 |
|
14 |
13 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
47 |
39 |
$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) |
13 |
12 |
$0.00 |
| 0518F |
|
22 |
12 |
$0.00 |