| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,877 |
24,257 |
$1.28M |
| 95886 |
|
4,227 |
4,081 |
$449K |
| 95816 |
|
2,585 |
2,441 |
$374K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,331 |
4,099 |
$343K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,526 |
1,189 |
$279K |
| 95911 |
|
1,175 |
1,141 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,404 |
4,258 |
$156K |
| 95913 |
|
679 |
654 |
$129K |
| 95910 |
|
739 |
714 |
$80K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,747 |
6,435 |
$79K |
| 99222 |
Initial hospital care, per day, moderate complexity |
801 |
771 |
$59K |
| 1036F |
|
7,510 |
7,156 |
$58K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,504 |
8,108 |
$53K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
8,274 |
7,895 |
$52K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,872 |
4,634 |
$50K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,046 |
4,807 |
$48K |
| 4004F |
|
3,498 |
3,342 |
$43K |
| G9534 |
Advanced brain imaging (cta, ct, mra or mri) was not ordered |
1,146 |
1,098 |
$25K |
| G9634 |
Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved |
1,025 |
992 |
$16K |
| 99483 |
Prolong outpt/office vis |
583 |
573 |
$15K |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
904 |
869 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$3K |
| 4340F |
|
1,318 |
1,224 |
$2K |
| 99442 |
|
174 |
173 |
$2K |
| 1123F |
|
1,888 |
1,817 |
$2K |
| 99219 |
|
26 |
25 |
$2K |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
265 |
255 |
$1K |
| 95909 |
|
13 |
13 |
$933.78 |
| 99225 |
|
31 |
15 |
$929.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$472.80 |
| 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) |
216 |
214 |
$356.60 |
| 3288F |
|
1,143 |
1,101 |
$225.16 |
| 1124F |
|
655 |
627 |
$74.51 |
| G9919 |
Screening performed and positive and provision of recommendations |
788 |
760 |
$0.00 |
| M1016 |
Female patients unable to bear children |
1,330 |
1,227 |
$0.00 |
| 0518F |
|
612 |
591 |
$0.00 |
| 4322F |
|
867 |
835 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
870 |
838 |
$0.00 |
| 3720F |
|
189 |
181 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
40 |
40 |
$0.00 |
| 4400F |
|
81 |
77 |
$0.00 |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
866 |
834 |
$0.00 |
| G2121 |
Depression, anxiety, apathy, and psychosis assessed |
112 |
110 |
$0.00 |