| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,790 |
8,187 |
$414K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,072 |
3,688 |
$113K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,280 |
1,774 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,173 |
1,947 |
$60K |
| 99306 |
Prolong nursin fac eval 15m |
421 |
165 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
82 |
$6K |
| 80305 |
|
1,040 |
958 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
540 |
151 |
$5K |
| 99307 |
|
314 |
269 |
$3K |
| 99305 |
|
50 |
46 |
$1K |
| 93922 |
|
28 |
14 |
$1K |
| 95923 |
|
15 |
12 |
$695.52 |
| 99334 |
|
148 |
58 |
$579.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$570.24 |
| 99457 |
|
230 |
219 |
$491.57 |
| 94010 |
|
89 |
31 |
$454.14 |
| 99496 |
|
13 |
12 |
$250.63 |
| 99454 |
|
84 |
80 |
$98.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$83.33 |
| 99490 |
Ccm add 20min |
92 |
52 |
$64.73 |
| 99453 |
|
40 |
39 |
$55.22 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
54 |
33 |
$16.26 |
| 3079F |
|
81 |
76 |
$10.00 |
| 3074F |
|
186 |
166 |
$10.00 |
| 3078F |
|
93 |
81 |
$10.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
2,113 |
1,518 |
$0.12 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,771 |
1,357 |
$0.08 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
98 |
87 |
$0.04 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
46 |
43 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18 |
16 |
$0.01 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
223 |
209 |
$0.00 |
| 3008F |
|
72 |
67 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
151 |
137 |
$0.00 |
| 99412 |
|
27 |
23 |
$0.00 |
| 99406 |
|
73 |
66 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
126 |
108 |
$0.00 |
| G9901 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
13 |
12 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |
| 99402 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
23 |
$0.00 |
| 96127 |
|
42 |
21 |
$0.00 |
| 99401 |
|
25 |
21 |
$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) |
27 |
26 |
$0.00 |