| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,589 |
2,560 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,634 |
2,922 |
$61K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,392 |
599 |
$39K |
| 99444 |
|
480 |
120 |
$26K |
| 90961 |
|
334 |
325 |
$17K |
| 99215 |
Prolong outpt/office vis |
346 |
283 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
291 |
240 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
369 |
157 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,326 |
1,148 |
$7K |
| 80069 |
|
1,215 |
957 |
$3K |
| 93925 |
|
40 |
39 |
$2K |
| 82570 |
|
1,246 |
1,043 |
$2K |
| 76770 |
|
43 |
40 |
$2K |
| 85018 |
|
1,118 |
890 |
$949.18 |
| 81003 |
|
1,228 |
1,028 |
$878.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
175 |
$605.58 |
| 80061 |
Lipid panel |
87 |
82 |
$356.08 |
| 80047 |
|
545 |
465 |
$93.03 |
| 99458 |
|
231 |
229 |
$75.20 |
| 3044F |
|
101 |
78 |
$60.00 |
| 99484 |
|
232 |
230 |
$52.71 |
| 99457 |
|
232 |
230 |
$46.57 |
| 85014 |
|
546 |
466 |
$22.47 |
| 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) |
37 |
28 |
$16.01 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
885 |
638 |
$0.02 |
| 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) |
588 |
408 |
$0.02 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,579 |
2,622 |
$0.02 |
| 1036F |
|
2,401 |
1,777 |
$0.02 |
| G8482 |
Influenza immunization administered or previously received |
1,893 |
1,394 |
$0.02 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
811 |
689 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,296 |
1,063 |
$0.01 |
| 1123F |
|
1,494 |
1,056 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,324 |
1,754 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
2,058 |
1,652 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
2,946 |
2,237 |
$0.00 |
| 1101F |
|
363 |
280 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
85 |
70 |
$0.00 |
| 99454 |
|
37 |
37 |
$0.00 |
| 97802 |
|
32 |
31 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
19 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,504 |
2,579 |
$0.00 |
| 99490 |
Ccm add 20min |
58 |
55 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
265 |
234 |
$0.00 |
| 1100F |
|
157 |
126 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
20 |
15 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
110 |
89 |
$0.00 |
| 3288F |
|
158 |
127 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
61 |
58 |
$0.00 |
| G9692 |
Hospice services received by patient any time during the measurement period |
33 |
28 |
$0.00 |
| 1160F |
|
34 |
31 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
43 |
37 |
$0.00 |
| 1124F |
|
20 |
18 |
$0.00 |
| 99401 |
|
20 |
16 |
$0.00 |