| 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 |
11,626 |
11,587 |
$1.13M |
| 99233 |
Prolong inpt eval add15 m |
21,973 |
8,034 |
$676K |
| 99223 |
Prolong inpt eval add15 m |
5,309 |
5,135 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,998 |
3,958 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,119 |
2,070 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
175 |
86 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
49 |
$2K |
| 90966 |
|
31 |
25 |
$1K |
| 90961 |
|
19 |
19 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
27 |
14 |
$904.35 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$479.90 |
| 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) |
89 |
87 |
$47.97 |
| 99443 |
|
13 |
13 |
$22.94 |
| 4040F |
|
2,338 |
2,282 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,901 |
3,802 |
$0.00 |
| 1124F |
|
3,898 |
3,809 |
$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) |
1,250 |
1,224 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
852 |
840 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
111 |
108 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
198 |
186 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
30 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,715 |
1,690 |
$0.00 |
| 1036F |
|
4,884 |
4,785 |
$0.00 |
| 1123F |
|
48 |
48 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |