| 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 |
16,662 |
16,604 |
$3.06M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
23,892 |
6,528 |
$1.92M |
| 99233 |
Prolong inpt eval add15 m |
12,671 |
4,253 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,402 |
5,275 |
$127K |
| 99215 |
Prolong outpt/office vis |
1,909 |
1,877 |
$74K |
| 90961 |
|
532 |
532 |
$51K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,129 |
500 |
$44K |
| 99292 |
|
539 |
288 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
244 |
237 |
$16K |
| 90966 |
|
40 |
40 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
192 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
255 |
$4K |
| 90962 |
|
15 |
15 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$248.10 |
| 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) |
120 |
116 |
$97.54 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
88 |
87 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
137 |
133 |
$0.00 |
| 3046F |
|
97 |
96 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
134 |
133 |
$0.00 |
| 1123F |
|
108 |
108 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
62 |
62 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
18 |
17 |
$0.00 |