| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,951 |
17,015 |
$495K |
| 99233 |
Prolong inpt eval add15 m |
18,692 |
4,139 |
$319K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,379 |
1,058 |
$314K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15,746 |
7,613 |
$174K |
| 99223 |
Prolong inpt eval add15 m |
3,449 |
2,729 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,085 |
3,054 |
$97K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,912 |
2,389 |
$73K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
844 |
681 |
$70K |
| 99310 |
Prolong nursin fac eval 15m |
3,134 |
2,468 |
$67K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,048 |
1,751 |
$51K |
| 99222 |
Initial hospital care, per day, moderate complexity |
532 |
474 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,630 |
503 |
$22K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
363 |
78 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
678 |
538 |
$12K |
| 99215 |
Prolong outpt/office vis |
240 |
221 |
$11K |
| 95117 |
|
1,586 |
1,091 |
$9K |
| 20553 |
|
529 |
439 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
717 |
434 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
102 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
129 |
$4K |
| 97032 |
|
504 |
310 |
$4K |
| 99490 |
Ccm add 20min |
2,498 |
1,947 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
511 |
310 |
$4K |
| 20610 |
|
179 |
141 |
$3K |
| 99385 |
|
52 |
50 |
$2K |
| 93922 |
|
92 |
68 |
$2K |
| 99386 |
|
27 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
245 |
215 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$879.75 |
| 99497 |
|
331 |
247 |
$743.21 |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$432.33 |
| 93793 |
|
339 |
129 |
$381.04 |
| 99496 |
|
73 |
54 |
$380.46 |
| 99306 |
Prolong nursin fac eval 15m |
35 |
27 |
$319.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$307.98 |
| 0012A |
|
17 |
17 |
$259.56 |
| 99487 |
Ccm add 20min |
29 |
15 |
$226.72 |
| 99442 |
|
40 |
31 |
$220.80 |
| 99443 |
|
17 |
16 |
$190.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32 |
23 |
$62.20 |
| 95923 |
|
44 |
24 |
$31.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
54 |
$0.88 |
| 80053 |
Comprehensive metabolic panel |
184 |
131 |
$0.03 |
| 3074F |
|
751 |
656 |
$0.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
139 |
100 |
$0.02 |
| 80061 |
Lipid panel |
92 |
68 |
$0.01 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
11,082 |
8,501 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,031 |
8,168 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,882 |
2,200 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22,948 |
15,811 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,935 |
1,322 |
$0.00 |
| 3078F |
|
609 |
535 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
228 |
180 |
$0.00 |
| 1159F |
|
57 |
45 |
$0.00 |
| 3288F |
|
1,505 |
1,094 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
300 |
196 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
207 |
156 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
58 |
51 |
$0.00 |
| 1160F |
|
57 |
45 |
$0.00 |
| 95921 |
|
44 |
24 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
13 |
$0.00 |
| 3045F |
|
36 |
30 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,420 |
3,363 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
166 |
109 |
$0.00 |
| 3075F |
|
198 |
168 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
1,019 |
834 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
340 |
260 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,101 |
1,438 |
$0.00 |
| 3008F |
|
212 |
186 |
$0.00 |
| 3080F |
|
49 |
38 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
242 |
217 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
220 |
169 |
$0.00 |
| 1123F |
|
556 |
476 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
153 |
108 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
172 |
149 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$0.00 |
| G8967 |
Fda approved oral anticoagulant is prescribed |
63 |
54 |
$0.00 |
| 3079F |
|
368 |
301 |
$0.00 |
| 1101F |
|
28 |
25 |
$0.00 |
| 1111F |
|
20 |
19 |
$0.00 |
| 3044F |
|
132 |
110 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
53 |
48 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
82 |
46 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
40 |
28 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
173 |
125 |
$0.00 |
| 3017F |
|
22 |
15 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
64 |
30 |
$0.00 |
| 1125F |
|
47 |
40 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
104 |
78 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
44 |
27 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
33 |
29 |
$0.00 |