| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,456 |
4,762 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,244 |
$27K |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
636 |
569 |
$778.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$297.11 |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
17 |
$174.89 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
50 |
46 |
$59.91 |
| 3008F |
|
5,583 |
4,754 |
$0.05 |
| 3074F |
|
2,460 |
2,140 |
$0.02 |
| 3079F |
|
1,835 |
1,660 |
$0.01 |
| 3078F |
|
1,881 |
1,677 |
$0.01 |
| 4010F |
|
1,247 |
1,092 |
$0.00 |
| 3080F |
|
335 |
287 |
$0.00 |
| 3044F |
|
269 |
230 |
$0.00 |
| 1034F |
|
1,492 |
1,298 |
$0.00 |
| 1170F |
|
484 |
426 |
$0.00 |
| 3075F |
|
999 |
956 |
$0.00 |
| 3017F |
|
512 |
458 |
$0.00 |
| 4000F |
|
215 |
199 |
$0.00 |
| 3048F |
|
529 |
476 |
$0.00 |
| 3049F |
|
221 |
197 |
$0.00 |
| 1036F |
|
29 |
24 |
$0.00 |
| 1125F |
|
49 |
46 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
99 |
92 |
$0.00 |
| 3061F |
|
61 |
55 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
44 |
43 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
145 |
40 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| 3077F |
|
649 |
593 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
199 |
178 |
$0.00 |
| 3725F |
|
1,354 |
1,301 |
$0.00 |
| 0521F |
|
46 |
42 |
$0.00 |
| 4001F |
|
14 |
12 |
$0.00 |
| 1160F |
|
74 |
65 |
$0.00 |
| 3050F |
|
78 |
73 |
$0.00 |
| 3046F |
|
90 |
82 |
$0.00 |
| 1158F |
|
56 |
50 |
$0.00 |
| 1159F |
|
74 |
65 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
30 |
28 |
$0.00 |
| 3045F |
|
27 |
24 |
$0.00 |