| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
202 |
169 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,351 |
3,055 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
222 |
191 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,618 |
16,435 |
$16K |
| 99442 |
|
13,246 |
8,426 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
226 |
175 |
$8K |
| 99441 |
|
11,968 |
9,105 |
$5K |
| 96160 |
|
1,098 |
768 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,544 |
4,814 |
$2K |
| 93000 |
|
1,977 |
1,579 |
$2K |
| 99242 |
|
303 |
243 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
42 |
30 |
$817.36 |
| 99221 |
|
12 |
12 |
$801.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,035 |
2,454 |
$652.71 |
| 90837 |
Psychotherapy, 53 minutes with patient |
431 |
421 |
$362.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,789 |
1,232 |
$222.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,129 |
1,996 |
$177.57 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,194 |
2,379 |
$85.92 |
| 94060 |
|
29 |
27 |
$84.92 |
| 99368 |
|
1,160 |
1,062 |
$75.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
278 |
$25.04 |
| 99173 |
|
4,374 |
2,904 |
$5.29 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,222 |
828 |
$0.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
855 |
556 |
$0.06 |
| 90791 |
Psychiatric diagnostic evaluation |
590 |
582 |
$0.02 |
| 90832 |
Psychotherapy, 30 minutes with patient |
80 |
77 |
$0.02 |
| 3008F |
|
10,707 |
7,422 |
$0.00 |
| 1022F |
|
299 |
130 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
511 |
479 |
$0.00 |
| 1030F |
|
4,638 |
3,094 |
$0.00 |
| 4010F |
|
445 |
198 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,338 |
2,147 |
$0.00 |
| 1157F |
|
3,810 |
2,478 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
119 |
110 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,484 |
2,456 |
$0.00 |
| 3075F |
|
607 |
422 |
$0.00 |
| 3079F |
|
1,595 |
1,212 |
$0.00 |
| 3074F |
|
5,693 |
4,011 |
$0.00 |
| 97802 |
|
1,318 |
891 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,343 |
2,268 |
$0.00 |
| 1126F |
|
3,882 |
2,516 |
$0.00 |
| 2010F |
|
5,450 |
3,500 |
$0.00 |
| 1036F |
|
2,738 |
2,114 |
$0.00 |
| 96127 |
|
2,920 |
1,667 |
$0.00 |
| 92551 |
|
219 |
178 |
$0.00 |
| 1170F |
|
5,500 |
3,625 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
51 |
48 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,045 |
697 |
$0.00 |
| 96161 |
|
376 |
157 |
$0.00 |
| 86580 |
|
287 |
215 |
$0.00 |
| G9806 |
Patients who received cervical cytology or an hpv test |
920 |
771 |
$0.00 |
| 87490 |
|
219 |
140 |
$0.00 |
| 4450F |
|
408 |
385 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
357 |
268 |
$0.00 |
| 1125F |
|
630 |
381 |
$0.00 |
| 57511 |
|
13 |
13 |
$0.00 |
| 99386 |
|
192 |
105 |
$0.00 |
| 96156 |
|
25 |
24 |
$0.00 |
| 86701 |
|
324 |
204 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
180 |
179 |
$0.00 |
| 99385 |
|
37 |
37 |
$0.00 |
| 4305F |
|
111 |
76 |
$0.00 |
| 86780 |
|
323 |
203 |
$0.00 |
| 87590 |
|
220 |
141 |
$0.00 |
| 99349 |
|
319 |
292 |
$0.00 |
| 1111F |
|
204 |
89 |
$0.00 |
| 4037F |
|
141 |
55 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
14 |
$0.00 |
| 3014F |
|
145 |
56 |
$0.00 |
| 1000F |
|
57 |
37 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
13 |
13 |
$0.00 |
| 94760 |
|
23 |
14 |
$0.00 |
| 99443 |
|
17 |
17 |
$0.00 |
| 96112 |
|
63 |
23 |
$0.00 |
| 1055F |
|
107 |
105 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
13 |
$0.00 |
| 99409 |
|
351 |
191 |
$0.00 |
| 3725F |
|
4,216 |
2,719 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,718 |
2,783 |
$0.00 |
| 3078F |
|
4,931 |
3,269 |
$0.00 |
| 1158F |
|
3,823 |
2,646 |
$0.00 |
| 1160F |
|
1,261 |
858 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
521 |
458 |
$0.00 |
| 4035F |
|
4,350 |
2,989 |
$0.00 |
| 1159F |
|
3,766 |
2,514 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,660 |
1,039 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
54 |
45 |
$0.00 |
| 99401 |
|
2,808 |
1,293 |
$0.00 |
| 2014F |
|
1,744 |
927 |
$0.00 |
| 98960 |
|
588 |
538 |
$0.00 |
| 80061 |
Lipid panel |
1,046 |
701 |
$0.00 |
| 99408 |
|
1,752 |
1,187 |
$0.00 |
| 3015F |
|
983 |
789 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
209 |
204 |
$0.00 |
| 3077F |
|
325 |
143 |
$0.00 |
| 4040F |
|
150 |
57 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
498 |
317 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
572 |
548 |
$0.00 |
| 0521F |
|
430 |
241 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
28 |
$0.00 |
| 99397 |
|
32 |
12 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |