| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
967 |
$28K |
| 62323 |
|
16 |
16 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$894.69 |
| 64493 |
|
21 |
12 |
$798.39 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$598.60 |
| 64494 |
|
21 |
12 |
$80.01 |
| 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) |
414 |
397 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
413 |
396 |
$0.00 |
| 1036F |
|
615 |
592 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
615 |
592 |
$0.00 |
| 1123F |
|
1,425 |
1,368 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 4004F |
|
389 |
373 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
915 |
879 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
894 |
859 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,127 |
1,074 |
$0.00 |