| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,026 |
5,403 |
$305K |
| 99199 |
Unlisted special service, procedure or report |
26,326 |
14,985 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,028 |
3,198 |
$140K |
| 99310 |
Prolong nursin fac eval 15m |
2,708 |
1,992 |
$82K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,022 |
3,377 |
$80K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,397 |
796 |
$34K |
| 99490 |
Ccm add 20min |
748 |
598 |
$7K |
| 93922 |
|
249 |
88 |
$5K |
| 95923 |
|
150 |
85 |
$4K |
| 99406 |
|
592 |
439 |
$3K |
| 99215 |
Prolong outpt/office vis |
21 |
16 |
$2K |
| 95921 |
|
119 |
69 |
$2K |
| 82962 |
|
2,488 |
1,553 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
33 |
27 |
$1K |
| 93923 |
|
23 |
14 |
$997.67 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
110 |
17 |
$907.43 |
| 97760 |
|
106 |
44 |
$701.67 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
30 |
28 |
$573.10 |
| 99496 |
|
35 |
25 |
$543.66 |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
17 |
$497.58 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
16 |
15 |
$316.48 |
| 99491 |
Ccm add 20min |
21 |
18 |
$227.53 |
| 3044F |
|
1,448 |
971 |
$180.24 |
| 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) |
35 |
31 |
$77.65 |
| 3023F |
|
599 |
395 |
$60.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
112 |
$27.76 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
257 |
223 |
$20.65 |
| 3046F |
|
26 |
12 |
$20.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
978 |
668 |
$0.30 |
| 1160F |
|
4,427 |
2,592 |
$0.14 |
| 3080F |
|
545 |
405 |
$0.07 |
| 3077F |
|
730 |
539 |
$0.06 |
| 3078F |
|
864 |
626 |
$0.04 |
| 3074F |
|
1,041 |
736 |
$0.04 |
| 3075F |
|
350 |
260 |
$0.02 |
| 3079F |
|
570 |
402 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,022 |
1,274 |
$0.00 |
| 4274F |
|
210 |
171 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,164 |
680 |
$0.00 |
| 4004F |
|
329 |
252 |
$0.00 |
| 1159F |
|
281 |
155 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
229 |
159 |
$0.00 |
| 3028F |
|
588 |
315 |
$0.00 |
| 4040F |
|
104 |
80 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,570 |
1,598 |
$0.00 |
| 1036F |
|
917 |
669 |
$0.00 |
| 3008F |
|
1,687 |
1,183 |
$0.00 |
| 1220F |
|
74 |
61 |
$0.00 |
| 3017F |
|
282 |
231 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
104 |
69 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
131 |
106 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
766 |
464 |
$0.00 |
| 3014F |
|
233 |
187 |
$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) |
88 |
66 |
$0.00 |
| 1101F |
|
29 |
25 |
$0.00 |