| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
29,886 |
11,012 |
$737K |
| 99310 |
Prolong nursin fac eval 15m |
11,907 |
4,595 |
$274K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,982 |
4,237 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,034 |
3,822 |
$141K |
| 99223 |
Prolong inpt eval add15 m |
2,526 |
2,364 |
$120K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,993 |
3,798 |
$107K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,093 |
1,382 |
$34K |
| 99205 |
Prolong outpt/office vis |
438 |
422 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
333 |
292 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
411 |
371 |
$10K |
| 99215 |
Prolong outpt/office vis |
293 |
283 |
$8K |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
574 |
355 |
$6K |
| 99220 |
|
98 |
98 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
149 |
127 |
$4K |
| 99497 |
|
813 |
312 |
$4K |
| 99418 |
Prolong nursin fac eval 15m |
271 |
131 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
113 |
$3K |
| 99217 |
|
70 |
66 |
$1K |
| 99349 |
|
40 |
28 |
$949.41 |
| 99221 |
|
32 |
31 |
$653.23 |
| 99226 |
|
20 |
12 |
$462.11 |
| 99316 |
|
18 |
18 |
$421.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$361.58 |
| 99356 |
|
63 |
42 |
$252.23 |
| 99304 |
|
16 |
15 |
$173.89 |
| 1101F |
|
228 |
87 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
3,814 |
1,231 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,257 |
1,231 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
2,460 |
1,047 |
$0.00 |
| 1123F |
|
2,843 |
1,089 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
157 |
151 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,426 |
1,394 |
$0.00 |
| 4086F |
|
352 |
150 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,766 |
1,036 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
82 |
80 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
228 |
226 |
$0.00 |
| 1036F |
|
228 |
226 |
$0.00 |
| G9662 |
Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure |
174 |
172 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
79 |
77 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
30 |
28 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
27 |
26 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
26 |
26 |
$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) |
60 |
58 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
14 |
14 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
6,708 |
3,118 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
73 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,452 |
7,390 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
6,014 |
1,915 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
5,916 |
3,096 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
97 |
93 |
$0.00 |
| 4040F |
|
2,214 |
759 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
1,690 |
1,653 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
129 |
128 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
489 |
208 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
369 |
367 |
$0.00 |
| 4004F |
|
210 |
206 |
$0.00 |
| 1124F |
|
87 |
55 |
$0.00 |
| G9665 |
Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy |
78 |
77 |
$0.00 |
| 0518F |
|
42 |
28 |
$0.00 |
| 3288F |
|
42 |
28 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
47 |
46 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
39 |
39 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
23 |
12 |
$0.00 |
| G9513 |
Individual did not have a pdc of 0.8 or greater |
56 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
14 |
$0.00 |