| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,452 |
18,969 |
$635K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,709 |
11,584 |
$512K |
| 99442 |
|
6,052 |
4,862 |
$99K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
419 |
371 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,705 |
488 |
$28K |
| 99441 |
|
1,728 |
1,434 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
473 |
385 |
$9K |
| 99443 |
|
259 |
225 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,510 |
1,231 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
269 |
231 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
134 |
113 |
$4K |
| 43235 |
|
50 |
43 |
$3K |
| 99219 |
|
73 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
38 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
12 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
33 |
25 |
$1K |
| 99217 |
|
14 |
13 |
$305.61 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
31 |
25 |
$268.19 |
| 99152 |
|
55 |
49 |
$221.10 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
18 |
14 |
$179.81 |
| 99406 |
|
34 |
25 |
$164.99 |
| 96127 |
|
19 |
12 |
$65.98 |
| 1125F |
|
27 |
25 |
$10.00 |
| 3008F |
|
29 |
27 |
$10.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
511 |
435 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
22 |
22 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
40 |
37 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
114 |
95 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 3017F |
|
19 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
22 |
22 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
28 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
150 |
131 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
652 |
541 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
103 |
74 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
385 |
321 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
408 |
348 |
$0.00 |
| 0521F |
|
27 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
13 |
$0.00 |
| 4004F |
|
15 |
15 |
$0.00 |
| 96160 |
|
15 |
13 |
$0.00 |