| Code | Description | Claims | Beneficiaries | Total Paid |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,260 |
872 |
$297K |
| 95811 |
|
952 |
652 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,940 |
2,595 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,870 |
1,230 |
$124K |
| 95806 |
|
1,473 |
716 |
$94K |
| 95800 |
|
435 |
323 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,008 |
779 |
$29K |
| 96160 |
|
3,132 |
1,762 |
$4K |
| 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) |
25 |
24 |
$84.31 |
| 1036F |
|
221 |
203 |
$28.87 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
389 |
345 |
$21.93 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
227 |
209 |
$0.00 |
| G8851 |
Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) |
13 |
13 |
$0.00 |
| G8842 |
Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea |
99 |
94 |
$0.00 |