| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,183 |
19,370 |
$750K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,634 |
4,400 |
$115K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,899 |
1,563 |
$90K |
| 99233 |
Prolong inpt eval add15 m |
476 |
228 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
327 |
301 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
350 |
333 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
184 |
173 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
86 |
44 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
12 |
$981.64 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
47 |
27 |
$709.97 |
| 99221 |
|
28 |
27 |
$707.06 |
| 99219 |
|
12 |
12 |
$663.91 |
| 3078F |
|
2,257 |
2,098 |
$5.00 |
| 3074F |
|
2,301 |
2,134 |
$5.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,981 |
10,630 |
$0.01 |
| 2022F |
|
1,376 |
1,299 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,144 |
7,849 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
3,578 |
3,484 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,330 |
2,243 |
$0.00 |
| 4004F |
|
5,145 |
4,995 |
$0.00 |
| 1100F |
|
226 |
198 |
$0.00 |
| 1159F |
|
399 |
376 |
$0.00 |
| 3077F |
|
47 |
42 |
$0.00 |
| 4040F |
|
41 |
40 |
$0.00 |
| 1160F |
|
167 |
152 |
$0.00 |
| 3023F |
|
14 |
13 |
$0.00 |
| 3046F |
|
29 |
27 |
$0.00 |
| 1036F |
|
7,400 |
7,135 |
$0.00 |
| 3044F |
|
1,354 |
1,121 |
$0.00 |
| 3017F |
|
6,772 |
6,528 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,225 |
1,192 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
2,033 |
1,995 |
$0.00 |
| 1125F |
|
80 |
74 |
$0.00 |
| 3079F |
|
190 |
172 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
743 |
726 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1123F |
|
41 |
40 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
14 |
13 |
$0.00 |
| 99484 |
|
14 |
12 |
$0.00 |