| Code | Description | Claims | Beneficiaries | Total Paid |
| 95720 |
|
1,065 |
499 |
$128K |
| 95886 |
|
3,826 |
2,612 |
$74K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
792 |
434 |
$42K |
| 99223 |
Prolong inpt eval add15 m |
703 |
651 |
$41K |
| 95912 |
|
455 |
409 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
582 |
536 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
378 |
325 |
$28K |
| 95911 |
|
261 |
227 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
808 |
480 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
365 |
226 |
$11K |
| 95816 |
|
403 |
379 |
$11K |
| 99215 |
Prolong outpt/office vis |
138 |
100 |
$9K |
| 95909 |
|
204 |
190 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
143 |
133 |
$5K |
| 95910 |
|
84 |
80 |
$4K |
| 95819 |
|
152 |
143 |
$3K |
| 99221 |
|
96 |
95 |
$3K |
| 95913 |
|
13 |
13 |
$2K |
| 99254 |
|
20 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$655.38 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$619.28 |
| 95885 |
|
16 |
12 |
$97.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
59 |
59 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 1036F |
|
36 |
36 |
$0.00 |