| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,866 |
9,485 |
$616K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,671 |
2,078 |
$176K |
| 95816 |
|
1,214 |
923 |
$137K |
| 95913 |
|
580 |
460 |
$89K |
| 95886 |
|
1,261 |
733 |
$41K |
| 95921 |
|
65 |
36 |
$2K |
| 93923 |
|
69 |
38 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
29 |
26 |
$1K |
| 95909 |
|
25 |
12 |
$773.98 |
| 99490 |
Ccm add 20min |
59 |
54 |
$479.09 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
225 |
54 |
$65.07 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,777 |
2,562 |
$23.23 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,242 |
2,189 |
$15.11 |
| 0518F |
|
6,413 |
4,336 |
$0.87 |
| 4340F |
|
4,441 |
3,006 |
$0.61 |
| 3288F |
|
1,708 |
1,180 |
$0.38 |
| M1031 |
Patients with no clinical indications for imaging of the head |
1,728 |
1,178 |
$0.36 |
| 1123F |
|
3,176 |
2,155 |
$0.33 |
| 4004F |
|
1,209 |
815 |
$0.26 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,794 |
2,564 |
$0.18 |
| G2184 |
Patient does not have a caregiver |
2,968 |
2,009 |
$0.17 |
| G9459 |
Currently a tobacco non-user |
2,291 |
1,537 |
$0.14 |
| 1101F |
|
998 |
688 |
$0.09 |
| G9460 |
Tobacco assessment or tobacco cessation intervention not performed, reason not given |
237 |
182 |
$0.04 |
| 1100F |
|
395 |
280 |
$0.04 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,361 |
938 |
$0.03 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
395 |
282 |
$0.02 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,168 |
820 |
$0.02 |
| G9635 |
Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire) |
1,725 |
1,170 |
$0.02 |
| G8432 |
Depression screening not documented, reason not given |
774 |
533 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
586 |
388 |
$0.01 |
| G9636 |
Health-related quality of life not assessed with tool during at least two visits or quality of life score declined |
725 |
493 |
$0.01 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
691 |
465 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
467 |
337 |
$0.00 |
| 1036F |
|
53 |
39 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
269 |
188 |
$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) |
17 |
13 |
$0.00 |
| M1027 |
Imaging of the head (ct or mri) was obtained |
464 |
314 |
$0.00 |
| G9634 |
Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved |
36 |
25 |
$0.00 |
| M1029 |
Imaging of the head (ct or mri) was not obtained, reason not given |
22 |
18 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
141 |
102 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
283 |
195 |
$0.00 |
| M1016 |
Female patients unable to bear children |
87 |
63 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
202 |
144 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
514 |
334 |
$0.00 |
| 4322F |
|
18 |
13 |
$0.00 |