| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
21,453 |
9,598 |
$626K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
48,069 |
14,996 |
$569K |
| 99223 |
Prolong inpt eval add15 m |
10,619 |
8,858 |
$459K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
53,423 |
21,408 |
$339K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
11,152 |
5,331 |
$110K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,099 |
4,303 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,774 |
9,975 |
$74K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,073 |
862 |
$44K |
| 99221 |
|
875 |
747 |
$40K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,490 |
741 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,802 |
4,204 |
$27K |
| 11043 |
|
542 |
225 |
$21K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,077 |
1,018 |
$16K |
| 99490 |
Ccm add 20min |
4,088 |
3,987 |
$13K |
| 11721 |
|
2,927 |
2,645 |
$13K |
| 99220 |
|
124 |
104 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
134 |
105 |
$3K |
| 99345 |
Prolong home eval add 15m |
99 |
77 |
$3K |
| 99349 |
|
83 |
41 |
$2K |
| G0179 |
Physician or allowed practitioner re-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 |
217 |
210 |
$1K |
| 99225 |
|
154 |
45 |
$768.62 |
| 99497 |
|
284 |
220 |
$725.84 |
| 99305 |
|
46 |
43 |
$724.71 |
| 80053 |
Comprehensive metabolic panel |
1,521 |
1,471 |
$714.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
246 |
$667.65 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25 |
25 |
$466.74 |
| 84439 |
|
864 |
842 |
$431.47 |
| 93880 |
|
13 |
13 |
$429.23 |
| 36415 |
Collection of venous blood by venipuncture |
2,738 |
2,546 |
$396.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,540 |
1,491 |
$357.09 |
| 84443 |
Thyroid stimulating hormone (TSH) |
831 |
808 |
$351.12 |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$238.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$135.06 |
| 80061 |
Lipid panel |
774 |
745 |
$129.57 |
| 84481 |
|
695 |
681 |
$19.64 |
| 99217 |
|
29 |
27 |
$19.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
513 |
486 |
$9.66 |
| 90961 |
|
12 |
12 |
$9.41 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
460 |
400 |
$6.29 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34 |
28 |
$6.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
37 |
$4.40 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
273 |
221 |
$3.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,489 |
8,145 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
778 |
640 |
$0.00 |
| 3288F |
|
101 |
90 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
381 |
338 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
224 |
185 |
$0.00 |
| 96160 |
|
53 |
52 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
399 |
346 |
$0.00 |
| 83970 |
|
76 |
76 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
64 |
46 |
$0.00 |
| 1124F |
|
133 |
113 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |
| 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) |
68 |
45 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
160 |
109 |
$0.00 |
| 84100 |
|
49 |
49 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
21 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,804 |
1,594 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
132 |
109 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
73 |
66 |
$0.00 |
| 1036F |
|
367 |
302 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
353 |
304 |
$0.00 |
| 1101F |
|
79 |
72 |
$0.00 |
| 1170F |
|
14 |
12 |
$0.00 |
| 99407 |
|
17 |
13 |
$0.00 |
| 3044F |
|
28 |
26 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
39 |
33 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
13 |
$0.00 |