| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
10,052 |
8,308 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,200 |
6,481 |
$211K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,176 |
1,945 |
$168K |
| 99490 |
Ccm add 20min |
7,532 |
6,584 |
$68K |
| 90961 |
|
1,017 |
795 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
233 |
52 |
$7K |
| 99443 |
|
229 |
180 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
41 |
$2K |
| 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) |
1,048 |
891 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
41 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
44 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
173 |
79 |
$830.69 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
56 |
55 |
$476.38 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$344.76 |
| 99222 |
Initial hospital care, per day, moderate complexity |
48 |
28 |
$213.32 |
| 96127 |
|
24 |
12 |
$21.25 |
| 1036F |
|
980 |
928 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
421 |
365 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
54 |
52 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
414 |
384 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,435 |
2,218 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
697 |
632 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |