| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
12,181 |
8,632 |
$486K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,415 |
3,959 |
$331K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,473 |
4,421 |
$144K |
| 99233 |
Prolong inpt eval add15 m |
3,304 |
1,024 |
$125K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,428 |
1,042 |
$71K |
| 99223 |
Prolong inpt eval add15 m |
907 |
618 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,215 |
1,888 |
$46K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,347 |
649 |
$38K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
628 |
498 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
609 |
486 |
$25K |
| 59410 |
|
98 |
39 |
$23K |
| 59430 |
|
281 |
247 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
436 |
346 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
440 |
350 |
$19K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
148 |
134 |
$12K |
| 99385 |
|
103 |
92 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
126 |
91 |
$5K |
| 31231 |
|
65 |
43 |
$4K |
| 76801 |
|
45 |
42 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
63 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
38 |
$3K |
| 81025 |
|
970 |
796 |
$2K |
| 31579 |
|
29 |
24 |
$2K |
| 99255 |
|
38 |
27 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
69 |
50 |
$1K |
| 99235 |
|
28 |
14 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
21 |
$980.67 |
| 87210 |
|
56 |
50 |
$977.04 |
| 85018 |
|
770 |
652 |
$964.56 |
| 36415 |
Collection of venous blood by venipuncture |
151 |
120 |
$350.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
26 |
$244.53 |
| 31575 |
|
16 |
12 |
$175.88 |
| 81003 |
|
169 |
126 |
$103.26 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$92.40 |
| 95816 |
|
23 |
13 |
$36.97 |
| 1170F |
|
195 |
153 |
$0.00 |
| 96127 |
|
68 |
64 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
105 |
65 |
$0.00 |
| 1036F |
|
109 |
81 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 3008F |
|
39 |
29 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |
| 1126F |
|
15 |
12 |
$0.00 |
| 1101F |
|
38 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
522 |
343 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
88 |
54 |
$0.00 |
| 1160F |
|
56 |
43 |
$0.00 |
| 1159F |
|
55 |
42 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
44 |
28 |
$0.00 |
| 1090F |
|
199 |
153 |
$0.00 |
| 1124F |
|
114 |
89 |
$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) |
13 |
13 |
$0.00 |
| 3078F |
|
40 |
28 |
$0.00 |
| 3288F |
|
15 |
14 |
$0.00 |