| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,914 |
1,781 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,038 |
5,346 |
$250K |
| 99233 |
Prolong inpt eval add15 m |
1,040 |
287 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
484 |
469 |
$54K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,014 |
975 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
498 |
478 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,042 |
948 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
420 |
389 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
156 |
40 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
162 |
153 |
$6K |
| 99408 |
|
196 |
181 |
$3K |
| 90686 |
|
216 |
199 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
124 |
$2K |
| 90656 |
|
122 |
118 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
55 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
84 |
$794.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$439.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
51 |
$439.06 |
| 0013A |
|
79 |
77 |
$400.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
202 |
187 |
$242.96 |
| 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) |
201 |
185 |
$240.38 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
135 |
123 |
$189.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$100.31 |
| 96127 |
|
390 |
359 |
$82.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
537 |
463 |
$0.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
207 |
189 |
$0.12 |
| G9459 |
Currently a tobacco non-user |
126 |
114 |
$0.03 |
| 3078F |
|
106 |
93 |
$0.00 |
| 1160F |
|
899 |
781 |
$0.00 |
| 1159F |
|
1,114 |
966 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
15 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| 3008F |
|
1,173 |
1,024 |
$0.00 |
| 3074F |
|
166 |
147 |
$0.00 |
| 1000F |
|
46 |
44 |
$0.00 |
| 1220F |
|
67 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 1170F |
|
16 |
16 |
$0.00 |