| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,746 |
2,440 |
$87K |
| 99307 |
|
3,610 |
3,502 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
850 |
289 |
$18K |
| 99221 |
|
95 |
87 |
$5K |
| 99215 |
Prolong outpt/office vis |
133 |
124 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
82 |
$3K |
| 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 |
436 |
417 |
$3K |
| 99218 |
|
112 |
94 |
$2K |
| 99318 |
|
72 |
70 |
$2K |
| 99304 |
|
95 |
92 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
271 |
233 |
$2K |
| 80305 |
|
661 |
603 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
16 |
$524.52 |
| 90674 |
|
46 |
42 |
$220.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,095 |
2,929 |
$150.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
65 |
$93.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$76.96 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
12 |
$67.04 |
| 99406 |
|
27 |
27 |
$49.56 |
| G8482 |
Influenza immunization administered or previously received |
1,046 |
1,012 |
$40.91 |
| 90686 |
|
20 |
18 |
$38.06 |
| G9901 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
2,408 |
2,361 |
$12.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
347 |
339 |
$11.58 |
| 4040F |
|
446 |
443 |
$8.98 |
| G9898 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
1,486 |
1,455 |
$8.88 |
| G9910 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
2,026 |
1,986 |
$8.12 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
225 |
216 |
$6.96 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
657 |
648 |
$0.00 |
| 1036F |
|
366 |
356 |
$0.00 |
| 3017F |
|
232 |
231 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
369 |
357 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
49 |
49 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
63 |
60 |
$0.00 |
| 3044F |
|
139 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
54 |
$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) |
49 |
49 |
$0.00 |
| 3046F |
|
460 |
456 |
$0.00 |
| G2081 |
Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
279 |
278 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
328 |
324 |
$0.00 |
| 4004F |
|
62 |
62 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
74 |
74 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
164 |
163 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
58 |
56 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
111 |
99 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
18 |
18 |
$0.00 |
| 3045F |
|
26 |
25 |
$0.00 |