| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,253 |
1,884 |
$46K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,486 |
2,163 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
690 |
$9K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,259 |
1,845 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,575 |
1,361 |
$5K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,522 |
1,315 |
$5K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,347 |
1,150 |
$4K |
| 1036F |
|
2,326 |
1,948 |
$4K |
| 0518F |
|
1,256 |
1,079 |
$4K |
| 3288F |
|
1,255 |
1,080 |
$4K |
| 1101F |
|
1,223 |
1,049 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
152 |
106 |
$3K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,183 |
1,016 |
$3K |
| 1123F |
|
927 |
752 |
$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) |
229 |
206 |
$1K |
| 1124F |
|
2,372 |
630 |
$1K |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
47 |
41 |
$620.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
205 |
53 |
$0.00 |
| 90961 |
|
41 |
39 |
$0.00 |