| 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 |
2,086 |
2,081 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,053 |
5,961 |
$129K |
| 90961 |
|
843 |
837 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
1,685 |
353 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
240 |
219 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
190 |
160 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
263 |
52 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,436 |
1,144 |
$2K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
496 |
448 |
$712.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
296 |
267 |
$375.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
264 |
248 |
$300.00 |
| 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) |
331 |
265 |
$283.05 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
147 |
140 |
$187.50 |
| G8482 |
Influenza immunization administered or previously received |
56 |
52 |
$112.50 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
31 |
26 |
$106.40 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
83 |
78 |
$75.00 |
| 1123F |
|
148 |
133 |
$75.00 |
| 4040F |
|
57 |
54 |
$37.50 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
63 |
61 |
$37.50 |
| 99457 |
|
12 |
12 |
$19.76 |
| 3046F |
|
123 |
86 |
$0.00 |
| 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) |
221 |
170 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
15 |
15 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
27 |
$0.00 |