| 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 |
4,452 |
3,294 |
$182K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,145 |
3,333 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,632 |
3,682 |
$102K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,644 |
714 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,699 |
2,078 |
$29K |
| 90961 |
|
557 |
427 |
$22K |
| 90970 |
|
11,802 |
475 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
467 |
333 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
241 |
190 |
$7K |
| 99457 |
|
282 |
237 |
$5K |
| 99458 |
|
144 |
121 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
51 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
71 |
$2K |
| 99254 |
|
18 |
16 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 99454 |
|
50 |
43 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
38 |
13 |
$720.84 |
| 99442 |
|
14 |
12 |
$64.86 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,993 |
2,111 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,692 |
1,949 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
181 |
123 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
81 |
64 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
80 |
63 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
30 |
25 |
$0.00 |
| 1101F |
|
36 |
27 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
3,794 |
2,768 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,574 |
3,342 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,106 |
1,543 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,054 |
813 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
199 |
124 |
$0.00 |
| 90966 |
|
20 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
42 |
29 |
$0.00 |