| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,315 |
5,506 |
$437K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,074 |
2,806 |
$341K |
| 95806 |
|
2,183 |
1,945 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
841 |
$46K |
| 95811 |
|
56 |
50 |
$24K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$7K |
| G8852 |
Positive airway pressure therapy was prescribed |
3,145 |
2,760 |
$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) |
566 |
506 |
$0.00 |
| 1036F |
|
2,794 |
2,452 |
$0.00 |
| G8839 |
Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness |
1,094 |
1,010 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
744 |
608 |
$0.00 |
| 4030F |
|
476 |
437 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
868 |
767 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,791 |
2,453 |
$0.00 |
| G8849 |
Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage) |
1,889 |
1,549 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
168 |
139 |
$0.00 |
| 1123F |
|
247 |
190 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
185 |
128 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,000 |
4,690 |
$0.00 |
| G8851 |
Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) |
2,542 |
2,328 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,525 |
3,123 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,826 |
3,840 |
$0.00 |
| G8842 |
Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea |
5,217 |
4,724 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
574 |
475 |
$0.00 |
| 1124F |
|
2,029 |
1,708 |
$0.00 |
| G8854 |
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy) |
1,678 |
1,438 |
$0.00 |
| G8843 |
Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense) |
2,435 |
2,216 |
$0.00 |
| 4004F |
|
534 |
475 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
223 |
185 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
278 |
238 |
$0.00 |
| G8845 |
Positive airway pressure therapy prescribed |
855 |
821 |
$0.00 |