| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,986 |
5,688 |
$263K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
38,713 |
15,409 |
$158K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,136 |
2,241 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
70 |
$7K |
| 80305 |
|
783 |
716 |
$6K |
| 99305 |
|
410 |
316 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
194 |
181 |
$3K |
| 99307 |
|
743 |
524 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
360 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
169 |
69 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
35 |
27 |
$892.43 |
| M1034 |
Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days |
4,098 |
1,928 |
$0.00 |
| 1036F |
|
7,437 |
3,877 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
1,041 |
978 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,716 |
1,312 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
194 |
185 |
$0.00 |
| G9367 |
At least two orders for high-risk medications from the same drug class |
5,726 |
2,659 |
$0.00 |
| 1101F |
|
134 |
78 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
103 |
94 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
153 |
141 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
170 |
155 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
22 |
21 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
125 |
114 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
28,564 |
13,071 |
$0.00 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
5,772 |
2,671 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
12,935 |
6,527 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
7,092 |
4,116 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,928 |
1,725 |
$0.00 |
| G9365 |
One high-risk medication ordered |
5,201 |
1,981 |
$0.00 |
| 4004F |
|
6,635 |
3,038 |
$0.00 |
| 3288F |
|
2,650 |
1,208 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
97 |
93 |
$0.00 |
| 0518F |
|
29 |
29 |
$0.00 |
| 1100F |
|
29 |
29 |
$0.00 |