| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,332 |
407 |
$119K |
| 99233 |
Prolong inpt eval add15 m |
2,294 |
1,012 |
$83K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,568 |
1,391 |
$72K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,305 |
921 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
641 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
346 |
329 |
$22K |
| 99221 |
|
351 |
336 |
$17K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
173 |
170 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
153 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
64 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
63 |
$461.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
14 |
$178.22 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
60 |
58 |
$0.02 |
| 3008F |
|
763 |
716 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| 1034F |
|
424 |
373 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
81 |
76 |
$0.00 |
| 4000F |
|
82 |
71 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
134 |
85 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
33 |
32 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
187 |
175 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
33 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
40 |
39 |
$0.00 |
| 3077F |
|
31 |
24 |
$0.00 |