| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
12,429 |
4,079 |
$299K |
| 99223 |
Prolong inpt eval add15 m |
3,558 |
3,062 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,303 |
4,024 |
$146K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,633 |
2,571 |
$108K |
| 90966 |
|
1,293 |
1,200 |
$55K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,177 |
1,105 |
$48K |
| 90961 |
|
438 |
415 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
619 |
$15K |
| 99215 |
Prolong outpt/office vis |
238 |
215 |
$10K |
| 90962 |
|
68 |
64 |
$3K |
| 99255 |
|
33 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
402 |
377 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
57 |
16 |
$909.15 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
25 |
$693.88 |
| 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) |
252 |
228 |
$85.13 |
| 99442 |
|
13 |
12 |
$46.02 |
| 1123F |
|
973 |
886 |
$25.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
949 |
898 |
$24.71 |
| 3079F |
|
283 |
263 |
$0.00 |
| 3080F |
|
31 |
30 |
$0.00 |
| 3017F |
|
1,246 |
1,193 |
$0.00 |
| 1036F |
|
1,533 |
1,466 |
$0.00 |
| 3075F |
|
258 |
234 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
58 |
50 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
162 |
153 |
$0.00 |
| 4004F |
|
232 |
217 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,868 |
1,783 |
$0.00 |
| 4040F |
|
138 |
135 |
$0.00 |
| 1090F |
|
229 |
217 |
$0.00 |
| 3077F |
|
180 |
167 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,322 |
1,271 |
$0.00 |
| 3078F |
|
590 |
549 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
13 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
12 |
12 |
$0.00 |