| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,777 |
3,219 |
$89K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,857 |
1,706 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,824 |
1,666 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
612 |
206 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
150 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
117 |
107 |
$4K |
| 93016 |
|
353 |
327 |
$3K |
| 99406 |
|
1,433 |
1,225 |
$3K |
| 93294 |
|
362 |
350 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
242 |
225 |
$3K |
| 99215 |
Prolong outpt/office vis |
47 |
39 |
$1K |
| 99221 |
|
45 |
40 |
$1K |
| 93296 |
|
501 |
484 |
$1K |
| 93018 |
|
354 |
328 |
$937.17 |
| 93458 |
|
16 |
13 |
$786.85 |
| 0295T |
|
20 |
18 |
$587.03 |
| 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) |
222 |
203 |
$525.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$473.04 |
| 99152 |
|
329 |
260 |
$286.74 |
| 93925 |
|
14 |
12 |
$184.83 |
| 93000 |
|
56 |
50 |
$160.61 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$99.66 |
| 93228 |
|
16 |
15 |
$70.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
808 |
707 |
$0.00 |
| 4004F |
|
545 |
475 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
684 |
598 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
92 |
90 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,871 |
1,654 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,841 |
2,454 |
$0.00 |
| 4040F |
|
1,679 |
1,435 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,847 |
2,454 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,150 |
1,871 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,098 |
949 |
$0.00 |
| 4086F |
|
1,259 |
1,095 |
$0.00 |
| 1036F |
|
2,124 |
1,846 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
707 |
621 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
232 |
200 |
$0.00 |
| G8967 |
Fda approved oral anticoagulant is prescribed |
89 |
80 |
$0.00 |