| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
17,847 |
15,995 |
$418K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,725 |
10,726 |
$395K |
| 90961 |
|
4,852 |
4,298 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,213 |
4,499 |
$107K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,868 |
3,178 |
$92K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,324 |
4,730 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,180 |
4,532 |
$68K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,654 |
3,145 |
$64K |
| 99223 |
Prolong inpt eval add15 m |
274 |
251 |
$8K |
| 82570 |
|
4,313 |
3,347 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
46 |
$3K |
| 81003 |
|
4,308 |
3,261 |
$2K |
| 90962 |
|
66 |
58 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
15 |
$849.30 |
| 90966 |
|
12 |
12 |
$465.00 |
| 99221 |
|
30 |
13 |
$375.12 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
25 |
$165.07 |
| 99442 |
|
129 |
118 |
$41.41 |
| 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) |
686 |
609 |
$29.25 |
| 1036F |
|
1,744 |
1,596 |
$0.00 |
| 1123F |
|
1,930 |
1,738 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,199 |
1,135 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
32 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
24 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
23 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
294 |
275 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,006 |
1,824 |
$0.00 |
| 4040F |
|
980 |
919 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,761 |
1,619 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
696 |
651 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,034 |
933 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
99 |
91 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
54 |
45 |
$0.00 |