| Code | Description | Claims | Beneficiaries | Total Paid |
| 90961 |
|
1,291 |
1,179 |
$108K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,571 |
942 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,983 |
2,729 |
$82K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
638 |
580 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,128 |
1,012 |
$57K |
| 90962 |
|
793 |
693 |
$49K |
| 90966 |
|
58 |
52 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
69 |
$4K |
| 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) |
12 |
12 |
$128.60 |
| 1170F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
13 |
13 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |