| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,705 |
5,537 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,399 |
5,407 |
$187K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,081 |
1,019 |
$48K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,905 |
1,573 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,186 |
740 |
$18K |
| 99350 |
Prolong home eval add 15m |
779 |
752 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
176 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
354 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
836 |
829 |
$7K |
| 99349 |
|
347 |
303 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
588 |
507 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
855 |
853 |
$6K |
| 90656 |
|
361 |
361 |
$6K |
| 99496 |
|
84 |
82 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
463 |
393 |
$5K |
| 99215 |
Prolong outpt/office vis |
57 |
57 |
$4K |
| 93000 |
|
343 |
330 |
$4K |
| 90674 |
|
104 |
104 |
$3K |
| 90653 |
|
150 |
150 |
$2K |
| 99402 |
|
51 |
51 |
$2K |
| 99348 |
|
96 |
76 |
$2K |
| 99220 |
|
36 |
35 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
396 |
395 |
$1K |
| 99490 |
Ccm add 20min |
220 |
220 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
16 |
13 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
26 |
25 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$935.53 |
| 99226 |
|
17 |
17 |
$889.28 |
| 99306 |
Prolong nursin fac eval 15m |
20 |
19 |
$793.59 |
| 99385 |
|
12 |
12 |
$793.43 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
76 |
76 |
$608.04 |
| 90662 |
|
95 |
92 |
$555.71 |
| 99217 |
|
29 |
29 |
$530.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
48 |
47 |
$475.73 |
| 99397 |
|
17 |
16 |
$358.53 |
| 99307 |
|
22 |
12 |
$341.77 |
| 99305 |
|
13 |
12 |
$337.80 |
| 96127 |
|
220 |
220 |
$54.23 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$46.00 |
| 82948 |
|
34 |
31 |
$37.17 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36 |
36 |
$22.18 |
| 3077F |
|
105 |
102 |
$0.00 |
| 3078F |
|
561 |
554 |
$0.00 |
| 1160F |
|
260 |
255 |
$0.00 |
| 1159F |
|
260 |
255 |
$0.00 |
| 3079F |
|
175 |
172 |
$0.00 |
| 1126F |
|
749 |
737 |
$0.00 |
| 3074F |
|
520 |
513 |
$0.00 |
| 1125F |
|
151 |
147 |
$0.00 |
| 3075F |
|
153 |
153 |
$0.00 |
| 3044F |
|
101 |
101 |
$0.00 |
| 3080F |
|
24 |
24 |
$0.00 |