| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,022 |
2,988 |
$102K |
| 99490 |
Ccm add 20min |
5,131 |
5,129 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
203 |
$16K |
| 90653 |
|
17 |
17 |
$3K |
| 93000 |
|
71 |
70 |
$2K |
| 90756 |
|
145 |
144 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$360.00 |
| 90688 |
|
110 |
109 |
$352.29 |
| 90686 |
|
16 |
16 |
$244.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$103.96 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
58 |
58 |
$57.64 |
| 3074F |
|
300 |
296 |
$35.00 |
| 3078F |
|
339 |
332 |
$35.00 |
| G0008 |
Administration of influenza virus vaccine |
103 |
103 |
$0.00 |
| 99439 |
|
15 |
15 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
16 |
16 |
$0.00 |