| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,147 |
4,771 |
$442K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13,999 |
8,770 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,682 |
1,363 |
$116K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,753 |
2,294 |
$48K |
| 99307 |
|
6,611 |
3,239 |
$42K |
| 99215 |
Prolong outpt/office vis |
372 |
286 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
162 |
140 |
$18K |
| 93922 |
|
274 |
266 |
$16K |
| 93000 |
|
787 |
656 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
61 |
53 |
$6K |
| A4927 |
Gloves, non-sterile, per 100 |
1,366 |
1,010 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
343 |
$3K |
| 90686 |
|
208 |
182 |
$3K |
| 99443 |
|
44 |
35 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
28 |
18 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
31 |
31 |
$1K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
181 |
137 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
362 |
335 |
$1K |
| 99318 |
|
41 |
41 |
$995.18 |
| 36410 |
|
86 |
76 |
$704.87 |
| 94010 |
|
44 |
28 |
$558.06 |
| 90658 |
|
35 |
32 |
$494.12 |
| 81003 |
|
293 |
267 |
$336.13 |
| 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) |
46 |
40 |
$294.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
56 |
$254.22 |
| 81002 |
|
196 |
148 |
$208.23 |
| 96127 |
|
65 |
60 |
$201.45 |
| 99000 |
|
389 |
341 |
$142.08 |
| 90662 |
|
92 |
64 |
$131.76 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
598 |
507 |
$115.91 |
| 90656 |
|
16 |
12 |
$19.25 |
| 3288F |
|
125 |
93 |
$0.00 |
| 99487 |
Ccm add 20min |
277 |
227 |
$0.00 |
| 99499 |
|
166 |
132 |
$0.00 |
| 99457 |
|
40 |
40 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
255 |
189 |
$-0.30 |
| Q2034 |
Influenza virus vaccine, split virus, for intramuscular use (agriflu) |
12 |
12 |
$-30.64 |
| 99497 |
|
21 |
12 |
$-38.98 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
119 |
76 |
$-1170.45 |
| 99490 |
Ccm add 20min |
835 |
606 |
$-1965.14 |