| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,753 |
3,921 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,851 |
3,152 |
$100K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,473 |
1,322 |
$86K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,521 |
740 |
$25K |
| 99442 |
|
234 |
211 |
$15K |
| 99443 |
|
55 |
54 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
99 |
$4K |
| 99497 |
|
594 |
589 |
$4K |
| 0012A |
|
92 |
92 |
$4K |
| 96415 |
|
317 |
208 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
598 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
87 |
$2K |
| 96417 |
|
98 |
72 |
$2K |
| 96127 |
|
657 |
650 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,086 |
2,059 |
$2K |
| 0011A |
|
47 |
47 |
$2K |
| 90678 |
|
45 |
44 |
$1K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
1,300 |
617 |
$905.05 |
| 36415 |
Collection of venous blood by venipuncture |
4,283 |
3,185 |
$705.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
64 |
$403.37 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,380 |
656 |
$337.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
546 |
355 |
$215.34 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
767 |
406 |
$192.81 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,489 |
819 |
$179.84 |
| 99490 |
Ccm add 20min |
43 |
43 |
$111.47 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
510 |
345 |
$96.47 |
| 90694 |
|
37 |
37 |
$96.38 |
| 3074F |
|
4,751 |
3,441 |
$87.50 |
| 3078F |
|
5,717 |
4,105 |
$85.00 |
| 99072 |
|
206 |
165 |
$80.00 |
| 99401 |
|
14 |
14 |
$68.19 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,981 |
1,642 |
$62.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,685 |
1,396 |
$58.00 |
| S0028 |
Injection, famotidine, 20 mg |
610 |
307 |
$44.64 |
| 3008F |
|
4,443 |
4,107 |
$15.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
266 |
244 |
$6.00 |
| 81002 |
|
13 |
13 |
$5.69 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,426 |
1,339 |
$5.00 |
| 2000F |
|
5,238 |
3,556 |
$5.00 |
| 36416 |
|
662 |
561 |
$0.01 |
| 3725F |
|
14 |
14 |
$0.00 |
| 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) |
13 |
13 |
$0.00 |
| 3077F |
|
1,622 |
1,396 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
498 |
496 |
$0.00 |
| 1159F |
|
1,740 |
1,315 |
$0.00 |
| 1158F |
|
102 |
102 |
$0.00 |
| 99051 |
|
53 |
53 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
21 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
29 |
29 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
14 |
14 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
14 |
14 |
$0.00 |
| 3016F |
|
28 |
28 |
$0.00 |
| 3075F |
|
1,383 |
1,233 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
49 |
$0.00 |
| 3079F |
|
1,639 |
1,417 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
597 |
566 |
$0.00 |
| 3080F |
|
164 |
145 |
$0.00 |
| 1157F |
|
98 |
98 |
$0.00 |
| 3044F |
|
224 |
185 |
$0.00 |
| 1000F |
|
41 |
38 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
79 |
79 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 4037F |
|
31 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |