| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,595 |
2,902 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,009 |
3,201 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
887 |
725 |
$60K |
| 52281 |
|
124 |
98 |
$16K |
| 76770 |
|
183 |
166 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
159 |
$8K |
| 99235 |
|
114 |
105 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
250 |
80 |
$4K |
| 81003 |
|
3,761 |
1,950 |
$3K |
| 51798 |
|
290 |
216 |
$3K |
| 93000 |
|
113 |
88 |
$460.03 |
| 96160 |
|
143 |
118 |
$210.94 |
| 20610 |
|
20 |
12 |
$93.18 |
| 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) |
288 |
236 |
$90.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
76 |
40 |
$1.32 |
| 1170F |
|
2,032 |
1,671 |
$0.00 |
| 1036F |
|
1,702 |
1,418 |
$0.00 |
| 1126F |
|
316 |
267 |
$0.00 |
| 1111F |
|
18 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
129 |
116 |
$0.00 |
| 1157F |
|
311 |
226 |
$0.00 |
| 1101F |
|
141 |
128 |
$0.00 |
| 1125F |
|
383 |
340 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
20 |
13 |
$0.00 |
| 3044F |
|
45 |
43 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
25 |
$0.00 |
| 1090F |
|
74 |
66 |
$0.00 |
| 1159F |
|
308 |
224 |
$0.00 |
| 1158F |
|
369 |
280 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
25 |
25 |
$0.00 |
| 1160F |
|
311 |
226 |
$0.00 |
| G9624 |
Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user |
393 |
315 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
21 |
17 |
$0.00 |
| 4004F |
|
39 |
32 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
12 |
12 |
$0.00 |
| 1124F |
|
37 |
32 |
$0.00 |