| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,920 |
2,672 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,077 |
2,665 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
9,991 |
5,731 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
487 |
417 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,207 |
2,016 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,262 |
346 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,526 |
1,248 |
$5K |
| 99490 |
Ccm add 20min |
1,892 |
1,799 |
$5K |
| 90682 |
|
117 |
104 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
172 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
328 |
51 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
22 |
18 |
$754.07 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$229.25 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
817 |
713 |
$226.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$173.81 |
| 99306 |
Prolong nursin fac eval 15m |
31 |
29 |
$162.91 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$133.34 |
| 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 |
12 |
12 |
$78.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
155 |
134 |
$33.90 |
| 99442 |
|
12 |
12 |
$23.16 |
| 3044F |
|
148 |
120 |
$20.00 |
| 3074F |
|
1,756 |
1,500 |
$0.48 |
| 3078F |
|
1,717 |
1,485 |
$0.34 |
| 3075F |
|
74 |
50 |
$0.04 |
| 3079F |
|
399 |
326 |
$0.03 |
| 3080F |
|
13 |
13 |
$0.02 |
| 90662 |
|
323 |
302 |
$0.00 |
| 1159F |
|
909 |
782 |
$0.00 |
| 3077F |
|
205 |
173 |
$0.00 |
| 1160F |
|
1,318 |
1,055 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
39 |
37 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 3008F |
|
2,792 |
2,452 |
$0.00 |
| 1126F |
|
2,188 |
1,913 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
370 |
341 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
121 |
105 |
$0.00 |
| 1125F |
|
234 |
193 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |