| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,841 |
4,115 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,147 |
1,975 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,645 |
4,159 |
$120K |
| 95811 |
|
86 |
85 |
$36K |
| 95800 |
|
61 |
33 |
$13K |
| 99497 |
|
180 |
125 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
14 |
$1K |
| 99457 |
|
685 |
630 |
$864.01 |
| 97750 |
|
27 |
25 |
$756.40 |
| 93922 |
|
38 |
27 |
$536.31 |
| 99458 |
|
340 |
285 |
$491.13 |
| 99454 |
|
158 |
158 |
$437.39 |
| 95943 |
|
17 |
16 |
$228.41 |
| 99233 |
Prolong inpt eval add15 m |
35 |
12 |
$199.56 |
| 90756 |
|
40 |
34 |
$113.95 |
| 95923 |
|
40 |
28 |
$25.82 |
| 3288F |
|
103 |
65 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
141 |
74 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
12 |
$0.00 |
| 98960 |
|
38 |
25 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
96 |
57 |
$0.00 |
| 1101F |
|
115 |
77 |
$0.00 |
| 3044F |
|
30 |
12 |
$0.00 |
| 1170F |
|
101 |
67 |
$0.00 |
| 99000 |
|
20 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
75 |
$0.00 |
| 1036F |
|
293 |
166 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
22 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
93 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$0.00 |
| 1111F |
|
33 |
17 |
$0.00 |