| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,518 |
4,031 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,711 |
$56K |
| 64493 |
|
28 |
24 |
$2K |
| 96120 |
|
31 |
29 |
$846.39 |
| 64495 |
|
28 |
24 |
$748.73 |
| 64494 |
|
28 |
24 |
$743.15 |
| 99442 |
|
16 |
15 |
$154.88 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
13 |
13 |
$70.08 |
| 96103 |
|
32 |
25 |
$59.80 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$26.64 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
32 |
30 |
$5.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$2.76 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
42 |
42 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
19 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
103 |
102 |
$0.00 |
| 4004F |
|
33 |
33 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
51 |
51 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
36 |
35 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
23 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
23 |
23 |
$0.00 |