| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,926 |
5,848 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
724 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
102 |
98 |
$2K |
| 99397 |
|
46 |
38 |
$732.63 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
43 |
$285.33 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
23 |
17 |
$171.15 |
| S9999 |
Sales tax |
226 |
181 |
$3.92 |
| 3074F |
|
3,977 |
3,382 |
$2.82 |
| 3079F |
|
2,354 |
2,083 |
$2.28 |
| 3078F |
|
3,705 |
3,150 |
$2.25 |
| 3077F |
|
1,593 |
1,362 |
$1.74 |
| 1159F |
|
1,865 |
1,485 |
$1.30 |
| 1160F |
|
1,864 |
1,483 |
$1.29 |
| 3075F |
|
1,192 |
1,075 |
$1.02 |
| 3080F |
|
727 |
620 |
$1.00 |
| 3044F |
|
441 |
374 |
$0.27 |
| 1170F |
|
63 |
49 |
$0.06 |
| 1158F |
|
788 |
645 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
12 |
$0.01 |
| 4004F |
|
30 |
28 |
$0.01 |
| 1036F |
|
3,952 |
3,249 |
$0.01 |
| 3048F |
|
928 |
795 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$0.01 |
| 1124F |
|
324 |
268 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| 3008F |
|
173 |
141 |
$0.00 |
| 2000F |
|
124 |
101 |
$0.00 |
| 3049F |
|
13 |
12 |
$0.00 |
| 1123F |
|
33 |
30 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |