| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,986 |
1,824 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,157 |
1,045 |
$26K |
| 99490 |
Ccm add 20min |
3,094 |
3,094 |
$18K |
| 99454 |
|
1,004 |
988 |
$10K |
| 99457 |
|
1,320 |
1,317 |
$6K |
| 99215 |
Prolong outpt/office vis |
204 |
204 |
$5K |
| 99439 |
|
707 |
707 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
87 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
183 |
183 |
$2K |
| 99458 |
|
358 |
354 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
59 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
82 |
$1K |
| 99497 |
|
219 |
218 |
$153.98 |
| 90694 |
|
115 |
115 |
$151.52 |
| 93000 |
|
16 |
16 |
$128.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
341 |
340 |
$111.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$100.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
174 |
173 |
$84.02 |
| 82947 |
|
727 |
657 |
$49.62 |
| 99453 |
|
14 |
13 |
$5.97 |
| 82043 |
|
51 |
51 |
$5.03 |
| 82570 |
|
51 |
51 |
$4.55 |
| 81003 |
|
77 |
77 |
$1.94 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
399 |
356 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,992 |
1,738 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,060 |
920 |
$0.00 |
| 4274F |
|
73 |
69 |
$0.00 |
| 2022F |
|
515 |
458 |
$0.00 |
| 3078F |
|
106 |
97 |
$0.00 |
| 4040F |
|
55 |
55 |
$0.00 |
| 3008F |
|
300 |
279 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 1125F |
|
299 |
285 |
$0.00 |
| 3075F |
|
28 |
27 |
$0.00 |
| 1170F |
|
26 |
26 |
$0.00 |
| 3017F |
|
1,132 |
965 |
$0.00 |
| 3044F |
|
74 |
74 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
147 |
147 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
852 |
766 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 1126F |
|
609 |
573 |
$0.00 |
| 3074F |
|
56 |
56 |
$0.00 |
| 3014F |
|
87 |
83 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
25 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |