| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,307 |
10,409 |
$448K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,199 |
6,980 |
$326K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,401 |
7,128 |
$87K |
| 80305 |
|
9,733 |
8,539 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,720 |
4,663 |
$28K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,063 |
888 |
$8K |
| 99490 |
Ccm add 20min |
971 |
879 |
$6K |
| 99441 |
|
360 |
324 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,120 |
2,805 |
$3K |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
466 |
364 |
$2K |
| 90674 |
|
286 |
282 |
$2K |
| 99497 |
|
225 |
213 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
76 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
111 |
105 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
245 |
231 |
$1K |
| 90682 |
|
81 |
69 |
$932.65 |
| 90756 |
|
24 |
24 |
$639.84 |
| 20610 |
|
25 |
24 |
$606.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
829 |
678 |
$589.51 |
| 81000 |
|
454 |
391 |
$511.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
245 |
236 |
$448.18 |
| 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 |
39 |
39 |
$307.60 |
| 80061 |
Lipid panel |
94 |
93 |
$279.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,216 |
1,101 |
$264.24 |
| 94690 |
|
45 |
42 |
$199.10 |
| 94200 |
|
45 |
42 |
$172.77 |
| 94375 |
|
45 |
42 |
$158.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
6,928 |
6,025 |
$134.61 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,185 |
1,872 |
$130.56 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
26 |
25 |
$54.91 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,443 |
8,876 |
$36.72 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
65 |
65 |
$23.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
160 |
160 |
$16.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$9.93 |
| 4040F |
|
211 |
200 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
55 |
53 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
485 |
466 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
281 |
274 |
$0.00 |
| 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) |
43 |
43 |
$0.00 |
| 90662 |
|
19 |
19 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
33 |
33 |
$0.00 |
| 1101F |
|
1,009 |
953 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
2,185 |
1,984 |
$0.00 |
| 3017F |
|
220 |
210 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,649 |
1,439 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
403 |
381 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
283 |
236 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
119 |
115 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
119 |
114 |
$0.00 |
| 1036F |
|
120 |
117 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
29 |
$0.00 |