| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
6,557 |
944 |
$103K |
| 99223 |
Prolong inpt eval add15 m |
521 |
486 |
$39K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,688 |
1,238 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,512 |
2,394 |
$23K |
| 99305 |
|
207 |
200 |
$16K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
227 |
225 |
$7K |
| 99454 |
|
282 |
282 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,900 |
2,836 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
204 |
199 |
$1K |
| 90674 |
|
177 |
177 |
$856.64 |
| 99457 |
|
280 |
280 |
$671.70 |
| 99458 |
|
280 |
280 |
$478.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
93 |
$310.00 |
| 90686 |
|
12 |
12 |
$303.26 |
| 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 |
12 |
12 |
$139.93 |
| 99497 |
|
71 |
71 |
$124.49 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
163 |
65 |
$67.84 |
| 36410 |
|
126 |
124 |
$45.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
177 |
$28.97 |
| G0008 |
Administration of influenza virus vaccine |
102 |
102 |
$20.00 |
| G9920 |
Screening performed and negative |
14 |
14 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |