| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,057 |
28,165 |
$99K |
| 3074F |
|
9,387 |
8,677 |
$34K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,182 |
459 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,869 |
3,664 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,202 |
5,823 |
$12K |
| 3075F |
|
2,668 |
2,593 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,341 |
1,337 |
$8K |
| 3008F |
|
10,983 |
10,295 |
$7K |
| 3077F |
|
4,458 |
4,225 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
365 |
363 |
$3K |
| 99307 |
|
539 |
320 |
$3K |
| 99205 |
Prolong outpt/office vis |
250 |
248 |
$2K |
| 82962 |
|
1,133 |
1,066 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
738 |
626 |
$971.48 |
| 81002 |
|
545 |
513 |
$795.77 |
| 99306 |
Prolong nursin fac eval 15m |
16 |
14 |
$609.71 |
| 93000 |
|
119 |
118 |
$583.18 |
| 99173 |
|
463 |
463 |
$526.53 |
| 99442 |
|
621 |
603 |
$492.66 |
| 97802 |
|
180 |
172 |
$423.35 |
| 90674 |
|
47 |
47 |
$422.03 |
| 3078F |
|
8,164 |
7,588 |
$416.55 |
| 99215 |
Prolong outpt/office vis |
110 |
107 |
$410.78 |
| 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 |
542 |
457 |
$257.77 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$141.32 |
| 99497 |
|
62 |
62 |
$139.18 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
84 |
$126.39 |
| 99385 |
|
14 |
14 |
$117.54 |
| 3079F |
|
4,705 |
4,519 |
$112.86 |
| 86580 |
|
19 |
17 |
$72.44 |
| 81025 |
|
26 |
26 |
$64.03 |
| 99406 |
|
88 |
83 |
$63.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
101 |
$41.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
83 |
$36.09 |
| 81000 |
|
97 |
97 |
$27.40 |
| 3080F |
|
3,534 |
3,352 |
$24.74 |
| 90656 |
|
19 |
19 |
$23.71 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,459 |
2,423 |
$19.88 |
| G0008 |
Administration of influenza virus vaccine |
82 |
82 |
$19.83 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,712 |
7,230 |
$19.23 |
| 1036F |
|
1,583 |
1,547 |
$11.90 |
| 99441 |
|
500 |
479 |
$10.00 |
| 96156 |
|
29 |
29 |
$0.01 |
| 3015F |
|
52 |
52 |
$0.00 |
| 1158F |
|
773 |
757 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
102 |
97 |
$0.00 |
| 1160F |
|
104 |
101 |
$0.00 |
| 4004F |
|
370 |
359 |
$0.00 |
| 99408 |
|
162 |
158 |
$0.00 |
| 3725F |
|
173 |
168 |
$0.00 |
| 92552 |
|
114 |
114 |
$0.00 |
| 1159F |
|
107 |
104 |
$0.00 |
| 83037 |
|
17 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
28 |
28 |
$0.00 |
| 90662 |
|
47 |
47 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
82 |
78 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 99421 |
|
16 |
16 |
$0.00 |
| 1170F |
|
1,757 |
1,723 |
$0.00 |
| 1125F |
|
1,154 |
1,138 |
$0.00 |
| 1034F |
|
390 |
379 |
$0.00 |
| 3044F |
|
585 |
578 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,811 |
1,701 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
90 |
85 |
$0.00 |
| G0180 |
Physician or allowed practitioner 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 |
16 |
14 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
355 |
336 |
$0.00 |
| 1126F |
|
447 |
439 |
$0.00 |
| 1000F |
|
80 |
78 |
$0.00 |
| 99443 |
|
18 |
18 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
33 |
$0.00 |