| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,170 |
12,881 |
$570K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,326 |
8,454 |
$307K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
279 |
$21K |
| 99000 |
|
1,904 |
1,801 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
435 |
416 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,241 |
647 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
739 |
706 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,278 |
1,232 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
751 |
725 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
97 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$5K |
| 99490 |
Ccm add 20min |
1,106 |
1,105 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
56 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
331 |
207 |
$3K |
| 99307 |
|
245 |
245 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
96 |
$2K |
| 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 |
423 |
423 |
$1K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
477 |
477 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$554.89 |
| 81003 |
|
313 |
293 |
$505.64 |
| 99441 |
|
19 |
19 |
$450.00 |
| 80305 |
|
39 |
38 |
$359.72 |
| 90686 |
|
15 |
15 |
$0.15 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
15 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
36 |
35 |
$0.00 |
| 4120F |
|
33 |
32 |
$0.00 |
| 90670 |
|
14 |
12 |
$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) |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
873 |
825 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
82 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
82 |
72 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
35 |
33 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
79 |
71 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
15 |
$0.00 |