| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,283 |
14,907 |
$336K |
| 99490 |
Ccm add 20min |
19,036 |
19,035 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,846 |
3,572 |
$84K |
| 99454 |
|
1,300 |
1,300 |
$23K |
| 99457 |
|
1,961 |
1,961 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,477 |
1,378 |
$6K |
| 93922 |
|
396 |
394 |
$4K |
| 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 |
185 |
183 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
140 |
134 |
$4K |
| 99442 |
|
161 |
143 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
101 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
191 |
176 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
310 |
308 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
173 |
64 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
748 |
748 |
$1K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
64 |
62 |
$1K |
| 94726 |
|
79 |
79 |
$995.44 |
| 94010 |
|
198 |
198 |
$788.54 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
182 |
161 |
$559.55 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
172 |
64 |
$519.93 |
| 90732 |
|
16 |
16 |
$493.58 |
| G0009 |
Administration of pneumococcal vaccine |
23 |
23 |
$469.15 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
301 |
281 |
$462.10 |
| 90688 |
|
428 |
428 |
$443.12 |
| 99497 |
|
408 |
406 |
$400.93 |
| 97124 |
|
173 |
64 |
$254.23 |
| 36410 |
|
132 |
132 |
$251.14 |
| 97035 |
|
175 |
65 |
$235.29 |
| J0897 |
Injection, denosumab, 1 mg |
14 |
14 |
$148.68 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
408 |
406 |
$139.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
408 |
406 |
$76.74 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
869 |
769 |
$60.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
131 |
124 |
$31.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
306 |
305 |
$25.61 |
| 94664 |
|
15 |
15 |
$22.57 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
207 |
$22.40 |
| 99453 |
|
30 |
30 |
$18.07 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
191 |
178 |
$0.00 |
| 3008F |
|
111 |
91 |
$0.00 |
| 90653 |
|
102 |
102 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
43 |
42 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
43 |
39 |
$0.00 |
| 90756 |
|
196 |
196 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |