| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
441 |
429 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
134 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
26 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
28 |
27 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
804 |
306 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
17 |
$800.00 |
| 99307 |
|
679 |
408 |
$476.69 |
| 99305 |
|
18 |
17 |
$299.49 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
19 |
$72.95 |
| 99490 |
Ccm add 20min |
58 |
52 |
$60.30 |
| 81003 |
|
25 |
24 |
$14.60 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
67 |
45 |
$11.01 |
| 85018 |
|
13 |
13 |
$8.97 |
| 92558 |
|
17 |
16 |
$0.17 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
68 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
66 |
64 |
$0.00 |
| 1036F |
|
154 |
149 |
$0.00 |
| 1126F |
|
33 |
31 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,372 |
578 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
16 |
16 |
$0.00 |
| 3074F |
|
59 |
56 |
$0.00 |
| 1159F |
|
240 |
230 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
75 |
72 |
$0.00 |
| 1160F |
|
239 |
229 |
$0.00 |
| 3078F |
|
134 |
128 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
48 |
48 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
40 |
$0.00 |
| 99173 |
|
18 |
17 |
$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) |
24 |
23 |
$0.00 |