| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,646 |
10,763 |
$599K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,260 |
5,568 |
$224K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,443 |
8,737 |
$190K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,253 |
1,106 |
$76K |
| 99306 |
Prolong nursin fac eval 15m |
1,806 |
1,636 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
879 |
734 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
771 |
658 |
$44K |
| 99223 |
Prolong inpt eval add15 m |
996 |
864 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,150 |
998 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,232 |
1,915 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
203 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
555 |
181 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,783 |
1,632 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
436 |
402 |
$9K |
| 82962 |
|
4,935 |
3,988 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
994 |
917 |
$7K |
| 99220 |
|
108 |
96 |
$5K |
| 99215 |
Prolong outpt/office vis |
64 |
59 |
$4K |
| 99406 |
|
408 |
385 |
$3K |
| 96127 |
|
694 |
616 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
28 |
$2K |
| 93000 |
|
148 |
143 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
199 |
$2K |
| 81002 |
|
750 |
712 |
$1K |
| 90682 |
|
37 |
34 |
$1K |
| 0011A |
|
13 |
13 |
$1K |
| 99307 |
|
96 |
79 |
$979.66 |
| 99304 |
|
51 |
43 |
$942.71 |
| 99217 |
|
59 |
50 |
$910.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$866.83 |
| 99316 |
|
31 |
27 |
$679.11 |
| 90686 |
|
72 |
69 |
$645.28 |
| 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 |
246 |
216 |
$638.04 |
| 99219 |
|
20 |
12 |
$572.96 |
| 94664 |
|
87 |
75 |
$482.00 |
| 0012A |
|
14 |
14 |
$469.18 |
| 82044 |
|
120 |
108 |
$400.92 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
196 |
183 |
$378.49 |
| 99305 |
|
15 |
14 |
$337.88 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
13 |
$264.41 |
| 90662 |
|
31 |
27 |
$223.08 |
| 99490 |
Ccm add 20min |
108 |
83 |
$212.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$197.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$186.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$139.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$123.17 |
| 99443 |
|
13 |
12 |
$80.64 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$40.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
65 |
$27.58 |
| 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 |
13 |
12 |
$20.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
24 |
$17.07 |
| 3077F |
|
733 |
676 |
$0.66 |
| 3079F |
|
973 |
921 |
$0.62 |
| 91301 |
|
69 |
64 |
$0.58 |
| 3080F |
|
425 |
409 |
$0.40 |
| 3075F |
|
525 |
510 |
$0.39 |
| 3078F |
|
1,348 |
1,252 |
$0.36 |
| 3074F |
|
1,464 |
1,368 |
$0.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
948 |
800 |
$0.02 |
| 3044F |
|
27 |
27 |
$0.02 |
| 1160F |
|
1,606 |
1,440 |
$0.01 |
| 1125F |
|
747 |
671 |
$0.01 |
| 3288F |
|
778 |
632 |
$0.00 |
| 1159F |
|
546 |
492 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
117 |
98 |
$0.00 |
| 2014F |
|
26 |
26 |
$0.00 |
| 1111F |
|
26 |
26 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
66 |
59 |
$0.00 |
| 3008F |
|
550 |
495 |
$0.00 |
| 1126F |
|
44 |
44 |
$0.00 |
| 1220F |
|
43 |
43 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |