| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,989 |
6,776 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
940 |
809 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
714 |
615 |
$51K |
| 73630 |
|
905 |
614 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
334 |
171 |
$12K |
| 99205 |
Prolong outpt/office vis |
82 |
74 |
$12K |
| 11721 |
|
1,818 |
1,349 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
30 |
29 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
885 |
841 |
$8K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
36 |
28 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
94 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
55 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
28 |
$3K |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
661 |
295 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
311 |
165 |
$2K |
| 99326 |
|
176 |
125 |
$2K |
| 99336 |
|
240 |
132 |
$2K |
| 99349 |
|
63 |
34 |
$2K |
| 87481 |
|
15 |
14 |
$2K |
| 99348 |
|
74 |
58 |
$1K |
| 99304 |
|
149 |
128 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
48 |
$888.01 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
153 |
57 |
$867.08 |
| G8482 |
Influenza immunization administered or previously received |
504 |
251 |
$845.99 |
| 99307 |
|
215 |
110 |
$807.96 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
261 |
109 |
$714.65 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
527 |
252 |
$684.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,588 |
1,702 |
$669.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
42 |
$511.34 |
| 73610 |
|
22 |
14 |
$389.28 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
526 |
251 |
$333.21 |
| 15271 |
|
291 |
70 |
$230.25 |
| 99347 |
|
14 |
14 |
$164.29 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
39 |
38 |
$77.12 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
186 |
61 |
$76.98 |
| 93922 |
|
24 |
22 |
$52.69 |
| 11719 |
|
21 |
20 |
$47.44 |
| G0127 |
Trimming of dystrophic nails, any number |
20 |
19 |
$25.49 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,754 |
1,847 |
$21.48 |
| G8410 |
Footwear evaluation performed and documented |
231 |
108 |
$20.99 |
| G8404 |
Lower extremity neurological exam performed and documented |
288 |
152 |
$9.02 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
316 |
237 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
435 |
299 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
52 |
26 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
56 |
47 |
$0.00 |
| 1123F |
|
22 |
13 |
$0.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
40 |
27 |
$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) |
323 |
249 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
83 |
50 |
$0.00 |
| G9989 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) |
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
52 |
26 |
$0.00 |
| 1124F |
|
38 |
33 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
19 |
$0.00 |
| 11056 |
|
13 |
12 |
$0.00 |