| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,386 |
4,093 |
$188K |
| 99199 |
Unlisted special service, procedure or report |
6,701 |
3,807 |
$35K |
| 99454 |
|
661 |
327 |
$9K |
| 99457 |
|
654 |
324 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
629 |
123 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,275 |
1,524 |
$5K |
| 99490 |
Ccm add 20min |
667 |
398 |
$4K |
| 99458 |
|
272 |
156 |
$3K |
| 80061 |
Lipid panel |
466 |
326 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,863 |
1,930 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
55 |
$2K |
| 99439 |
|
188 |
114 |
$1K |
| 96116 |
|
53 |
32 |
$657.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
253 |
167 |
$635.10 |
| 99453 |
|
61 |
48 |
$455.16 |
| 99487 |
Ccm add 20min |
29 |
14 |
$227.50 |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
14 |
$203.75 |
| 93000 |
|
19 |
13 |
$150.34 |
| 90674 |
|
96 |
56 |
$24.77 |
| 90756 |
|
46 |
29 |
$22.60 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,747 |
3,393 |
$0.00 |
| 3077F |
|
450 |
419 |
$0.00 |
| 1160F |
|
1,167 |
727 |
$0.00 |
| 1159F |
|
1,168 |
732 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
336 |
207 |
$0.00 |
| 3078F |
|
1,518 |
1,208 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
773 |
456 |
$0.00 |
| 3008F |
|
2,819 |
2,119 |
$0.00 |
| 3079F |
|
330 |
271 |
$0.00 |
| 1111F |
|
1,336 |
794 |
$0.00 |
| 1170F |
|
586 |
341 |
$0.00 |
| 1125F |
|
728 |
430 |
$0.00 |
| 1126F |
|
608 |
387 |
$0.00 |
| 3074F |
|
1,137 |
858 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
157 |
93 |
$0.00 |
| 0011A |
|
16 |
12 |
$0.00 |
| 91301 |
|
16 |
15 |
$0.00 |
| 3075F |
|
140 |
114 |
$0.00 |
| 3044F |
|
19 |
13 |
$0.00 |
| 90686 |
|
22 |
13 |
$0.00 |