| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,895 |
13,379 |
$352K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,674 |
7,559 |
$236K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,532 |
1,090 |
$100K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
11,610 |
8,934 |
$44K |
| 99490 |
Ccm add 20min |
954 |
934 |
$25K |
| 99215 |
Prolong outpt/office vis |
707 |
642 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,874 |
3,535 |
$16K |
| 1125F |
|
3,468 |
3,019 |
$3K |
| 1126F |
|
1,272 |
1,143 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
81 |
$436.13 |
| 82947 |
|
709 |
517 |
$395.96 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,076 |
1,737 |
$25.22 |
| 81002 |
|
43 |
31 |
$20.37 |
| 3078F |
|
3,382 |
2,844 |
$0.01 |
| 3074F |
|
3,910 |
3,442 |
$0.00 |
| 3079F |
|
1,036 |
850 |
$0.00 |
| 4010F |
|
1,117 |
932 |
$0.00 |
| 3072F |
|
87 |
83 |
$0.00 |
| 3075F |
|
153 |
139 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
91 |
77 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3080F |
|
84 |
72 |
$0.00 |
| 1170F |
|
102 |
95 |
$0.00 |
| 1159F |
|
2,726 |
2,313 |
$0.00 |
| 1160F |
|
2,817 |
2,350 |
$0.00 |
| 3077F |
|
195 |
163 |
$0.00 |
| 2022F |
|
17 |
13 |
$0.00 |
| 99487 |
Ccm add 20min |
13 |
13 |
$0.00 |