| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
746 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
131 |
$8K |
| 62323 |
|
16 |
13 |
$857.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$255.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
146 |
$158.11 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
46 |
37 |
$116.74 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
224 |
175 |
$40.60 |
| 99072 |
|
640 |
439 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
134 |
123 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
44 |
39 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
75 |
70 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
29 |
28 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
90 |
83 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
112 |
105 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
58 |
52 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |