| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,330 |
4,223 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,463 |
1,995 |
$41K |
| 99215 |
Prolong outpt/office vis |
411 |
385 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,615 |
1,097 |
$11K |
| 99442 |
|
178 |
120 |
$2K |
| 96127 |
|
691 |
662 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
41 |
$859.37 |
| 90658 |
|
42 |
41 |
$467.48 |
| 90686 |
|
219 |
218 |
$467.23 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
599 |
206 |
$435.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$381.20 |
| 86328 |
|
17 |
13 |
$363.69 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$248.28 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
360 |
50 |
$174.76 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
104 |
67 |
$122.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
258 |
192 |
$114.68 |
| 99497 |
|
34 |
33 |
$97.72 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
355 |
38 |
$68.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
24 |
$19.40 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
211 |
174 |
$16.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
296 |
252 |
$15.00 |
| 3079F |
|
691 |
557 |
$0.00 |
| 2000F |
|
7,072 |
4,981 |
$0.00 |
| 1125F |
|
203 |
201 |
$0.00 |
| 1126F |
|
279 |
274 |
$0.00 |
| 4008F |
|
1,454 |
1,075 |
$0.00 |
| 3008F |
|
1,124 |
802 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
220 |
216 |
$0.00 |
| 3075F |
|
543 |
454 |
$0.00 |
| 1030F |
|
1,307 |
931 |
$0.00 |
| 1022F |
|
200 |
145 |
$0.00 |
| 4010F |
|
1,739 |
1,331 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
572 |
462 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
637 |
482 |
$0.00 |
| 4086F |
|
1,756 |
1,404 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
171 |
170 |
$0.00 |
| 1170F |
|
572 |
560 |
$0.00 |
| 1036F |
|
5,722 |
4,003 |
$0.00 |
| 3074F |
|
1,028 |
783 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
597 |
404 |
$0.00 |
| 4037F |
|
43 |
42 |
$0.00 |
| 1000F |
|
1,212 |
828 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
164 |
163 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
588 |
464 |
$0.00 |
| 3044F |
|
49 |
49 |
$0.00 |
| 99305 |
|
35 |
34 |
$0.00 |
| 4013F |
|
199 |
141 |
$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) |
1,347 |
1,018 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,896 |
4,900 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,198 |
1,678 |
$0.00 |
| 3078F |
|
846 |
667 |
$0.00 |
| 4040F |
|
292 |
231 |
$0.00 |
| 3725F |
|
656 |
641 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,041 |
2,266 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,262 |
4,209 |
$0.00 |
| 0521F |
|
86 |
85 |
$0.00 |
| 1090F |
|
596 |
583 |
$0.00 |
| 1159F |
|
1,134 |
733 |
$0.00 |
| 1160F |
|
1,133 |
733 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
73 |
68 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
418 |
410 |
$0.00 |
| 3288F |
|
459 |
452 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
128 |
$0.00 |