| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35,592 |
5,270 |
$965K |
| 99255 |
|
2,654 |
2,447 |
$221K |
| 99233 |
Prolong inpt eval add15 m |
4,715 |
1,105 |
$111K |
| 99223 |
Prolong inpt eval add15 m |
2,689 |
2,559 |
$93K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,669 |
1,250 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,720 |
1,438 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
555 |
544 |
$13K |
| 99215 |
Prolong outpt/office vis |
459 |
416 |
$3K |
| 99401 |
|
1,645 |
1,276 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
251 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
66 |
63 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
542 |
500 |
$984.40 |
| 99254 |
|
13 |
13 |
$821.73 |
| 99315 |
|
36 |
36 |
$484.31 |
| 99497 |
|
241 |
240 |
$429.50 |
| 96156 |
|
232 |
231 |
$405.74 |
| 99000 |
|
660 |
607 |
$145.93 |
| 96127 |
|
522 |
466 |
$117.80 |
| 99406 |
|
140 |
140 |
$37.15 |
| 36415 |
Collection of venous blood by venipuncture |
435 |
420 |
$1.77 |
| 3077F |
|
347 |
303 |
$0.00 |
| 1159F |
|
223 |
220 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
200 |
163 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
155 |
153 |
$0.00 |
| 1158F |
|
139 |
138 |
$0.00 |
| 1160F |
|
2,465 |
1,966 |
$0.00 |
| 97803 |
|
14 |
14 |
$0.00 |
| 3078F |
|
1,435 |
1,211 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
26 |
25 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
58 |
58 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$0.00 |
| 1220F |
|
286 |
254 |
$0.00 |
| 3008F |
|
1,141 |
930 |
$0.00 |
| 3074F |
|
1,519 |
1,260 |
$0.00 |
| 3079F |
|
556 |
495 |
$0.00 |
| 3075F |
|
247 |
225 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
260 |
258 |
$0.00 |
| 3080F |
|
145 |
129 |
$0.00 |
| 94760 |
|
16 |
12 |
$0.00 |
| 97802 |
|
25 |
24 |
$0.00 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
22 |
22 |
$0.00 |