| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,502 |
5,070 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,095 |
1,554 |
$35K |
| 99401 |
|
332 |
231 |
$9K |
| 99215 |
Prolong outpt/office vis |
136 |
115 |
$9K |
| 99072 |
|
2,942 |
1,941 |
$7K |
| 99422 |
|
418 |
310 |
$3K |
| 93923 |
|
34 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$1K |
| 95923 |
|
29 |
27 |
$951.42 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
14 |
$788.75 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
132 |
92 |
$685.11 |
| 95943 |
|
17 |
15 |
$679.91 |
| 99497 |
|
80 |
56 |
$627.15 |
| 99496 |
|
14 |
12 |
$521.59 |
| 1159F |
|
5,705 |
3,643 |
$141.21 |
| 96127 |
|
220 |
192 |
$118.35 |
| G9275 |
Documentation that patient is a current non-tobacco user |
490 |
369 |
$76.50 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
38 |
28 |
$49.70 |
| 99406 |
|
13 |
13 |
$21.89 |
| 1160F |
|
8,574 |
5,713 |
$0.00 |
| 3078F |
|
2,274 |
1,510 |
$0.00 |
| 3077F |
|
1,621 |
1,094 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
85 |
67 |
$0.00 |
| 0518F |
|
210 |
142 |
$0.00 |
| 1158F |
|
175 |
122 |
$0.00 |
| 3008F |
|
7,894 |
5,191 |
$0.00 |
| 1125F |
|
5,420 |
3,567 |
$0.00 |
| 3074F |
|
2,393 |
1,770 |
$0.00 |
| 1126F |
|
5,160 |
3,694 |
$0.00 |
| 3079F |
|
1,785 |
1,373 |
$0.00 |
| 3080F |
|
982 |
738 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
591 |
440 |
$0.00 |
| 3075F |
|
874 |
695 |
$0.00 |
| 1157F |
|
155 |
110 |
$0.00 |
| 4037F |
|
364 |
298 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
36 |
25 |
$0.00 |
| 1170F |
|
175 |
116 |
$0.00 |