| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,942 |
10,289 |
$409K |
| 99497 |
|
4,702 |
4,490 |
$168K |
| 99205 |
Prolong outpt/office vis |
1,508 |
1,493 |
$87K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,023 |
655 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,689 |
1,455 |
$30K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
315 |
204 |
$29K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
21 |
13 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,258 |
1,169 |
$8K |
| 99490 |
Ccm add 20min |
1,479 |
1,456 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
948 |
857 |
$6K |
| 99406 |
|
883 |
764 |
$5K |
| 99483 |
Prolong outpt/office vis |
116 |
111 |
$3K |
| 99443 |
|
113 |
101 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
337 |
301 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
107 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
60 |
37 |
$2K |
| 99423 |
|
65 |
55 |
$1K |
| 82274 |
|
150 |
149 |
$1K |
| 88141 |
|
180 |
178 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
20 |
13 |
$890.94 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
476 |
441 |
$446.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
94 |
$372.79 |
| 99385 |
|
54 |
54 |
$227.06 |
| 1160F |
|
3,600 |
2,813 |
$161.20 |
| 96127 |
|
53 |
53 |
$155.39 |
| 1159F |
|
3,603 |
2,814 |
$150.89 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
133 |
132 |
$140.36 |
| J7050 |
Infusion, normal saline solution, 250 cc |
261 |
167 |
$118.45 |
| 99442 |
|
19 |
16 |
$54.88 |
| 1126F |
|
6,913 |
5,145 |
$53.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
22 |
$52.56 |
| 99441 |
|
17 |
14 |
$36.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
24 |
$23.43 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,589 |
1,443 |
$4.99 |
| 1158F |
|
1,724 |
1,570 |
$0.13 |
| 3008F |
|
1,764 |
1,633 |
$0.11 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,913 |
3,266 |
$0.10 |
| 3044F |
|
432 |
416 |
$0.02 |
| 4013F |
|
714 |
685 |
$0.01 |
| 4050F |
|
667 |
647 |
$0.01 |
| 4037F |
|
745 |
732 |
$0.01 |
| 3072F |
|
286 |
278 |
$0.01 |
| 3061F |
|
314 |
305 |
$0.01 |
| 1091F |
|
433 |
418 |
$0.00 |
| 0521F |
|
435 |
426 |
$0.00 |
| 99421 |
|
28 |
28 |
$0.00 |
| 6080F |
|
503 |
489 |
$0.00 |
| 3015F |
|
315 |
280 |
$0.00 |
| 3078F |
|
639 |
571 |
$0.00 |
| 4040F |
|
709 |
697 |
$0.00 |
| 3077F |
|
334 |
308 |
$0.00 |
| 1003F |
|
762 |
729 |
$0.00 |
| 0518F |
|
424 |
414 |
$0.00 |
| 1090F |
|
603 |
581 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
64 |
61 |
$0.00 |
| 3050F |
|
71 |
68 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 3046F |
|
81 |
78 |
$0.00 |
| 1100F |
|
29 |
29 |
$0.00 |
| 3288F |
|
29 |
29 |
$0.00 |
| 3511F |
|
64 |
61 |
$0.00 |
| 3045F |
|
38 |
37 |
$0.00 |
| 4001F |
|
44 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
371 |
298 |
$0.00 |
| 1170F |
|
662 |
630 |
$0.00 |
| 3074F |
|
775 |
684 |
$0.00 |
| 3080F |
|
232 |
214 |
$0.00 |
| 1101F |
|
480 |
463 |
$0.00 |
| 0509F |
|
584 |
567 |
$0.00 |
| 3049F |
|
135 |
132 |
$0.00 |
| 1125F |
|
317 |
289 |
$0.00 |
| 3048F |
|
160 |
156 |
$0.00 |
| 3014F |
|
102 |
100 |
$0.00 |
| 3079F |
|
571 |
529 |
$0.00 |
| 3017F |
|
107 |
103 |
$0.00 |
| 1157F |
|
17 |
17 |
$0.00 |
| 99386 |
|
45 |
45 |
$0.00 |