| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,696 |
3,150 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
716 |
633 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,507 |
1,219 |
$36K |
| 99307 |
|
1,593 |
1,565 |
$24K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,104 |
1,078 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
126 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$6K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
39 |
24 |
$407.08 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
68 |
15 |
$403.83 |
| 1160F |
|
97 |
82 |
$0.00 |
| 1159F |
|
388 |
317 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 3078F |
|
209 |
173 |
$0.00 |
| 99401 |
|
49 |
49 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 1036F |
|
70 |
39 |
$0.00 |
| 3079F |
|
58 |
54 |
$0.00 |
| 3074F |
|
240 |
195 |
$0.00 |
| 3351F |
|
245 |
205 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 3352F |
|
20 |
19 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |
| 1125F |
|
21 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |