| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,211 |
5,626 |
$290K |
| 99215 |
Prolong outpt/office vis |
317 |
292 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
251 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
355 |
338 |
$10K |
| 80305 |
|
831 |
805 |
$4K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
140 |
140 |
$3K |
| 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 |
259 |
241 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
74 |
$769.28 |
| 90674 |
|
29 |
29 |
$360.75 |
| 90686 |
|
33 |
33 |
$133.21 |
| G0180 |
Physician or allowed practitioner 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 |
12 |
12 |
$118.20 |
| 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) |
28 |
26 |
$93.83 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$92.65 |
| 90688 |
|
12 |
12 |
$89.20 |
| G0008 |
Administration of influenza virus vaccine |
61 |
61 |
$3.57 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
20 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |