| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,128 |
5,942 |
$243K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,353 |
2,017 |
$58K |
| 99305 |
|
358 |
263 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
79 |
$4K |
| 93000 |
|
355 |
161 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
56 |
$1K |
| 90756 |
|
36 |
36 |
$635.41 |
| 90686 |
|
15 |
13 |
$190.30 |
| 99497 |
|
152 |
146 |
$166.83 |
| 81002 |
|
411 |
269 |
$61.37 |
| 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) |
46 |
19 |
$51.30 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
2,148 |
1,923 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
561 |
530 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
31 |
27 |
$0.00 |
| 3078F |
|
830 |
775 |
$0.00 |
| 1159F |
|
2,450 |
2,229 |
$0.00 |
| 1160F |
|
2,662 |
2,214 |
$0.00 |
| 3725F |
|
581 |
548 |
$0.00 |
| 3074F |
|
703 |
657 |
$0.00 |
| 3017F |
|
320 |
282 |
$0.00 |
| 3075F |
|
121 |
111 |
$0.00 |
| 1101F |
|
281 |
269 |
$0.00 |
| 1126F |
|
133 |
132 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
135 |
134 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
64 |
$0.00 |
| 1170F |
|
135 |
134 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
118 |
116 |
$0.00 |
| 1123F |
|
138 |
136 |
$0.00 |
| 1125F |
|
120 |
119 |
$0.00 |
| 3014F |
|
37 |
33 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 90694 |
|
17 |
17 |
$0.00 |