| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,508 |
2,976 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,668 |
2,276 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,685 |
872 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,239 |
1,046 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
197 |
169 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
449 |
350 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,998 |
1,593 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,964 |
1,550 |
$4K |
| 93000 |
|
408 |
301 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,895 |
1,603 |
$2K |
| 99406 |
|
901 |
727 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
117 |
76 |
$2K |
| 82962 |
|
2,068 |
1,716 |
$1K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
193 |
136 |
$700.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
920 |
677 |
$667.34 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$492.34 |
| G0008 |
Administration of influenza virus vaccine |
236 |
167 |
$482.86 |
| 81025 |
|
66 |
58 |
$361.89 |
| 99442 |
|
58 |
48 |
$355.47 |
| 1159F |
|
1,266 |
948 |
$210.00 |
| 1160F |
|
1,265 |
947 |
$210.00 |
| 1125F |
|
2,031 |
1,709 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
100 |
$173.37 |
| 1126F |
|
2,232 |
1,850 |
$170.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
60 |
52 |
$153.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$152.94 |
| 94010 |
|
19 |
12 |
$123.14 |
| 96127 |
|
59 |
47 |
$68.41 |
| 99490 |
Ccm add 20min |
13 |
13 |
$19.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
16 |
$6.25 |
| 3078F |
|
1,059 |
885 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,458 |
1,191 |
$0.00 |
| 4004F |
|
310 |
231 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
982 |
790 |
$0.00 |
| 3077F |
|
349 |
281 |
$0.00 |
| 1158F |
|
83 |
61 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
35 |
31 |
$0.00 |
| 99497 |
|
50 |
28 |
$0.00 |
| 90662 |
|
47 |
32 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
59 |
44 |
$0.00 |
| 3074F |
|
918 |
767 |
$0.00 |
| 3017F |
|
80 |
53 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,051 |
838 |
$0.00 |
| 1036F |
|
1,106 |
877 |
$0.00 |
| 3075F |
|
326 |
279 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
643 |
528 |
$0.00 |
| 3079F |
|
419 |
368 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
379 |
288 |
$0.00 |
| 3044F |
|
214 |
188 |
$0.00 |
| 3008F |
|
1,234 |
920 |
$0.00 |
| 1170F |
|
257 |
182 |
$0.00 |
| 1111F |
|
60 |
52 |
$0.00 |
| 3080F |
|
136 |
98 |
$0.00 |
| 3061F |
|
30 |
26 |
$0.00 |
| 3014F |
|
31 |
29 |
$0.00 |