| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
191 |
$8K |
| 11721 |
|
860 |
515 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
43 |
$615.39 |
| 99310 |
Prolong nursin fac eval 15m |
92 |
24 |
$554.45 |
| 99305 |
|
29 |
12 |
$324.25 |
| 99336 |
|
17 |
12 |
$225.24 |
| 3008F |
|
465 |
296 |
$206.24 |
| G9275 |
Documentation that patient is a current non-tobacco user |
115 |
84 |
$100.23 |
| 4305F |
|
110 |
86 |
$0.02 |
| 2028F |
|
170 |
111 |
$0.01 |
| 4040F |
|
373 |
211 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
191 |
80 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
782 |
396 |
$0.00 |
| 3288F |
|
312 |
177 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
943 |
492 |
$0.00 |
| 1124F |
|
297 |
165 |
$0.00 |
| 1100F |
|
266 |
152 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
1,000 |
540 |
$0.00 |
| 0518F |
|
435 |
251 |
$0.00 |
| 99072 |
|
19 |
14 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
62 |
43 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
124 |
74 |
$0.00 |
| 1000F |
|
109 |
80 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
1,144 |
626 |
$0.00 |
| 1036F |
|
471 |
299 |
$0.00 |
| 99070 |
|
20 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
394 |
199 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
676 |
326 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
238 |
106 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
230 |
103 |
$0.00 |
| 1123F |
|
281 |
126 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
12 |
$0.00 |