| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,339 |
3,157 |
$32K |
| 99490 |
Ccm add 20min |
1,040 |
1,040 |
$11K |
| 99424 |
|
1,261 |
1,254 |
$11K |
| 11750 |
|
203 |
203 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,077 |
987 |
$8K |
| 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 |
309 |
309 |
$7K |
| 96369 |
|
358 |
248 |
$5K |
| 96371 |
|
356 |
246 |
$4K |
| 11721 |
|
374 |
371 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,023 |
989 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$2K |
| 99491 |
Ccm add 20min |
295 |
294 |
$2K |
| 96130 |
|
47 |
47 |
$1K |
| 11730 |
|
406 |
403 |
$722.98 |
| 99215 |
Prolong outpt/office vis |
110 |
109 |
$433.05 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
43 |
43 |
$431.58 |
| 11055 |
|
446 |
441 |
$341.56 |
| 96370 |
|
358 |
247 |
$207.36 |
| J7050 |
Infusion, normal saline solution, 250 cc |
295 |
206 |
$39.71 |
| 92540 |
|
99 |
99 |
$3.90 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 93922 |
|
12 |
12 |
$0.00 |