| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,483 |
1,188 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
868 |
661 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
40 |
$3K |
| 99152 |
|
15 |
12 |
$52.26 |
| 80305 |
|
19 |
14 |
$35.44 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
136 |
112 |
$11.60 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
82 |
68 |
$10.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
50 |
32 |
$0.00 |
| 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 |
26 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
56 |
41 |
$0.00 |
| 1036F |
|
239 |
179 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
181 |
133 |
$0.00 |