| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,605 |
4,294 |
$367K |
| 99215 |
Prolong outpt/office vis |
1,277 |
1,206 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,488 |
1,397 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
247 |
$18K |
| 99442 |
|
273 |
248 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
64 |
$7K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
699 |
674 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
270 |
220 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
40 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
17 |
16 |
$2K |
| 96127 |
|
614 |
599 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99443 |
|
12 |
12 |
$998.15 |
| 99406 |
|
95 |
86 |
$780.77 |
| 99401 |
|
20 |
19 |
$456.25 |
| 90674 |
|
15 |
15 |
$449.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
167 |
131 |
$425.61 |
| 90656 |
|
16 |
16 |
$265.08 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
91 |
$250.07 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
16 |
16 |
$219.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$173.88 |
| 99000 |
|
105 |
78 |
$90.00 |
| Q3014 |
Telehealth originating site facility fee |
86 |
63 |
$24.52 |
| 99358 |
Prolong nursin fac eval 15m |
31 |
23 |
$18.85 |
| 3074F |
|
1,772 |
1,665 |
$1.32 |
| 3078F |
|
1,690 |
1,603 |
$1.28 |
| 3079F |
|
1,371 |
1,304 |
$0.97 |
| 3075F |
|
1,038 |
1,006 |
$0.73 |
| 3077F |
|
1,009 |
967 |
$0.70 |
| 3080F |
|
758 |
736 |
$0.51 |
| 1160F |
|
3,502 |
3,195 |
$0.25 |
| 3008F |
|
5,574 |
5,049 |
$0.25 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
69 |
62 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
48 |
44 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
39 |
$0.00 |
| 4000F |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
50 |
45 |
$0.00 |
| 1125F |
|
59 |
59 |
$0.00 |
| 94760 |
|
109 |
105 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |