| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,150 |
1,109 |
$23K |
| 01936 |
|
663 |
637 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,990 |
1,914 |
$18K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
69 |
65 |
$682.79 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
78 |
77 |
$272.16 |
| 99152 |
|
13 |
12 |
$16.53 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$12.90 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$8.16 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.23 |
| 1036F |
|
495 |
473 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
352 |
331 |
$0.00 |
| 3017F |
|
74 |
70 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
14 |
$0.00 |
| 1090F |
|
564 |
542 |
$0.00 |
| 1124F |
|
642 |
618 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
483 |
457 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
463 |
437 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
137 |
127 |
$0.00 |
| 4040F |
|
146 |
140 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
250 |
238 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
241 |
230 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
48 |
45 |
$0.00 |