| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21,133 |
18,577 |
$5.08M |
| 99349 |
|
49,583 |
34,470 |
$2.12M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,555 |
5,501 |
$1.55M |
| 99342 |
|
2,656 |
2,311 |
$797K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,508 |
3,237 |
$710K |
| 99343 |
|
2,216 |
2,188 |
$642K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,262 |
3,451 |
$292K |
| 99350 |
Prolong home eval add 15m |
3,989 |
2,761 |
$283K |
| 99347 |
|
439 |
293 |
$74K |
| 99348 |
|
3,588 |
2,294 |
$71K |
| 99336 |
|
2,501 |
1,642 |
$69K |
| 99386 |
|
148 |
144 |
$46K |
| 99443 |
|
1,062 |
623 |
$24K |
| 99442 |
|
1,294 |
756 |
$22K |
| 99385 |
|
30 |
28 |
$9K |
| 99490 |
Ccm add 20min |
4,870 |
3,406 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
236 |
232 |
$8K |
| 99215 |
Prolong outpt/office vis |
128 |
75 |
$8K |
| 90674 |
|
1,722 |
1,380 |
$7K |
| 99345 |
Prolong home eval add 15m |
53 |
47 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
490 |
439 |
$6K |
| 99407 |
|
296 |
262 |
$6K |
| 99497 |
|
316 |
230 |
$5K |
| 99344 |
|
51 |
39 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
223 |
180 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
126 |
$4K |
| 99441 |
|
464 |
285 |
$4K |
| 99335 |
|
328 |
195 |
$3K |
| 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 |
419 |
251 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
870 |
588 |
$2K |
| 99337 |
|
33 |
26 |
$2K |
| 93000 |
|
252 |
194 |
$2K |
| 82962 |
|
250 |
170 |
$543.80 |
| 99406 |
|
72 |
49 |
$528.58 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
253 |
166 |
$503.27 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
137 |
131 |
$450.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$423.18 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
134 |
$387.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
49 |
$386.39 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
201 |
123 |
$131.83 |
| 99072 |
|
213 |
151 |
$87.97 |
| G0008 |
Administration of influenza virus vaccine |
479 |
331 |
$87.76 |
| 1170F |
|
16,732 |
12,604 |
$0.06 |
| 1090F |
|
21,565 |
16,950 |
$0.06 |
| 1159F |
|
16,891 |
12,668 |
$0.06 |
| 1160F |
|
16,864 |
12,661 |
$0.05 |
| 1101F |
|
19,160 |
15,227 |
$0.04 |
| 1126F |
|
12,712 |
10,028 |
$0.04 |
| 1158F |
|
6,832 |
5,431 |
$0.04 |
| 3044F |
|
191 |
168 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
321 |
219 |
$0.00 |
| 1125F |
|
5,700 |
4,420 |
$0.00 |
| 1036F |
|
27 |
25 |
$0.00 |
| 3074F |
|
54 |
54 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
13 |
$0.00 |
| 1123F |
|
46 |
44 |
$0.00 |
| 0509F |
|
41 |
40 |
$0.00 |
| 1100F |
|
212 |
173 |
$0.00 |
| 3288F |
|
601 |
575 |
$0.00 |
| 3078F |
|
95 |
72 |
$0.00 |
| 1003F |
|
37 |
37 |
$0.00 |