| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,991 |
8,959 |
$175K |
| 99215 |
Prolong outpt/office vis |
1,368 |
1,350 |
$49K |
| 93000 |
|
9,356 |
9,185 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,129 |
1,833 |
$16K |
| 93224 |
|
526 |
526 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
379 |
81 |
$4K |
| 94060 |
|
716 |
667 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,980 |
4,926 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
2,309 |
549 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
161 |
$872.17 |
| 99223 |
Prolong inpt eval add15 m |
19 |
17 |
$445.88 |
| 99457 |
|
395 |
395 |
$392.06 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
259 |
187 |
$162.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
138 |
$18.30 |
| 81002 |
|
148 |
146 |
$0.00 |
| 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 |
106 |
106 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
109 |
108 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| 96103 |
|
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,093 |
5,030 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
552 |
455 |
$0.00 |
| 90674 |
|
283 |
250 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
94 |
94 |
$0.00 |
| 86317 |
|
16 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
41 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
199 |
199 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
31 |
31 |
$0.00 |
| 90688 |
|
59 |
58 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
35 |
$0.00 |