| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,392 |
9,134 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,096 |
16,712 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,211 |
256 |
$17K |
| 3078F |
|
3,205 |
3,175 |
$14K |
| 3008F |
|
5,389 |
5,278 |
$14K |
| 3074F |
|
2,908 |
2,881 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
131 |
39 |
$10K |
| 99497 |
|
670 |
641 |
$9K |
| 90688 |
|
444 |
443 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
977 |
974 |
$6K |
| 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 |
206 |
206 |
$5K |
| 99454 |
|
414 |
408 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
184 |
162 |
$3K |
| 99490 |
Ccm add 20min |
1,038 |
1,037 |
$3K |
| 3075F |
|
520 |
516 |
$3K |
| 99457 |
|
979 |
979 |
$2K |
| 3079F |
|
494 |
493 |
$2K |
| 90662 |
|
190 |
190 |
$2K |
| 90658 |
|
188 |
188 |
$2K |
| 99215 |
Prolong outpt/office vis |
478 |
477 |
$2K |
| 3044F |
|
402 |
399 |
$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 |
96 |
96 |
$2K |
| 93000 |
|
313 |
296 |
$1K |
| 3077F |
|
477 |
475 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,899 |
1,894 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$590.95 |
| 2022F |
|
39 |
39 |
$590.00 |
| 0521F |
|
3,367 |
3,359 |
$330.00 |
| 3725F |
|
3,376 |
3,367 |
$325.00 |
| 3288F |
|
3,371 |
3,363 |
$320.00 |
| 3061F |
|
121 |
121 |
$305.00 |
| G9920 |
Screening performed and negative |
2,109 |
2,104 |
$280.81 |
| 1170F |
|
3,303 |
3,296 |
$240.00 |
| 1124F |
|
756 |
756 |
$240.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
197 |
196 |
$221.38 |
| 3017F |
|
2,055 |
2,041 |
$180.00 |
| 1090F |
|
3,241 |
3,232 |
$175.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,039 |
2,031 |
$169.26 |
| 3080F |
|
54 |
53 |
$165.00 |
| 1160F |
|
3,265 |
3,215 |
$155.00 |
| 1159F |
|
3,274 |
3,224 |
$155.00 |
| 3051F |
|
12 |
12 |
$140.00 |
| 2023F |
|
100 |
100 |
$120.00 |
| 1123F |
|
2,882 |
2,869 |
$100.00 |
| 3014F |
|
1,798 |
1,777 |
$95.00 |
| 99439 |
|
26 |
25 |
$81.96 |
| 4037F |
|
1,252 |
1,245 |
$75.00 |
| 3060F |
|
17 |
16 |
$70.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$60.73 |
| 3342F |
|
147 |
147 |
$50.00 |
| 3341F |
|
1,268 |
1,254 |
$45.00 |
| 3048F |
|
201 |
199 |
$45.00 |
| 3015F |
|
1,237 |
1,227 |
$45.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
398 |
398 |
$37.25 |
| 1091F |
|
91 |
91 |
$35.00 |
| 4040F |
|
188 |
187 |
$35.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
781 |
764 |
$23.04 |
| 4240F |
|
14 |
14 |
$20.00 |
| 1036F |
|
3,396 |
3,389 |
$15.00 |
| 4050F |
|
180 |
179 |
$15.00 |
| 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) |
19 |
17 |
$3.49 |
| 3353F |
|
478 |
477 |
$0.00 |
| 2000F |
|
2,900 |
2,858 |
$0.00 |
| 1125F |
|
947 |
947 |
$0.00 |
| 1220F |
|
3,206 |
3,198 |
$0.00 |
| 1126F |
|
971 |
967 |
$0.00 |
| 1006F |
|
2,697 |
2,691 |
$0.00 |
| 0525F |
|
181 |
181 |
$0.00 |
| 4305F |
|
110 |
110 |
$0.00 |
| 1000F |
|
2,999 |
2,991 |
$0.00 |
| 1101F |
|
2,827 |
2,820 |
$0.00 |
| 4210F |
|
13 |
13 |
$0.00 |
| 3351F |
|
1,641 |
1,640 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
67 |
67 |
$0.00 |
| 0509F |
|
53 |
53 |
$0.00 |
| 3352F |
|
117 |
117 |
$0.00 |
| 4188F |
|
27 |
27 |
$0.00 |
| 1034F |
|
214 |
213 |
$0.00 |
| 4000F |
|
68 |
68 |
$0.00 |
| 99385 |
|
15 |
15 |
$0.00 |
| 99386 |
|
117 |
117 |
$0.00 |
| 3354F |
|
16 |
16 |
$0.00 |
| 4010F |
|
64 |
63 |
$0.00 |
| 3330F |
|
17 |
17 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 99406 |
|
23 |
23 |
$0.00 |
| 87110 |
|
12 |
12 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
257 |
256 |
$0.00 |
| 0518F |
|
17 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,191 |
3,157 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,265 |
1,264 |
$0.00 |
| 4158F |
|
2,995 |
2,987 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
64 |
61 |
$0.00 |
| 99397 |
|
98 |
98 |
$0.00 |
| 3088F |
|
410 |
408 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
456 |
455 |
$0.00 |
| 4004F |
|
25 |
25 |
$0.00 |
| 1158F |
|
18 |
18 |
$0.00 |
| 3089F |
|
64 |
64 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
175 |
175 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
101 |
97 |
$0.00 |
| 1137F |
|
12 |
12 |
$0.00 |
| 3090F |
|
41 |
41 |
$0.00 |
| 4120F |
|
52 |
51 |
$0.00 |
| 4005F |
|
28 |
28 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
101 |
100 |
$0.00 |
| 2028F |
|
43 |
43 |
$0.00 |
| 1100F |
|
70 |
70 |
$0.00 |
| 3511F |
|
12 |
12 |
$0.00 |