| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,181 |
5,581 |
$488K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
435 |
386 |
$46K |
| 73562 |
|
829 |
303 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
435 |
251 |
$8K |
| 73130 |
|
1,262 |
428 |
$7K |
| 73110 |
|
1,012 |
348 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
109 |
$5K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 73630 |
|
902 |
309 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 73030 |
|
15 |
12 |
$625.85 |
| 73610 |
|
730 |
259 |
$549.14 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
363 |
81 |
$470.92 |
| 99201 |
|
16 |
13 |
$379.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
20 |
$244.18 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
52 |
$155.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
409 |
100 |
$3.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,411 |
4,163 |
$0.00 |
| 4192F |
|
1,082 |
1,003 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,891 |
2,218 |
$0.00 |
| 3476F |
|
25 |
25 |
$0.00 |
| 3472F |
|
12 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
12 |
12 |
$0.00 |
| 3008F |
|
3,924 |
2,789 |
$0.00 |
| 1170F |
|
1,453 |
1,346 |
$0.00 |
| 3471F |
|
27 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
245 |
207 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 3475F |
|
44 |
44 |
$0.00 |