| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,489 |
5,180 |
$286K |
| 99215 |
Prolong outpt/office vis |
4,285 |
3,160 |
$217K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,185 |
956 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,332 |
1,143 |
$24K |
| 99199 |
Unlisted special service, procedure or report |
3,266 |
3,158 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
928 |
767 |
$2K |
| 99205 |
Prolong outpt/office vis |
21 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
205 |
165 |
$2K |
| 90674 |
|
269 |
232 |
$2K |
| 82947 |
|
1,279 |
1,089 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
13 |
$721.80 |
| 20610 |
|
19 |
13 |
$472.47 |
| 99310 |
Prolong nursin fac eval 15m |
33 |
12 |
$255.22 |
| 87428 |
|
16 |
12 |
$190.77 |
| 90661 |
|
47 |
37 |
$163.25 |
| 81002 |
|
161 |
109 |
$157.82 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$102.71 |
| 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 |
12 |
12 |
$92.25 |
| 99406 |
|
21 |
13 |
$70.85 |
| 99497 |
|
80 |
58 |
$63.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
15 |
$56.80 |
| 82962 |
|
168 |
102 |
$31.79 |
| G0008 |
Administration of influenza virus vaccine |
184 |
170 |
$6.72 |
| 3044F |
|
297 |
271 |
$0.02 |
| 4004F |
|
391 |
353 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,261 |
1,123 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
223 |
180 |
$0.00 |
| 90756 |
|
85 |
72 |
$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) |
629 |
537 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
835 |
731 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,521 |
1,299 |
$0.00 |
| 3078F |
|
154 |
130 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
798 |
706 |
$0.00 |
| 3045F |
|
18 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
20 |
16 |
$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 |
52 |
42 |
$0.00 |
| 3074F |
|
126 |
105 |
$0.00 |
| 1036F |
|
768 |
716 |
$0.00 |
| 3079F |
|
64 |
47 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
71 |
64 |
$0.00 |
| 3014F |
|
474 |
441 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
86 |
63 |
$0.00 |
| 3075F |
|
113 |
87 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |