| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99442 |
|
1,708 |
1,519 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,025 |
5,635 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,254 |
4,818 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
558 |
557 |
$3K |
| 99215 |
Prolong outpt/office vis |
164 |
163 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
359 |
358 |
$1K |
| 99385 |
|
157 |
157 |
$1K |
| 90756 |
|
28 |
28 |
$599.02 |
| 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 |
24 |
24 |
$430.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$428.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$161.57 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
561 |
561 |
$118.15 |
| 99406 |
|
27 |
27 |
$72.87 |
| 99386 |
|
89 |
89 |
$51.00 |
| 81003 |
|
12 |
12 |
$13.58 |
| 96160 |
|
952 |
948 |
$3.70 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
254 |
253 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$0.00 |
| 1220F |
|
1,232 |
1,230 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
161 |
161 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |