| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,994 |
3,474 |
$16K |
| 99358 |
Prolong nursin fac eval 15m |
181 |
170 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
172 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
64 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
376 |
327 |
$567.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
237 |
$365.94 |
| 96136 |
|
55 |
50 |
$139.61 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$84.93 |
| 96130 |
|
18 |
18 |
$29.58 |
| 80305 |
|
290 |
251 |
$22.44 |
| 94760 |
|
15 |
13 |
$1.46 |
| 1101F |
|
50 |
46 |
$0.00 |
| 1006F |
|
143 |
134 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
653 |
613 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
1,314 |
1,233 |
$0.00 |
| 72110 |
|
44 |
33 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
82 |
79 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
15 |
15 |
$0.00 |