| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,124 |
2,919 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,722 |
2,578 |
$107K |
| 99215 |
Prolong outpt/office vis |
402 |
391 |
$28K |
| 80305 |
|
3,337 |
3,137 |
$20K |
| 99307 |
|
2,337 |
2,163 |
$11K |
| 99490 |
Ccm add 20min |
195 |
194 |
$2K |
| 90674 |
|
124 |
122 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
25 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
235 |
227 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
181 |
149 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
613 |
608 |
$577.20 |
| 94010 |
|
46 |
46 |
$576.00 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
53 |
$547.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
72 |
$360.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
33 |
$200.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$121.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
14 |
$89.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$60.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
33 |
$2.64 |
| 4004F |
|
1,711 |
1,601 |
$0.00 |
| 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) |
516 |
454 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
258 |
241 |
$0.00 |
| 3078F |
|
90 |
87 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 3079F |
|
74 |
70 |
$0.00 |
| 99000 |
|
32 |
32 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,517 |
2,375 |
$0.00 |
| 3074F |
|
147 |
132 |
$0.00 |
| 99406 |
|
78 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 3075F |
|
30 |
26 |
$0.00 |