| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,046 |
5,119 |
$240K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
542 |
430 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147 |
131 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$966.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
127 |
$683.39 |
| 96127 |
|
102 |
100 |
$184.40 |
| 3044F |
|
50 |
49 |
$140.00 |
| 90756 |
|
41 |
39 |
$107.68 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$86.85 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
51 |
45 |
$77.73 |
| 99407 |
|
33 |
33 |
$76.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
37 |
$51.07 |
| 90686 |
|
53 |
50 |
$19.16 |
| 3074F |
|
224 |
204 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
142 |
131 |
$0.00 |
| 1125F |
|
143 |
134 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
152 |
124 |
$0.00 |
| 1126F |
|
81 |
79 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
63 |
62 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
72 |
72 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
22 |
21 |
$0.00 |
| 3078F |
|
285 |
262 |
$0.00 |
| 1160F |
|
255 |
233 |
$0.00 |