| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
549 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
70 |
65 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
123 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
120 |
28 |
$822.18 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
25 |
$692.83 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$610.82 |
| 86328 |
|
12 |
12 |
$519.78 |
| 99305 |
|
76 |
76 |
$338.92 |
| 99457 |
|
12 |
12 |
$128.29 |
| G0179 |
Physician or allowed practitioner re-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 |
$122.67 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
13 |
$60.37 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
49 |
41 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
50 |
43 |
$0.00 |
| 3288F |
|
29 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
110 |
82 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
36 |
33 |
$0.00 |
| 1036F |
|
69 |
56 |
$0.00 |
| 1111F |
|
290 |
232 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
48 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
12 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |