| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,285 |
3,259 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
381 |
378 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,244 |
2,233 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
593 |
593 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
252 |
251 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
482 |
482 |
$600.00 |
| 90686 |
|
74 |
74 |
$567.95 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
163 |
163 |
$529.35 |
| 99441 |
|
418 |
418 |
$525.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
106 |
$250.00 |
| 1157F |
|
613 |
613 |
$198.51 |
| 99442 |
|
65 |
65 |
$95.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$94.48 |
| 90756 |
|
21 |
21 |
$92.16 |
| 90658 |
|
15 |
15 |
$40.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
118 |
118 |
$35.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
49 |
48 |
$34.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
111 |
$25.00 |
| 3008F |
|
7,320 |
7,272 |
$23.76 |
| 3080F |
|
924 |
920 |
$17.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
971 |
970 |
$0.26 |
| 3075F |
|
966 |
962 |
$0.00 |
| 1126F |
|
241 |
241 |
$0.00 |
| 3079F |
|
1,872 |
1,865 |
$0.00 |
| 3074F |
|
3,251 |
3,240 |
$0.00 |
| 1170F |
|
99 |
98 |
$0.00 |
| 1101F |
|
46 |
45 |
$0.00 |
| 1125F |
|
43 |
43 |
$0.00 |
| 1159F |
|
1,575 |
1,572 |
$0.00 |
| 3077F |
|
1,356 |
1,352 |
$0.00 |
| 1003F |
|
367 |
367 |
$0.00 |
| 3078F |
|
2,805 |
2,796 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
92 |
92 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 3725F |
|
715 |
714 |
$0.00 |
| 1160F |
|
1,609 |
1,606 |
$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 |
12 |
12 |
$0.00 |
| 1124F |
|
12 |
12 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| 0521F |
|
16 |
16 |
$0.00 |