| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,435 |
5,605 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,294 |
3,436 |
$99K |
| 99490 |
Ccm add 20min |
1,786 |
1,574 |
$16K |
| 99491 |
Ccm add 20min |
1,037 |
982 |
$16K |
| 99215 |
Prolong outpt/office vis |
428 |
336 |
$12K |
| 99487 |
Ccm add 20min |
449 |
413 |
$6K |
| 99439 |
|
364 |
278 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
26 |
$2K |
| 99497 |
|
63 |
55 |
$2K |
| 90686 |
|
85 |
78 |
$887.73 |
| 90674 |
|
70 |
65 |
$740.14 |
| G0008 |
Administration of influenza virus vaccine |
155 |
148 |
$728.11 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
82 |
81 |
$388.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$304.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$250.27 |
| 99489 |
Ccm add 20min |
13 |
12 |
$226.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
13 |
$196.65 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
31 |
28 |
$189.84 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
14 |
$189.23 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
12 |
$105.96 |
| 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) |
43 |
31 |
$98.81 |
| 81002 |
|
46 |
38 |
$49.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
28 |
$28.83 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
13 |
$12.77 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,012 |
843 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,123 |
925 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
28 |
$0.00 |