| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,311 |
16,979 |
$835K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,845 |
8,211 |
$327K |
| 99215 |
Prolong outpt/office vis |
1,728 |
1,683 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,357 |
1,285 |
$42K |
| 99401 |
|
2,577 |
2,444 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,373 |
1,185 |
$37K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,626 |
1,531 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
359 |
357 |
$13K |
| 96127 |
|
5,694 |
5,461 |
$13K |
| 99497 |
|
228 |
215 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
70 |
$4K |
| 90673 |
|
65 |
64 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
71 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
192 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |
| 99406 |
|
244 |
234 |
$1K |
| 90658 |
|
71 |
71 |
$1K |
| 93000 |
|
58 |
51 |
$742.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
45 |
$541.60 |
| 99304 |
|
16 |
12 |
$320.06 |
| 99407 |
|
13 |
13 |
$109.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
114 |
$70.14 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
195 |
119 |
$47.90 |
| G0180 |
Physician or allowed practitioner 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 |
$45.66 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
69 |
$40.74 |
| 82948 |
|
12 |
12 |
$16.44 |
| 3074F |
|
11,496 |
10,506 |
$6.00 |
| 3079F |
|
8,904 |
8,175 |
$5.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
24 |
$4.02 |
| 1036F |
|
4,905 |
4,524 |
$4.00 |
| 3080F |
|
2,285 |
2,163 |
$4.00 |
| 3077F |
|
2,123 |
1,997 |
$3.00 |
| 3075F |
|
4,590 |
4,230 |
$2.00 |
| 3078F |
|
7,069 |
6,511 |
$2.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,339 |
4,548 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
6,908 |
6,027 |
$0.00 |
| 1101F |
|
464 |
452 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,350 |
685 |
$0.00 |
| 3044F |
|
1,112 |
960 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
555 |
548 |
$0.00 |
| 1111F |
|
19 |
18 |
$0.00 |
| 3288F |
|
538 |
461 |
$0.00 |
| 4004F |
|
1,854 |
1,774 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,861 |
10,308 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,213 |
633 |
$0.00 |
| 3051F |
|
122 |
111 |
$0.00 |
| 3046F |
|
111 |
99 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 1100F |
|
35 |
30 |
$0.00 |