| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
174 |
$5K |
| 99337 |
|
727 |
417 |
$4K |
| 99350 |
Prolong home eval add 15m |
443 |
244 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$800.00 |
| 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 |
249 |
159 |
$277.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
64 |
$150.46 |
| G9916 |
Functional status performed once in the last 12 months |
25 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
47 |
34 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
17 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
14 |
$0.00 |
| 99336 |
|
21 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
36 |
$0.00 |
| 1101F |
|
19 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
29 |
17 |
$0.00 |
| 1126F |
|
25 |
17 |
$0.00 |
| 1170F |
|
20 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
15 |
$0.00 |