| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
13,109 |
3,371 |
$744K |
| 99423 |
|
5,739 |
1,793 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,583 |
7,062 |
$132K |
| 99422 |
|
3,747 |
1,567 |
$81K |
| 99091 |
|
955 |
933 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,016 |
5,943 |
$69K |
| 99490 |
Ccm add 20min |
11,935 |
11,935 |
$38K |
| 99421 |
|
382 |
269 |
$7K |
| 93925 |
|
62 |
62 |
$5K |
| 99457 |
|
1,768 |
1,704 |
$5K |
| 99454 |
|
982 |
974 |
$3K |
| 95816 |
|
85 |
85 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
604 |
539 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
25 |
$340.06 |
| 99458 |
|
237 |
237 |
$314.45 |
| 82044 |
|
452 |
452 |
$286.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
36 |
28 |
$203.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
25 |
$139.82 |
| 95930 |
|
87 |
85 |
$110.97 |
| 90662 |
|
542 |
542 |
$108.92 |
| 99453 |
|
31 |
31 |
$73.77 |
| 92653 |
|
86 |
85 |
$67.97 |
| 93040 |
|
129 |
127 |
$51.24 |
| 82274 |
|
125 |
124 |
$45.87 |
| 90686 |
|
12 |
12 |
$42.12 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
500 |
500 |
$13.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
79 |
74 |
$10.06 |
| 96139 |
|
87 |
86 |
$0.00 |
| 1036F |
|
2,317 |
2,155 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
681 |
653 |
$0.00 |
| 1170F |
|
1,556 |
1,548 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,126 |
1,978 |
$0.00 |
| 1101F |
|
1,358 |
1,351 |
$0.00 |
| 3061F |
|
138 |
137 |
$0.00 |
| 3074F |
|
1,040 |
818 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,223 |
1,218 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
792 |
792 |
$0.00 |
| 1000F |
|
229 |
227 |
$0.00 |
| 3060F |
|
103 |
103 |
$0.00 |
| 3017F |
|
73 |
71 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,379 |
1,358 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,973 |
1,633 |
$0.00 |
| 1111F |
|
98 |
91 |
$0.00 |
| 1126F |
|
1,080 |
1,078 |
$0.00 |
| 1125F |
|
352 |
351 |
$0.00 |
| 3072F |
|
55 |
55 |
$0.00 |
| 3044F |
|
50 |
49 |
$0.00 |
| 1220F |
|
70 |
70 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
56 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
30 |
18 |
$0.00 |
| 77081 |
|
12 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
12 |
12 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,562 |
1,555 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,113 |
1,799 |
$0.00 |
| 1159F |
|
2,669 |
1,990 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
10,139 |
7,851 |
$0.00 |
| 3078F |
|
1,098 |
859 |
$0.00 |
| 1160F |
|
2,565 |
1,938 |
$0.00 |
| 3725F |
|
422 |
421 |
$0.00 |
| 1090F |
|
310 |
307 |
$0.00 |
| 1158F |
|
247 |
245 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
642 |
640 |
$0.00 |
| 3288F |
|
1,502 |
1,493 |
$0.00 |
| 4004F |
|
26 |
26 |
$0.00 |
| 1100F |
|
115 |
115 |
$0.00 |
| 3045F |
|
56 |
55 |
$0.00 |
| 96138 |
|
86 |
86 |
$0.00 |
| 95957 |
|
87 |
86 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
201 |
200 |
$0.00 |
| 99473 |
|
13 |
13 |
$0.00 |
| 77080 |
|
12 |
12 |
$0.00 |