| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,303 |
3,473 |
$181K |
| 99233 |
Prolong inpt eval add15 m |
1,653 |
427 |
$95K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
376 |
282 |
$42K |
| 99215 |
Prolong outpt/office vis |
1,438 |
951 |
$39K |
| 99497 |
|
1,506 |
1,200 |
$20K |
| 99496 |
|
154 |
136 |
$6K |
| 90674 |
|
419 |
384 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
429 |
108 |
$6K |
| 99407 |
|
324 |
306 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
121 |
96 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
294 |
256 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,484 |
1,200 |
$2K |
| 82947 |
|
1,102 |
806 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99490 |
Ccm add 20min |
106 |
89 |
$626.36 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
117 |
88 |
$531.99 |
| 90688 |
|
54 |
46 |
$517.60 |
| 99443 |
|
23 |
13 |
$358.45 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
218 |
177 |
$249.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
83 |
65 |
$208.05 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
13 |
$131.78 |
| 90732 |
|
13 |
12 |
$61.70 |
| 90682 |
|
36 |
23 |
$46.31 |
| 82043 |
|
18 |
14 |
$34.27 |
| 1125F |
|
236 |
171 |
$23.48 |
| 1159F |
|
441 |
319 |
$0.00 |
| 1160F |
|
397 |
276 |
$0.00 |
| 1126F |
|
281 |
230 |
$0.00 |
| 1170F |
|
101 |
87 |
$0.00 |
| 3008F |
|
89 |
76 |
$0.00 |
| 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 |
13 |
$0.00 |
| 1111F |
|
95 |
90 |
$0.00 |