| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,335 |
8,921 |
$259K |
| 99205 |
Prolong outpt/office vis |
128 |
118 |
$14K |
| 93922 |
|
99 |
91 |
$9K |
| 62323 |
|
40 |
36 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
173 |
$2K |
| 80305 |
|
1,560 |
1,239 |
$1K |
| 95921 |
|
100 |
91 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
830 |
635 |
$918.25 |
| 99215 |
Prolong outpt/office vis |
28 |
14 |
$183.87 |
| 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) |
236 |
212 |
$154.54 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
57 |
51 |
$76.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$52.05 |
| 96132 |
|
21 |
16 |
$13.32 |
| 96130 |
|
35 |
28 |
$5.84 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
21 |
16 |
$0.00 |
| 96138 |
|
35 |
28 |
$0.00 |
| 95923 |
|
61 |
55 |
$0.00 |