| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
1,670 |
418 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,546 |
3,141 |
$77K |
| 99423 |
|
701 |
321 |
$40K |
| 99422 |
|
1,521 |
515 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,365 |
$13K |
| 99490 |
Ccm add 20min |
1,163 |
1,163 |
$4K |
| 99091 |
|
264 |
264 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
507 |
440 |
$4K |
| 90756 |
|
473 |
411 |
$2K |
| 99443 |
|
170 |
132 |
$879.61 |
| 99457 |
|
481 |
469 |
$737.66 |
| 99442 |
|
28 |
25 |
$510.24 |
| 99497 |
|
117 |
112 |
$493.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
64 |
$252.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
139 |
134 |
$116.50 |
| 93922 |
|
25 |
25 |
$65.22 |
| 93000 |
|
13 |
13 |
$28.72 |
| G0008 |
Administration of influenza virus vaccine |
325 |
290 |
$16.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
36 |
$13.06 |
| 82044 |
|
29 |
28 |
$10.46 |
| 82570 |
|
29 |
28 |
$9.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
93 |
78 |
$7.96 |
| 81003 |
|
29 |
28 |
$4.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
214 |
180 |
$3.06 |
| G8482 |
Influenza immunization administered or previously received |
341 |
324 |
$0.00 |
| 3046F |
|
104 |
95 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
263 |
245 |
$0.00 |
| 1090F |
|
56 |
50 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 4040F |
|
106 |
101 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
139 |
135 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
17 |
16 |
$0.00 |
| 2022F |
|
14 |
14 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
24 |
24 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
12 |
12 |
$0.00 |
| 1036F |
|
309 |
298 |
$0.00 |
| 1101F |
|
289 |
279 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
265 |
247 |
$0.00 |
| 3044F |
|
141 |
129 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
235 |
228 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
204 |
195 |
$0.00 |
| 3017F |
|
20 |
20 |
$0.00 |
| 1123F |
|
43 |
38 |
$0.00 |
| 1170F |
|
30 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23 |
20 |
$0.00 |
| 0509F |
|
25 |
25 |
$0.00 |