| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95923 |
|
2,635 |
2,622 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,581 |
11,214 |
$108K |
| 95921 |
|
1,543 |
1,534 |
$51K |
| 93923 |
|
3,656 |
3,642 |
$28K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
862 |
851 |
$22K |
| 92540 |
|
3,878 |
3,865 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,259 |
1,214 |
$18K |
| 99350 |
Prolong home eval add 15m |
265 |
265 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
199 |
$14K |
| 93040 |
|
4,361 |
4,341 |
$11K |
| 92546 |
|
3,431 |
3,419 |
$7K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
87 |
85 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
56 |
$2K |
| 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 |
136 |
131 |
$1K |
| 99345 |
Prolong home eval add 15m |
74 |
74 |
$1K |
| 90686 |
|
196 |
194 |
$1K |
| G0179 |
Physician or allowed practitioner re-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 |
127 |
125 |
$1K |
| 99490 |
Ccm add 20min |
99 |
99 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$445.74 |
| 99215 |
Prolong outpt/office vis |
85 |
80 |
$426.47 |
| 99497 |
|
65 |
63 |
$391.87 |
| 36415 |
Collection of venous blood by venipuncture |
3,027 |
2,967 |
$385.80 |
| 99439 |
|
24 |
24 |
$252.18 |
| 90649 |
|
39 |
39 |
$171.00 |
| 3008F |
|
640 |
636 |
$138.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
170 |
165 |
$122.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
290 |
$117.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$112.50 |
| 90734 |
|
32 |
32 |
$81.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
22 |
$81.00 |
| 97802 |
|
99 |
99 |
$57.36 |
| 97803 |
|
202 |
202 |
$51.70 |
| 90715 |
|
12 |
12 |
$45.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
15 |
$41.17 |
| 99000 |
|
174 |
167 |
$33.34 |
| 99441 |
|
360 |
352 |
$30.68 |
| 3725F |
|
350 |
350 |
$20.87 |
| 1111F |
|
62 |
61 |
$9.00 |
| 3080F |
|
12 |
12 |
$4.00 |
| 1158F |
|
252 |
252 |
$0.00 |
| 3288F |
|
41 |
41 |
$0.00 |
| 1160F |
|
1,829 |
1,730 |
$0.00 |
| 1159F |
|
1,559 |
1,483 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |
| 1125F |
|
686 |
658 |
$0.00 |
| 1170F |
|
574 |
565 |
$0.00 |
| 1126F |
|
232 |
232 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |