| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,416 |
5,891 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
1,083 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
277 |
265 |
$26K |
| 91320 |
|
148 |
139 |
$12K |
| 99497 |
|
193 |
171 |
$5K |
| 76775 |
|
147 |
132 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
266 |
$5K |
| 90756 |
|
384 |
361 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
612 |
561 |
$4K |
| 90480 |
|
126 |
123 |
$4K |
| 99490 |
Ccm add 20min |
1,050 |
882 |
$3K |
| 95922 |
|
84 |
74 |
$3K |
| 90688 |
|
217 |
198 |
$2K |
| 90661 |
|
78 |
78 |
$2K |
| 0134A |
|
50 |
41 |
$1K |
| 0064A |
|
83 |
65 |
$969.33 |
| 0054A |
|
49 |
47 |
$918.00 |
| 0124A |
|
50 |
46 |
$891.81 |
| G0008 |
Administration of influenza virus vaccine |
331 |
305 |
$722.50 |
| 93040 |
|
100 |
88 |
$647.81 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
40 |
39 |
$419.55 |
| 0011A |
|
19 |
17 |
$282.00 |
| 0012A |
|
16 |
12 |
$250.00 |
| 0004A |
|
29 |
27 |
$218.66 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
30 |
25 |
$211.61 |
| 99307 |
|
15 |
15 |
$77.71 |
| 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) |
95 |
89 |
$40.82 |
| 3078F |
|
342 |
322 |
$2.55 |
| 3074F |
|
239 |
227 |
$1.83 |
| 91312 |
|
48 |
45 |
$0.04 |
| 91313 |
|
46 |
41 |
$0.03 |
| 91305 |
|
26 |
25 |
$0.01 |
| 3017F |
|
87 |
81 |
$0.00 |
| 91306 |
|
22 |
18 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
24 |
$0.00 |
| 91301 |
|
17 |
13 |
$0.00 |
| 888888 |
|
16 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
12 |
$0.00 |