| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,580 |
10,322 |
$282K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,705 |
5,214 |
$218K |
| 99444 |
|
3,658 |
1,127 |
$194K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
434 |
209 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
242 |
$3K |
| 99384 |
|
26 |
26 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
71 |
$2K |
| 99457 |
|
604 |
596 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
131 |
43 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
104 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
18 |
15 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99454 |
|
243 |
240 |
$652.59 |
| 99441 |
|
30 |
26 |
$616.52 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
26 |
$494.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$446.58 |
| 99497 |
|
82 |
78 |
$400.52 |
| 99215 |
Prolong outpt/office vis |
33 |
31 |
$367.00 |
| 90674 |
|
21 |
21 |
$342.84 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
25 |
25 |
$305.03 |
| 90656 |
|
47 |
46 |
$265.10 |
| 81003 |
|
207 |
185 |
$234.42 |
| 93000 |
|
19 |
19 |
$184.42 |
| 90688 |
|
21 |
19 |
$164.97 |
| 99458 |
|
88 |
88 |
$144.38 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
678 |
641 |
$115.38 |
| 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 |
75 |
73 |
$39.85 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
318 |
303 |
$34.43 |
| 99453 |
|
29 |
29 |
$17.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
62 |
57 |
$0.00 |
| 1159F |
|
8,803 |
7,002 |
$0.00 |
| 4040F |
|
60 |
55 |
$0.00 |
| 1160F |
|
7,641 |
6,231 |
$0.00 |
| 3288F |
|
35 |
33 |
$0.00 |
| 3046F |
|
150 |
134 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| G9509 |
Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 |
19 |
19 |
$0.00 |
| 3077F |
|
40 |
40 |
$0.00 |
| 1100F |
|
152 |
145 |
$0.00 |
| 1158F |
|
222 |
215 |
$0.00 |
| 3078F |
|
43 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
60 |
56 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
47 |
47 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
28 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
118 |
105 |
$0.00 |
| 3079F |
|
795 |
764 |
$0.00 |
| 3008F |
|
9,936 |
7,876 |
$0.00 |
| 3075F |
|
330 |
312 |
$0.00 |
| 1111F |
|
117 |
87 |
$0.00 |
| 2010F |
|
10,305 |
8,163 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
92 |
81 |
$0.00 |
| 3049F |
|
442 |
424 |
$0.00 |
| 3044F |
|
877 |
822 |
$0.00 |
| 3048F |
|
1,015 |
969 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
316 |
297 |
$0.00 |
| 3037F |
|
10,159 |
8,065 |
$0.00 |
| 3074F |
|
365 |
353 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
89 |
85 |
$0.00 |
| 1170F |
|
74 |
69 |
$0.00 |
| 96127 |
|
132 |
128 |
$0.00 |
| 1101F |
|
86 |
82 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
172 |
160 |
$0.00 |
| 82962 |
|
307 |
292 |
$0.00 |
| 3017F |
|
35 |
33 |
$0.00 |
| 99496 |
|
16 |
13 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
30 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
91 |
86 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
35 |
$0.00 |
| G9901 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
14 |
14 |
$0.00 |