| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,903 |
19,428 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,448 |
5,188 |
$76K |
| 90682 |
|
794 |
792 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,055 |
1,017 |
$43K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,854 |
1,202 |
$37K |
| 99490 |
Ccm add 20min |
556 |
556 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,082 |
2,064 |
$18K |
| 90688 |
|
855 |
854 |
$18K |
| 99454 |
|
346 |
343 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,250 |
1,158 |
$13K |
| 99386 |
|
292 |
267 |
$13K |
| 99385 |
|
78 |
68 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
223 |
223 |
$6K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
101 |
98 |
$5K |
| 90750 |
|
25 |
25 |
$4K |
| 99439 |
|
116 |
116 |
$3K |
| 90662 |
|
42 |
42 |
$3K |
| 99307 |
|
265 |
185 |
$2K |
| 99215 |
Prolong outpt/office vis |
151 |
151 |
$2K |
| 99457 |
|
78 |
78 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$799.24 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
14 |
$620.70 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
14 |
$579.00 |
| 99453 |
|
21 |
21 |
$351.41 |
| 99358 |
Prolong nursin fac eval 15m |
28 |
16 |
$101.28 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
21 |
15 |
$17.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
34 |
$0.29 |
| 3078F |
|
1,235 |
1,194 |
$0.00 |
| 3051F |
|
14 |
14 |
$0.00 |
| 99442 |
|
14 |
13 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 3046F |
|
27 |
27 |
$0.00 |
| 3074F |
|
1,129 |
1,089 |
$0.00 |
| 3044F |
|
417 |
376 |
$0.00 |
| 3079F |
|
238 |
238 |
$0.00 |
| 3075F |
|
143 |
142 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |