| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,052 |
2,154 |
$37K |
| 99215 |
Prolong outpt/office vis |
566 |
388 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
611 |
230 |
$1K |
| 93922 |
|
63 |
54 |
$879.61 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
413 |
241 |
$768.91 |
| 96521 |
|
615 |
235 |
$559.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
123 |
$462.62 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
601 |
230 |
$378.45 |
| 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 |
26 |
26 |
$348.30 |
| 99401 |
|
17 |
12 |
$335.24 |
| 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 |
26 |
26 |
$277.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
71 |
$267.09 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
614 |
234 |
$256.57 |
| 36415 |
Collection of venous blood by venipuncture |
410 |
321 |
$161.25 |
| 80061 |
Lipid panel |
30 |
27 |
$83.16 |
| 86328 |
|
909 |
619 |
$81.52 |
| 95923 |
|
44 |
42 |
$63.18 |
| 93000 |
|
76 |
63 |
$58.35 |
| 95921 |
|
63 |
54 |
$31.59 |
| 82947 |
|
30 |
27 |
$31.28 |
| 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 |
17 |
15 |
$9.94 |
| 96160 |
|
58 |
33 |
$4.51 |
| 82962 |
|
817 |
298 |
$3.35 |
| 99358 |
Prolong nursin fac eval 15m |
119 |
92 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19 |
17 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
54 |
38 |
$0.00 |
| 99354 |
|
83 |
61 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
256 |
105 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
13 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
41 |
32 |
$0.00 |
| 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) |
23 |
16 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
18 |
16 |
$0.00 |
| 36416 |
|
837 |
555 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
13 |
$0.00 |