| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97814 |
|
6,240 |
1,937 |
$274K |
| 97813 |
|
6,479 |
2,006 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,339 |
4,752 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,511 |
3,215 |
$131K |
| 95851 |
|
6,172 |
1,875 |
$55K |
| 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 |
5,695 |
5,309 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
281 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
846 |
812 |
$14K |
| 93000 |
|
1,145 |
1,067 |
$13K |
| 90688 |
|
843 |
799 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
52 |
$4K |
| 3078F |
|
547 |
506 |
$4K |
| 36416 |
|
2,845 |
2,430 |
$3K |
| 90756 |
|
246 |
239 |
$3K |
| 90674 |
|
189 |
183 |
$3K |
| 82962 |
|
2,842 |
2,506 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$2K |
| 3077F |
|
366 |
334 |
$2K |
| 90658 |
|
114 |
111 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
222 |
221 |
$2K |
| 3074F |
|
236 |
220 |
$1K |
| 99242 |
|
46 |
42 |
$1K |
| 94010 |
|
85 |
77 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
116 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
48 |
$972.19 |
| 97032 |
|
116 |
24 |
$814.86 |
| 99243 |
|
14 |
14 |
$702.34 |
| 99442 |
|
71 |
61 |
$630.87 |
| 3075F |
|
113 |
105 |
$564.60 |
| 90732 |
|
14 |
12 |
$404.49 |
| G0008 |
Administration of influenza virus vaccine |
563 |
549 |
$357.28 |
| 3079F |
|
132 |
122 |
$240.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
13 |
$237.16 |
| 97810 |
|
39 |
20 |
$236.25 |
| 3044F |
|
149 |
133 |
$168.81 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
33 |
32 |
$125.74 |
| 99443 |
|
12 |
12 |
$110.04 |
| 3080F |
|
20 |
16 |
$0.00 |