| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,209 |
$47K |
| 99408 |
|
246 |
165 |
$4K |
| 80305 |
|
703 |
639 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
791 |
638 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
840 |
686 |
$534.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$319.44 |
| 77002 |
|
21 |
13 |
$229.35 |
| 20610 |
|
18 |
14 |
$137.13 |
| 95921 |
|
19 |
19 |
$7.45 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
146 |
132 |
$0.00 |
| 81002 |
|
100 |
100 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
183 |
164 |
$0.00 |
| 82570 |
|
100 |
100 |
$0.00 |
| 99497 |
|
84 |
84 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
46 |
36 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
57 |
57 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
165 |
149 |
$0.00 |
| 95923 |
|
20 |
19 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
13 |
13 |
$0.00 |
| 83986 |
|
100 |
100 |
$0.00 |
| 1111F |
|
166 |
150 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
53 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50 |
48 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
18 |
18 |
$0.00 |