| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,898 |
16,417 |
$745K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,962 |
10,194 |
$618K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,463 |
1,419 |
$236K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,239 |
3,150 |
$213K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,515 |
2,416 |
$155K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,927 |
1,895 |
$133K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
545 |
537 |
$97K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
264 |
246 |
$55K |
| 93000 |
|
4,464 |
4,164 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
448 |
$42K |
| 90688 |
|
1,944 |
1,910 |
$40K |
| 93922 |
|
600 |
569 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,917 |
1,870 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
515 |
135 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
135 |
135 |
$16K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
674 |
634 |
$16K |
| 99497 |
|
270 |
268 |
$10K |
| 99397 |
|
297 |
293 |
$8K |
| 77080 |
|
172 |
170 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
166 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
760 |
693 |
$4K |
| 92250 |
|
119 |
115 |
$4K |
| 0134A |
|
101 |
90 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
573 |
532 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 90756 |
|
90 |
90 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
21 |
20 |
$2K |
| 90694 |
|
205 |
182 |
$1K |
| 0124A |
|
52 |
51 |
$1K |
| 99385 |
|
12 |
12 |
$901.33 |
| 90658 |
|
55 |
48 |
$748.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
73 |
$704.58 |
| 0003A |
|
16 |
15 |
$530.94 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$430.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$387.20 |
| 51798 |
|
42 |
38 |
$381.33 |
| 90653 |
|
47 |
46 |
$350.15 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
30 |
30 |
$95.09 |
| 82962 |
|
45 |
41 |
$53.45 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$35.74 |
| 96161 |
|
12 |
12 |
$31.03 |
| 1170F |
|
699 |
679 |
$26.00 |
| 1126F |
|
703 |
678 |
$25.00 |
| 3008F |
|
2,866 |
2,382 |
$23.00 |
| 1160F |
|
662 |
642 |
$16.00 |
| 3044F |
|
211 |
209 |
$13.00 |
| 91313 |
|
92 |
86 |
$8.01 |
| 3078F |
|
353 |
337 |
$8.00 |
| 1159F |
|
261 |
234 |
$8.00 |
| 3074F |
|
423 |
410 |
$7.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,139 |
1,022 |
$6.00 |
| 3075F |
|
25 |
24 |
$1.00 |
| 3072F |
|
12 |
12 |
$1.00 |
| 91300 |
|
35 |
34 |
$1.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,578 |
1,519 |
$0.00 |
| 3017F |
|
503 |
503 |
$0.00 |
| 1101F |
|
113 |
108 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
619 |
600 |
$0.00 |
| 1123F |
|
67 |
67 |
$0.00 |
| 1220F |
|
103 |
102 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 3079F |
|
48 |
48 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| 91312 |
|
45 |
44 |
$0.00 |
| 3077F |
|
32 |
32 |
$0.00 |