| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,055 |
17,097 |
$1.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,539 |
16,326 |
$789K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,600 |
1,478 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,375 |
1,219 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
763 |
711 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
450 |
421 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
997 |
346 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
461 |
406 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
319 |
282 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
813 |
193 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
612 |
538 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
249 |
$18K |
| 90686 |
|
1,252 |
1,115 |
$14K |
| 90670 |
|
1,064 |
954 |
$13K |
| 99215 |
Prolong outpt/office vis |
136 |
121 |
$12K |
| 90698 |
|
613 |
549 |
$7K |
| 85018 |
|
1,768 |
1,640 |
$4K |
| 83655 |
|
359 |
324 |
$3K |
| 92551 |
|
360 |
315 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
232 |
112 |
$3K |
| 0002A |
|
101 |
93 |
$3K |
| 90633 |
|
192 |
180 |
$2K |
| 0001A |
|
109 |
86 |
$2K |
| 90744 |
|
204 |
183 |
$2K |
| 99177 |
|
548 |
517 |
$2K |
| 99442 |
|
88 |
66 |
$2K |
| 90651 |
|
157 |
150 |
$2K |
| 90734 |
|
133 |
128 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
227 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
26 |
$1K |
| 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) |
219 |
190 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
161 |
$1K |
| 99443 |
|
45 |
31 |
$850.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
54 |
$763.95 |
| 96127 |
|
160 |
157 |
$740.11 |
| 90681 |
|
52 |
49 |
$637.70 |
| 92567 |
|
57 |
54 |
$620.23 |
| 96160 |
|
320 |
287 |
$436.80 |
| 99173 |
|
184 |
176 |
$420.43 |
| 90620 |
|
13 |
12 |
$323.39 |
| 90715 |
|
26 |
26 |
$308.30 |
| 90716 |
|
21 |
15 |
$305.06 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
15 |
12 |
$295.85 |
| 90710 |
|
24 |
24 |
$266.20 |
| 90707 |
|
21 |
15 |
$250.99 |
| 3017F |
|
327 |
236 |
$250.00 |
| 3044F |
|
40 |
37 |
$240.00 |
| 1123F |
|
53 |
41 |
$175.00 |
| 90696 |
|
12 |
12 |
$134.20 |
| 99441 |
|
17 |
12 |
$131.69 |
| 82962 |
|
61 |
55 |
$123.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
17 |
$88.65 |
| 81003 |
|
43 |
39 |
$76.39 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
31 |
$70.44 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
43 |
$48.53 |
| 91300 |
|
147 |
128 |
$0.88 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
797 |
481 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
608 |
370 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
303 |
199 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
16 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
55 |
$0.00 |
| 3074F |
|
15 |
14 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
21 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,907 |
1,927 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
25 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
247 |
177 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 1090F |
|
21 |
13 |
$0.00 |
| 2022F |
|
17 |
12 |
$0.00 |