| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,913 |
11,827 |
$827K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,464 |
3,276 |
$154K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
417 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
497 |
464 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
203 |
$17K |
| 99215 |
Prolong outpt/office vis |
186 |
163 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,508 |
3,358 |
$11K |
| 81025 |
|
1,711 |
1,658 |
$11K |
| 93000 |
|
902 |
889 |
$11K |
| 81002 |
|
3,711 |
3,560 |
$10K |
| 94760 |
|
11,429 |
9,990 |
$9K |
| 99051 |
|
1,711 |
1,581 |
$7K |
| 96160 |
|
2,047 |
1,948 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
452 |
449 |
$6K |
| 86580 |
|
595 |
564 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
276 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
39 |
$3K |
| 99384 |
|
29 |
29 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
201 |
$3K |
| 99000 |
|
1,123 |
1,040 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
37 |
$1K |
| 99385 |
|
12 |
12 |
$990.13 |
| 99401 |
|
32 |
32 |
$952.78 |
| 99173 |
|
218 |
216 |
$450.92 |
| 90688 |
|
33 |
26 |
$368.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$237.15 |
| 2010F |
|
7,884 |
6,503 |
$213.97 |
| 82947 |
|
61 |
52 |
$193.03 |
| 3008F |
|
8,696 |
7,099 |
$111.46 |
| 82962 |
|
12 |
12 |
$32.92 |
| 2000F |
|
8,519 |
6,945 |
$0.37 |
| 1126F |
|
4,114 |
3,501 |
$0.36 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,398 |
4,531 |
$0.34 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,502 |
4,612 |
$0.32 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,290 |
2,769 |
$0.24 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,891 |
3,319 |
$0.20 |
| 3037F |
|
8,518 |
6,939 |
$0.14 |
| 2001F |
|
8,473 |
6,962 |
$0.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,832 |
2,449 |
$0.12 |
| 3074F |
|
6,586 |
5,402 |
$0.11 |
| 3078F |
|
5,902 |
4,848 |
$0.09 |
| 1159F |
|
5,655 |
4,789 |
$0.06 |
| 1036F |
|
2,200 |
1,817 |
$0.05 |
| 1160F |
|
4,586 |
3,913 |
$0.04 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,542 |
1,369 |
$0.02 |
| 3079F |
|
1,084 |
956 |
$0.01 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
253 |
200 |
$0.01 |
| 3075F |
|
202 |
174 |
$0.01 |
| G8484 |
Influenza immunization was not administered, reason not given |
565 |
432 |
$0.01 |
| 2014F |
|
485 |
394 |
$0.01 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
488 |
442 |
$0.01 |
| 1125F |
|
339 |
305 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
31 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
439 |
402 |
$0.00 |
| 3061F |
|
27 |
24 |
$0.00 |
| 1034F |
|
51 |
47 |
$0.00 |
| 4010F |
|
19 |
17 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
15 |
13 |
$0.00 |
| 3210F |
|
35 |
28 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
18 |
13 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |