| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,338 |
38,175 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,825 |
11,409 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,751 |
2,723 |
$28K |
| 99201 |
|
278 |
254 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,742 |
1,518 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
803 |
799 |
$11K |
| 99385 |
|
247 |
245 |
$7K |
| 96156 |
|
2,714 |
2,700 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
968 |
965 |
$5K |
| 92551 |
|
1,233 |
1,219 |
$5K |
| G9920 |
Screening performed and negative |
3,071 |
3,059 |
$4K |
| 99441 |
|
1,059 |
919 |
$4K |
| 99000 |
|
6,969 |
6,658 |
$4K |
| 93000 |
|
194 |
194 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,246 |
1,244 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
396 |
393 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
467 |
462 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,420 |
3,405 |
$2K |
| 92015 |
Determination of refractive state |
1,156 |
1,148 |
$2K |
| 81002 |
|
5,044 |
4,772 |
$1K |
| 90658 |
|
382 |
380 |
$1K |
| 99215 |
Prolong outpt/office vis |
84 |
78 |
$1K |
| 90734 |
|
432 |
427 |
$1K |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
124 |
121 |
$992.68 |
| Q3014 |
Telehealth originating site facility fee |
910 |
752 |
$982.09 |
| 99386 |
|
13 |
12 |
$900.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
341 |
$824.36 |
| 90686 |
|
125 |
116 |
$720.85 |
| H0049 |
Alcohol and/or drug screening |
428 |
423 |
$667.00 |
| 81025 |
|
650 |
642 |
$641.86 |
| 90715 |
|
219 |
215 |
$617.28 |
| 99442 |
|
114 |
108 |
$609.16 |
| 90688 |
|
123 |
123 |
$594.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
472 |
470 |
$590.40 |
| 90649 |
|
69 |
63 |
$549.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$434.37 |
| 90650 |
|
158 |
158 |
$314.64 |
| 99383 |
|
12 |
12 |
$248.99 |
| 88150 |
|
25 |
25 |
$236.90 |
| 90651 |
|
76 |
76 |
$207.00 |
| 92552 |
|
61 |
61 |
$140.58 |
| 99397 |
|
13 |
13 |
$140.00 |
| 97802 |
|
836 |
835 |
$120.79 |
| 90674 |
|
69 |
69 |
$117.00 |
| 99173 |
|
179 |
177 |
$112.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
601 |
600 |
$69.31 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
79 |
$63.58 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$58.00 |
| 85014 |
|
102 |
97 |
$36.38 |
| 97803 |
|
463 |
458 |
$32.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
96 |
96 |
$25.74 |
| 82270 |
|
100 |
98 |
$23.77 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
252 |
244 |
$22.40 |
| 3078F |
|
9,133 |
8,455 |
$17.00 |
| 3074F |
|
8,328 |
7,690 |
$11.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,691 |
1,685 |
$9.10 |
| 3077F |
|
1,444 |
1,398 |
$9.00 |
| 4004F |
|
75 |
75 |
$7.00 |
| 1123F |
|
14 |
14 |
$4.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$4.00 |
| 1124F |
|
12 |
12 |
$4.00 |
| 3008F |
|
9,048 |
8,177 |
$3.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
463 |
463 |
$1.75 |
| 3075F |
|
569 |
554 |
$0.00 |
| 1036F |
|
601 |
589 |
$0.00 |
| 3080F |
|
473 |
463 |
$0.00 |
| 0545F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
195 |
187 |
$0.00 |
| 3079F |
|
608 |
560 |
$0.00 |
| 3351F |
|
149 |
149 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| 3014F |
|
28 |
28 |
$0.00 |
| 1220F |
|
55 |
55 |
$0.00 |
| 3353F |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
169 |
$0.00 |
| 82947 |
|
25 |
25 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
128 |
128 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |