| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,102 |
23,649 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,134 |
17,937 |
$700K |
| 99444 |
|
5,221 |
1,283 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,582 |
2,446 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,221 |
2,081 |
$174K |
| 99423 |
|
3,036 |
732 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,763 |
1,667 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,929 |
1,858 |
$139K |
| 99310 |
Prolong nursin fac eval 15m |
9,024 |
8,876 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,705 |
5,122 |
$112K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18,196 |
7,322 |
$97K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,753 |
1,312 |
$35K |
| 99381 |
|
419 |
396 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,363 |
2,213 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,487 |
1,791 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
403 |
390 |
$23K |
| 99490 |
Ccm add 20min |
4,932 |
4,931 |
$21K |
| 90461 |
|
3,716 |
3,032 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,713 |
1,278 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
598 |
567 |
$12K |
| 93000 |
|
1,060 |
990 |
$11K |
| 81025 |
|
1,506 |
1,389 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
117 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
224 |
188 |
$7K |
| 87807 |
|
495 |
482 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
186 |
$4K |
| 99091 |
|
36 |
36 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
302 |
302 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
332 |
307 |
$3K |
| 81003 |
|
1,849 |
1,683 |
$3K |
| 99318 |
|
85 |
85 |
$2K |
| 97169 |
|
81 |
80 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
570 |
570 |
$2K |
| 99000 |
|
149 |
133 |
$1K |
| 90670 |
|
1,727 |
1,692 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
987 |
902 |
$1K |
| 90677 |
|
121 |
110 |
$1K |
| 90651 |
|
603 |
581 |
$500.00 |
| 90674 |
|
16 |
15 |
$234.65 |
| 90686 |
|
593 |
584 |
$207.13 |
| 90715 |
|
258 |
253 |
$193.07 |
| 99306 |
Prolong nursin fac eval 15m |
26 |
25 |
$147.61 |
| 99305 |
|
28 |
28 |
$124.38 |
| 90710 |
|
982 |
946 |
$87.50 |
| 90756 |
|
12 |
12 |
$21.47 |
| 94010 |
|
13 |
13 |
$7.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,831 |
1,614 |
$0.01 |
| 90696 |
|
331 |
322 |
$0.00 |
| 90698 |
|
400 |
398 |
$0.00 |
| 1036F |
|
2,006 |
1,655 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
4,032 |
3,231 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,048 |
932 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,321 |
1,050 |
$0.00 |
| 90680 |
|
1,100 |
1,079 |
$0.00 |
| 90723 |
|
723 |
709 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,082 |
1,013 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
337 |
336 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
293 |
258 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
156 |
145 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
87 |
85 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
263 |
258 |
$0.00 |
| 1101F |
|
25 |
25 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
47 |
44 |
$0.00 |
| 3017F |
|
15 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
75 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90716 |
|
24 |
22 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19,226 |
14,664 |
$0.00 |
| 90633 |
|
1,109 |
1,066 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,471 |
4,659 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
3,574 |
2,946 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
800 |
720 |
$0.00 |
| 90734 |
|
628 |
600 |
$0.00 |
| 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) |
2,912 |
2,383 |
$0.00 |
| G8540 |
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter |
145 |
114 |
$0.00 |
| 90648 |
|
1,135 |
1,108 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
745 |
624 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
353 |
344 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
380 |
306 |
$0.00 |
| 4004F |
|
42 |
41 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
52 |
41 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
849 |
806 |
$0.00 |
| 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) |
141 |
135 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
129 |
126 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
271 |
255 |
$0.00 |
| 90700 |
|
307 |
304 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
306 |
236 |
$0.00 |
| 3288F |
|
25 |
19 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
19 |
13 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
26 |
$0.00 |
| 90707 |
|
20 |
20 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
14 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
13 |
13 |
$0.00 |