| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,470 |
58,739 |
$5.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,141 |
11,068 |
$720K |
| 99401 |
|
16,305 |
12,958 |
$557K |
| 99491 |
Ccm add 20min |
10,024 |
9,471 |
$189K |
| 96127 |
|
7,868 |
7,248 |
$143K |
| 96160 |
|
6,036 |
5,449 |
$107K |
| 99490 |
Ccm add 20min |
8,132 |
7,804 |
$95K |
| 99215 |
Prolong outpt/office vis |
679 |
589 |
$85K |
| 93000 |
|
5,615 |
5,184 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
520 |
482 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
364 |
333 |
$54K |
| 99402 |
|
515 |
448 |
$30K |
| 99443 |
|
622 |
492 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
288 |
258 |
$30K |
| 99408 |
|
973 |
738 |
$25K |
| 99404 |
|
160 |
146 |
$18K |
| 99487 |
Ccm add 20min |
382 |
367 |
$14K |
| 99397 |
|
142 |
110 |
$14K |
| 99407 |
|
481 |
443 |
$12K |
| 99374 |
|
470 |
257 |
$11K |
| 99442 |
|
267 |
234 |
$9K |
| 99406 |
|
809 |
675 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
660 |
514 |
$7K |
| 99385 |
|
53 |
52 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
60 |
$6K |
| 99454 |
|
378 |
351 |
$5K |
| 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 |
365 |
364 |
$4K |
| 94060 |
|
94 |
89 |
$3K |
| 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) |
655 |
571 |
$2K |
| 99484 |
|
125 |
121 |
$2K |
| 99497 |
|
183 |
174 |
$2K |
| 99457 |
|
147 |
137 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
27 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
619 |
483 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
93 |
89 |
$710.48 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$620.70 |
| 92250 |
|
19 |
18 |
$535.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
16 |
$514.09 |
| 93040 |
|
29 |
25 |
$128.12 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
12 |
12 |
$110.74 |
| 90688 |
|
14 |
13 |
$71.36 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,008 |
4,306 |
$0.00 |
| 99072 |
|
479 |
410 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
388 |
349 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,718 |
1,568 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
308 |
279 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
16 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
131 |
113 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
94 |
84 |
$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) |
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 6101F |
|
347 |
316 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
59 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
327 |
305 |
$0.00 |
| 99441 |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
70 |
69 |
$0.00 |
| 99058 |
|
14 |
14 |
$0.00 |