| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,067 |
6,947 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,665 |
6,566 |
$322K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
516 |
427 |
$46K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
501 |
331 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
146 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,506 |
2,757 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,321 |
736 |
$7K |
| 90674 |
|
836 |
376 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
179 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
51 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
592 |
467 |
$4K |
| 90756 |
|
521 |
281 |
$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) |
410 |
348 |
$3K |
| 99499 |
|
252 |
172 |
$2K |
| 90686 |
|
197 |
156 |
$2K |
| 0011A |
|
186 |
127 |
$2K |
| 99215 |
Prolong outpt/office vis |
57 |
41 |
$2K |
| 0012A |
|
162 |
93 |
$2K |
| 99495 |
|
18 |
13 |
$2K |
| 0013A |
|
85 |
59 |
$1K |
| 99441 |
|
32 |
24 |
$920.28 |
| 0134A |
|
40 |
32 |
$760.00 |
| 90661 |
|
32 |
31 |
$672.53 |
| 82948 |
|
4,157 |
3,118 |
$551.32 |
| 99497 |
|
85 |
66 |
$446.04 |
| 81002 |
|
292 |
235 |
$172.42 |
| 90662 |
|
65 |
55 |
$135.29 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
105 |
80 |
$109.92 |
| 96127 |
|
13 |
12 |
$63.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
91 |
73 |
$51.71 |
| 82962 |
|
59 |
56 |
$45.60 |
| G0008 |
Administration of influenza virus vaccine |
313 |
250 |
$34.20 |
| 91301 |
|
327 |
230 |
$0.11 |
| 91313 |
|
40 |
32 |
$0.09 |
| 3044F |
|
692 |
593 |
$0.00 |
| 1126F |
|
192 |
174 |
$0.00 |
| 3074F |
|
456 |
431 |
$0.00 |
| 1170F |
|
197 |
178 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
178 |
162 |
$0.00 |
| 3017F |
|
429 |
341 |
$0.00 |
| 3008F |
|
169 |
159 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
94 |
74 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
37 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
983 |
813 |
$0.00 |
| 1159F |
|
172 |
156 |
$0.00 |
| 3078F |
|
329 |
313 |
$0.00 |
| 1160F |
|
172 |
156 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
124 |
111 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
325 |
274 |
$0.00 |
| 91300 |
|
25 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
300 |
266 |
$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) |
88 |
85 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
160 |
140 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
77 |
61 |
$0.00 |
| 4013F |
|
33 |
31 |
$0.00 |
| 99072 |
|
27 |
23 |
$0.00 |