| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,039 |
10,409 |
$671K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,115 |
1,626 |
$107K |
| 99442 |
|
1,235 |
1,055 |
$38K |
| 99401 |
|
2,564 |
2,047 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
616 |
614 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
224 |
$27K |
| Q3014 |
Telehealth originating site facility fee |
1,848 |
1,419 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
312 |
$15K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
551 |
548 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
907 |
868 |
$11K |
| 99441 |
|
411 |
376 |
$11K |
| 90746 |
|
176 |
173 |
$11K |
| 99490 |
Ccm add 20min |
714 |
638 |
$8K |
| 97802 |
|
2,451 |
2,033 |
$8K |
| 99397 |
|
139 |
139 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
260 |
257 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
254 |
$5K |
| 1111F |
|
6,902 |
4,921 |
$5K |
| 90686 |
|
259 |
259 |
$5K |
| 90674 |
|
157 |
156 |
$4K |
| 99443 |
|
194 |
175 |
$4K |
| 90756 |
|
157 |
157 |
$3K |
| 99051 |
|
965 |
894 |
$3K |
| 3078F |
|
5,836 |
4,427 |
$3K |
| 99386 |
|
77 |
77 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
337 |
336 |
$3K |
| 93000 |
|
172 |
171 |
$3K |
| 3074F |
|
4,916 |
3,720 |
$2K |
| 99385 |
|
84 |
83 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
361 |
358 |
$2K |
| 36410 |
|
313 |
309 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,715 |
1,705 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,057 |
1,689 |
$2K |
| 1170F |
|
6,667 |
4,786 |
$1K |
| 90682 |
|
33 |
33 |
$1K |
| 3008F |
|
8,309 |
5,873 |
$1K |
| 1126F |
|
3,889 |
2,933 |
$992.00 |
| 3077F |
|
1,102 |
891 |
$640.00 |
| 3075F |
|
1,497 |
1,309 |
$633.00 |
| 3079F |
|
1,266 |
1,072 |
$629.50 |
| 3044F |
|
1,267 |
1,260 |
$365.00 |
| 1160F |
|
2,666 |
2,012 |
$329.00 |
| 1159F |
|
4,767 |
3,402 |
$328.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
60 |
60 |
$227.87 |
| 0521F |
|
2,236 |
1,805 |
$189.00 |
| 3061F |
|
864 |
860 |
$182.00 |
| 99000 |
|
1,101 |
1,089 |
$175.50 |
| 3080F |
|
307 |
265 |
$166.00 |
| 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 |
65 |
65 |
$140.54 |
| 3048F |
|
631 |
625 |
$69.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
49 |
49 |
$67.00 |
| 94760 |
|
1,065 |
795 |
$64.05 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$58.36 |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
23 |
18 |
$56.55 |
| 99091 |
|
29 |
28 |
$48.00 |
| 4010F |
|
185 |
173 |
$27.08 |
| 3066F |
|
136 |
132 |
$23.07 |
| G0008 |
Administration of influenza virus vaccine |
101 |
101 |
$10.00 |
| 81002 |
|
12 |
12 |
$7.60 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
539 |
447 |
$3.00 |
| 1125F |
|
13 |
13 |
$1.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,240 |
3,897 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
198 |
164 |
$0.00 |
| 4013F |
|
282 |
265 |
$0.00 |
| 3725F |
|
2,960 |
2,411 |
$0.00 |
| 99072 |
|
362 |
303 |
$0.00 |
| 3016F |
|
538 |
442 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
71 |
51 |
$0.00 |
| 99374 |
|
52 |
52 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
48 |
44 |
$0.00 |
| 3050F |
|
26 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,965 |
4,397 |
$0.00 |
| 2010F |
|
163 |
143 |
$0.00 |
| 1036F |
|
929 |
822 |
$0.00 |
| 1000F |
|
845 |
750 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
811 |
721 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
428 |
354 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,678 |
1,971 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
128 |
126 |
$0.00 |
| 4037F |
|
379 |
378 |
$0.00 |
| 3017F |
|
53 |
52 |
$0.00 |
| 3049F |
|
64 |
63 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3011F |
|
97 |
96 |
$0.00 |
| 0513F |
|
67 |
63 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
66 |
56 |
$0.00 |