| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,793 |
20,189 |
$1.65M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,233 |
2,233 |
$226K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,077 |
2,077 |
$198K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,504 |
7,972 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,572 |
2,346 |
$112K |
| 99051 |
|
9,681 |
8,200 |
$102K |
| 99490 |
Ccm add 20min |
1,824 |
1,818 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,556 |
4,425 |
$67K |
| 99401 |
|
1,860 |
1,633 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
397 |
394 |
$34K |
| H0049 |
Alcohol and/or drug screening |
5,785 |
5,699 |
$32K |
| 90686 |
|
1,400 |
1,397 |
$30K |
| 90674 |
|
1,132 |
1,129 |
$28K |
| 99442 |
|
976 |
827 |
$27K |
| H0001 |
Alcohol and/or drug assessment |
3,640 |
3,593 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,344 |
6,297 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
8,873 |
8,666 |
$18K |
| 82948 |
|
5,434 |
4,999 |
$17K |
| 90746 |
|
245 |
245 |
$14K |
| S9470 |
Nutritional counseling, dietitian visit |
4,127 |
4,020 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
109 |
$10K |
| 99441 |
|
640 |
535 |
$7K |
| 95923 |
|
61 |
61 |
$7K |
| 90661 |
|
244 |
241 |
$6K |
| 82565 |
|
5,884 |
5,789 |
$5K |
| 99385 |
|
42 |
42 |
$5K |
| 90756 |
|
224 |
224 |
$4K |
| 99000 |
|
8,066 |
7,533 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,108 |
6,919 |
$3K |
| 90656 |
|
222 |
222 |
$3K |
| S9441 |
Asthma education, non-physician provider, per session |
925 |
728 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
85 |
85 |
$3K |
| 92552 |
|
108 |
108 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
88 |
87 |
$3K |
| 90688 |
|
206 |
206 |
$3K |
| 82947 |
|
705 |
629 |
$3K |
| 99408 |
|
2,221 |
2,219 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
102 |
102 |
$2K |
| 3074F |
|
4,059 |
3,738 |
$2K |
| 3078F |
|
3,434 |
3,205 |
$1K |
| 92551 |
|
108 |
108 |
$1K |
| 93000 |
|
79 |
78 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
45 |
$609.75 |
| 99429 |
|
45 |
44 |
$542.50 |
| 99050 |
|
34 |
33 |
$505.92 |
| 3075F |
|
336 |
315 |
$422.50 |
| 99173 |
|
177 |
176 |
$416.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,035 |
6,958 |
$412.02 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
7,864 |
7,195 |
$370.20 |
| 0031A |
|
13 |
13 |
$349.40 |
| 3079F |
|
1,297 |
1,222 |
$302.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$288.26 |
| G9508 |
Documentation that the patient is not on a statin medication |
1,109 |
1,092 |
$110.00 |
| 81005 |
|
7,422 |
7,240 |
$56.16 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,615 |
3,577 |
$50.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,961 |
3,797 |
$44.00 |
| 96127 |
|
1,072 |
1,072 |
$36.03 |
| 4037F |
|
2,125 |
2,112 |
$12.50 |
| 3044F |
|
2,662 |
2,628 |
$0.14 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,849 |
5,509 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,870 |
4,437 |
$0.00 |
| 1160F |
|
10,460 |
9,466 |
$0.00 |
| 4004F |
|
3,395 |
3,384 |
$0.00 |
| 3725F |
|
4,223 |
4,072 |
$0.00 |
| 4013F |
|
2,045 |
1,946 |
$0.00 |
| 2028F |
|
851 |
750 |
$0.00 |
| 3051F |
|
86 |
85 |
$0.00 |
| 3050F |
|
660 |
652 |
$0.00 |
| 1159F |
|
7,506 |
6,917 |
$0.00 |
| 3016F |
|
3,112 |
3,100 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
242 |
227 |
$0.00 |
| 3077F |
|
169 |
165 |
$0.00 |
| 3046F |
|
88 |
86 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
642 |
562 |
$0.00 |
| 1032F |
|
284 |
268 |
$0.00 |
| 99499 |
|
31 |
25 |
$0.00 |
| 3045F |
|
17 |
14 |
$0.00 |
| 1036F |
|
4,059 |
3,906 |
$0.00 |
| 3061F |
|
669 |
661 |
$0.00 |
| 3048F |
|
1,449 |
1,430 |
$0.00 |
| 3049F |
|
823 |
815 |
$0.00 |
| 3008F |
|
6,125 |
5,587 |
$0.00 |
| 4010F |
|
1,184 |
1,131 |
$0.00 |
| 4086F |
|
1,129 |
1,069 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,820 |
2,678 |
$0.00 |
| 2016F |
|
440 |
356 |
$0.00 |
| 4008F |
|
555 |
528 |
$0.00 |
| 3292F |
|
1,265 |
1,261 |
$0.00 |
| 1000F |
|
4,316 |
4,138 |
$0.00 |
| 4015F |
|
439 |
355 |
$0.00 |
| 82270 |
|
224 |
220 |
$0.00 |
| 3080F |
|
45 |
43 |
$0.00 |
| 3017F |
|
57 |
54 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 4293F |
|
33 |
33 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |