| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,846 |
33,050 |
$1.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,126 |
21,864 |
$1.56M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,368 |
4,179 |
$387K |
| 99442 |
|
3,238 |
2,888 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
989 |
925 |
$33K |
| 90686 |
|
3,126 |
2,933 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
710 |
514 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
175 |
155 |
$16K |
| 99443 |
|
224 |
172 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,791 |
1,669 |
$8K |
| 98968 |
|
71 |
43 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
422 |
401 |
$2K |
| 96127 |
|
125 |
118 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
67 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 98967 |
|
30 |
19 |
$2K |
| 90756 |
|
75 |
62 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90674 |
|
82 |
79 |
$997.92 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$953.44 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
44 |
$731.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
37 |
$692.40 |
| 90656 |
|
59 |
59 |
$491.70 |
| 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) |
60 |
53 |
$251.32 |
| 92552 |
|
17 |
17 |
$217.26 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
12 |
$117.75 |
| 99441 |
|
112 |
91 |
$115.92 |
| 99173 |
|
12 |
12 |
$91.20 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16,300 |
15,329 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,315 |
1,249 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,683 |
5,372 |
$0.00 |
| 3017F |
|
3,704 |
3,453 |
$0.00 |
| 3014F |
|
599 |
564 |
$0.00 |
| 1036F |
|
1,754 |
1,607 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
320 |
309 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
29 |
28 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
25 |
24 |
$0.00 |
| 3061F |
|
16 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14,718 |
13,974 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,465 |
3,303 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
376 |
361 |
$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) |
162 |
151 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
161 |
149 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |