| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,256 |
13,899 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,546 |
2,543 |
$43K |
| 90686 |
|
2,403 |
2,400 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,289 |
2,287 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,564 |
1,418 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,222 |
3,988 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,562 |
2,475 |
$19K |
| 99401 |
|
5,233 |
5,159 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,682 |
3,576 |
$10K |
| 90746 |
|
140 |
140 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,989 |
6,386 |
$6K |
| 93000 |
|
1,182 |
1,170 |
$5K |
| 90715 |
|
178 |
178 |
$4K |
| 99441 |
|
432 |
354 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,157 |
8,611 |
$3K |
| 86769 |
|
270 |
269 |
$3K |
| 3078F |
|
4,580 |
4,310 |
$3K |
| 3074F |
|
4,216 |
3,995 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
10,617 |
10,220 |
$2K |
| 99442 |
|
174 |
158 |
$2K |
| 81002 |
|
6,513 |
6,409 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
7,157 |
7,115 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
145 |
144 |
$791.63 |
| 99397 |
|
24 |
24 |
$739.10 |
| 0013A |
|
12 |
12 |
$494.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,654 |
4,641 |
$488.00 |
| 99443 |
|
50 |
47 |
$423.82 |
| 81025 |
|
446 |
414 |
$331.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,936 |
1,931 |
$328.84 |
| 1126F |
|
1,316 |
1,315 |
$305.00 |
| 90658 |
|
36 |
36 |
$299.19 |
| A4930 |
Gloves, sterile, per pair |
3,496 |
3,329 |
$256.02 |
| 1159F |
|
2,390 |
2,366 |
$225.00 |
| 3079F |
|
240 |
225 |
$187.54 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
6,021 |
5,993 |
$187.53 |
| 99385 |
|
31 |
31 |
$173.74 |
| 80061 |
Lipid panel |
1,832 |
1,708 |
$134.60 |
| 1160F |
|
1,822 |
1,819 |
$115.00 |
| 3075F |
|
369 |
359 |
$110.02 |
| 1170F |
|
412 |
412 |
$98.00 |
| 3077F |
|
86 |
78 |
$90.00 |
| 82962 |
|
1,350 |
1,347 |
$72.99 |
| 90662 |
|
12 |
12 |
$61.82 |
| 87110 |
|
866 |
864 |
$52.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
165 |
$39.74 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
1,026 |
1,016 |
$36.03 |
| 96127 |
|
7,475 |
6,890 |
$23.86 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
46 |
42 |
$20.56 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
139 |
139 |
$20.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
379 |
355 |
$10.00 |
| 99000 |
|
3,326 |
3,195 |
$8.02 |
| G0010 |
Administration of hepatitis b vaccine |
91 |
91 |
$5.00 |
| G8432 |
Depression screening not documented, reason not given |
1,417 |
1,417 |
$3.50 |
| 82270 |
|
342 |
330 |
$3.45 |
| 97802 |
|
1,376 |
1,358 |
$0.70 |
| 3008F |
|
11,829 |
10,317 |
$0.69 |
| 3044F |
|
1,712 |
1,631 |
$0.02 |
| 3049F |
|
14 |
14 |
$0.01 |
| 3725F |
|
5,433 |
5,184 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
892 |
889 |
$0.00 |
| 3016F |
|
3,342 |
3,330 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
127 |
127 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,616 |
4,220 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
1,237 |
1,206 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,003 |
2,746 |
$0.00 |
| 1033F |
|
362 |
361 |
$0.00 |
| 99499 |
|
167 |
131 |
$0.00 |
| 1158F |
|
124 |
124 |
$0.00 |
| 3015F |
|
252 |
236 |
$0.00 |
| 0521F |
|
26 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,165 |
4,740 |
$0.00 |
| 2010F |
|
6,393 |
5,944 |
$0.00 |
| 1036F |
|
3,485 |
3,454 |
$0.00 |
| 1220F |
|
4,193 |
3,964 |
$0.00 |
| 3048F |
|
169 |
165 |
$0.00 |
| 3011F |
|
621 |
606 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,658 |
4,259 |
$0.00 |
| 3351F |
|
2,785 |
2,655 |
$0.00 |
| 3754F |
|
1,390 |
1,318 |
$0.00 |
| 3017F |
|
133 |
127 |
$0.00 |
| 1000F |
|
3,355 |
3,341 |
$0.00 |
| 4037F |
|
721 |
720 |
$0.00 |
| 1030F |
|
101 |
101 |
$0.00 |
| 3060F |
|
38 |
34 |
$0.00 |
| 1157F |
|
31 |
31 |
$0.00 |
| 3014F |
|
170 |
166 |
$0.00 |
| 3061F |
|
17 |
16 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
170 |
153 |
$0.00 |
| 1123F |
|
22 |
22 |
$0.00 |
| 1125F |
|
42 |
42 |
$0.00 |
| 0513F |
|
13 |
13 |
$0.00 |