| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,038 |
41,512 |
$1.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,901 |
11,899 |
$766K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,922 |
2,648 |
$163K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,095 |
1,926 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,961 |
3,489 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,748 |
1,642 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,587 |
1,502 |
$74K |
| 99385 |
|
914 |
839 |
$54K |
| 99406 |
|
6,475 |
5,854 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
574 |
553 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
907 |
850 |
$38K |
| 99401 |
|
1,941 |
1,699 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,210 |
1,110 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
777 |
724 |
$31K |
| 99386 |
|
403 |
372 |
$27K |
| 82947 |
|
10,285 |
8,958 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
913 |
844 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,158 |
1,947 |
$16K |
| 81003 |
|
9,354 |
8,382 |
$15K |
| 93000 |
|
1,049 |
935 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
284 |
$13K |
| 85004 |
|
2,347 |
2,134 |
$12K |
| 82565 |
|
2,761 |
2,527 |
$11K |
| 99384 |
|
264 |
245 |
$11K |
| 84132 |
|
2,882 |
2,627 |
$10K |
| 80305 |
|
1,376 |
1,259 |
$9K |
| 81025 |
|
1,516 |
1,371 |
$9K |
| 84520 |
|
2,799 |
2,562 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
605 |
571 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,337 |
1,164 |
$6K |
| 84460 |
|
832 |
761 |
$3K |
| 84450 |
|
842 |
776 |
$3K |
| 0001A |
|
40 |
40 |
$3K |
| 99383 |
|
60 |
57 |
$3K |
| 84295 |
|
734 |
685 |
$3K |
| 87428 |
|
87 |
74 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,517 |
1,357 |
$2K |
| 99422 |
|
187 |
158 |
$2K |
| 99397 |
|
31 |
28 |
$2K |
| 82044 |
|
506 |
459 |
$2K |
| 85018 |
|
562 |
525 |
$1K |
| 0011A |
|
15 |
15 |
$1K |
| 82465 |
|
305 |
281 |
$1K |
| 99382 |
|
14 |
14 |
$853.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
53 |
$762.86 |
| 90686 |
|
143 |
111 |
$362.44 |
| 90619 |
|
38 |
26 |
$360.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
18 |
$282.64 |
| 92250 |
|
24 |
18 |
$275.12 |
| 90633 |
|
879 |
810 |
$249.00 |
| 90710 |
|
587 |
536 |
$223.75 |
| 90651 |
|
410 |
373 |
$220.00 |
| 90734 |
|
846 |
777 |
$213.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$178.37 |
| 81002 |
|
59 |
55 |
$142.21 |
| 84439 |
|
17 |
17 |
$141.94 |
| 90715 |
|
468 |
443 |
$122.75 |
| 90670 |
|
391 |
367 |
$105.50 |
| 90744 |
|
182 |
167 |
$98.25 |
| 90746 |
|
13 |
12 |
$70.41 |
| 97802 |
|
14 |
13 |
$43.22 |
| 90698 |
|
100 |
96 |
$32.75 |
| G0180 |
Physician or allowed practitioner 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 |
14 |
13 |
$20.94 |
| 90696 |
|
34 |
28 |
$20.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
962 |
756 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,096 |
859 |
$0.00 |
| 4040F |
|
457 |
360 |
$0.00 |
| 1159F |
|
380 |
185 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
79 |
71 |
$0.00 |
| 3046F |
|
143 |
114 |
$0.00 |
| 4004F |
|
485 |
409 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
618 |
535 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,327 |
1,071 |
$0.00 |
| 1160F |
|
155 |
85 |
$0.00 |
| 3078F |
|
162 |
77 |
$0.00 |
| 3077F |
|
494 |
238 |
$0.00 |
| 90707 |
|
43 |
42 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
33 |
30 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 91300 |
|
41 |
40 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
15 |
13 |
$0.00 |
| 1123F |
|
717 |
430 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
317 |
263 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
587 |
462 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
754 |
644 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
47 |
40 |
$0.00 |
| 90620 |
|
59 |
52 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
150 |
121 |
$0.00 |
| 3017F |
|
1,382 |
1,083 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,107 |
854 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
301 |
249 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |
| 1036F |
|
1,333 |
1,028 |
$0.00 |
| 90677 |
|
30 |
26 |
$0.00 |
| 3079F |
|
48 |
24 |
$0.00 |
| 3080F |
|
303 |
154 |
$0.00 |
| 90634 |
|
30 |
29 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
12 |
12 |
$0.00 |
| 3074F |
|
80 |
42 |
$0.00 |
| 90723 |
|
19 |
19 |
$0.00 |
| 1038F |
|
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |
| 1034F |
|
110 |
98 |
$0.00 |
| 91301 |
|
40 |
39 |
$0.00 |
| 90716 |
|
40 |
39 |
$0.00 |