| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,914 |
20,470 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,749 |
9,999 |
$1.11M |
| 99401 |
|
15,113 |
12,572 |
$251K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,500 |
4,728 |
$236K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,403 |
2,389 |
$208K |
| 99442 |
|
3,055 |
2,982 |
$190K |
| 95923 |
|
1,420 |
1,418 |
$146K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,313 |
1,298 |
$116K |
| 93922 |
|
1,457 |
1,454 |
$111K |
| 90746 |
|
1,653 |
1,646 |
$105K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,794 |
6,537 |
$98K |
| 95921 |
|
1,416 |
1,414 |
$96K |
| 99441 |
|
1,996 |
1,924 |
$72K |
| 99490 |
Ccm add 20min |
1,850 |
1,835 |
$70K |
| 90674 |
|
2,401 |
2,386 |
$62K |
| 99051 |
|
8,656 |
7,648 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,931 |
1,939 |
$39K |
| 93000 |
|
3,260 |
3,245 |
$39K |
| 90686 |
|
1,813 |
1,809 |
$37K |
| 99385 |
|
356 |
355 |
$33K |
| 99397 |
|
477 |
475 |
$32K |
| 0003A |
|
635 |
632 |
$25K |
| 99497 |
|
807 |
801 |
$25K |
| 99386 |
|
223 |
223 |
$24K |
| 94010 |
|
767 |
762 |
$22K |
| H0049 |
Alcohol and/or drug screening |
1,430 |
1,293 |
$20K |
| 91320 |
|
164 |
164 |
$18K |
| 3074F |
|
14,122 |
11,700 |
$17K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,381 |
2,367 |
$13K |
| 0124A |
|
324 |
321 |
$12K |
| 3078F |
|
11,846 |
9,950 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,858 |
7,670 |
$12K |
| H0001 |
Alcohol and/or drug assessment |
415 |
403 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
31 |
28 |
$10K |
| 92100 |
|
170 |
170 |
$9K |
| 90732 |
|
84 |
84 |
$8K |
| 3079F |
|
8,645 |
7,729 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
13,437 |
13,176 |
$7K |
| 0013A |
|
180 |
180 |
$7K |
| 97802 |
|
251 |
214 |
$6K |
| 90480 |
|
164 |
164 |
$6K |
| 90656 |
|
244 |
243 |
$5K |
| 96127 |
|
3,102 |
3,069 |
$5K |
| 0002A |
|
119 |
119 |
$5K |
| 92551 |
|
414 |
409 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
795 |
715 |
$5K |
| 0072A |
|
121 |
121 |
$5K |
| 3075F |
|
5,009 |
4,633 |
$4K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,182 |
4,423 |
$4K |
| 0012A |
|
108 |
108 |
$4K |
| 3080F |
|
3,588 |
3,254 |
$4K |
| 99406 |
|
368 |
333 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
584 |
581 |
$4K |
| 82962 |
|
3,431 |
3,133 |
$4K |
| 94760 |
|
10,842 |
9,218 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
407 |
400 |
$4K |
| 0011A |
|
100 |
100 |
$4K |
| 3077F |
|
4,685 |
4,168 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
359 |
331 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
284 |
273 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
37 |
$3K |
| 0001A |
|
90 |
90 |
$3K |
| 82270 |
|
2,402 |
2,370 |
$3K |
| 0071A |
|
77 |
77 |
$3K |
| 99454 |
|
59 |
59 |
$3K |
| 78268 |
|
87 |
85 |
$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 |
126 |
123 |
$2K |
| G0102 |
Prostate cancer screening; digital rectal examination |
263 |
241 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
220 |
214 |
$2K |
| 3044F |
|
6,624 |
6,019 |
$2K |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
4,373 |
3,882 |
$2K |
| 99408 |
|
122 |
109 |
$2K |
| 0134A |
|
41 |
41 |
$2K |
| 99000 |
|
1,064 |
996 |
$2K |
| 3048F |
|
5,758 |
5,313 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
105 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
24 |
$1K |
| 99457 |
|
35 |
35 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
170 |
159 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
51 |
50 |
$881.13 |
| 3061F |
|
3,224 |
2,995 |
$861.00 |
| 99429 |
|
315 |
252 |
$816.25 |
| 94664 |
|
63 |
55 |
$784.73 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,281 |
4,151 |
$627.71 |
| S9441 |
Asthma education, non-physician provider, per session |
75 |
62 |
$617.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
421 |
386 |
$594.89 |
| 78267 |
|
226 |
226 |
$580.96 |
| 99496 |
|
13 |
13 |
$511.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
96 |
96 |
$505.62 |
| 3049F |
|
1,764 |
1,691 |
$488.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
69 |
67 |
$439.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
624 |
591 |
$380.85 |
| 99421 |
|
34 |
33 |
$309.66 |
| 99173 |
|
653 |
640 |
$301.76 |
| 99453 |
|
30 |
30 |
$283.42 |
| 83014 |
|
46 |
45 |
$283.05 |
| 92250 |
|
19 |
19 |
$237.69 |
| 3050F |
|
1,247 |
1,194 |
$233.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
278 |
269 |
$207.20 |
| 3060F |
|
1,310 |
1,237 |
$184.00 |
| 3051F |
|
879 |
842 |
$100.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,267 |
6,113 |
$94.50 |
| 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) |
186 |
185 |
$92.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,309 |
2,039 |
$83.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
29 |
$72.98 |
| 3046F |
|
290 |
273 |
$60.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
126 |
113 |
$60.00 |
| 3052F |
|
223 |
211 |
$40.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,930 |
2,630 |
$37.00 |
| 1170F |
|
320 |
312 |
$35.00 |
| 1125F |
|
259 |
253 |
$35.00 |
| 87420 |
|
18 |
18 |
$33.39 |
| 1111F |
|
96 |
95 |
$25.00 |
| 3725F |
|
6,603 |
6,385 |
$20.00 |
| 1158F |
|
1,199 |
1,191 |
$20.00 |
| 2023F |
|
890 |
826 |
$20.00 |
| 4010F |
|
6,221 |
5,515 |
$11.16 |
| 91312 |
|
314 |
312 |
$11.00 |
| 3045F |
|
365 |
317 |
$0.33 |
| 2022F |
|
610 |
569 |
$0.23 |
| 3008F |
|
10,654 |
9,118 |
$0.04 |
| 91313 |
|
40 |
40 |
$0.00 |
| 1032F |
|
243 |
231 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,441 |
4,847 |
$0.00 |
| 3016F |
|
4,556 |
4,403 |
$0.00 |
| 4004F |
|
59 |
54 |
$0.00 |
| 3015F |
|
1,263 |
1,156 |
$0.00 |
| 91300 |
|
634 |
614 |
$0.00 |
| 1100F |
|
398 |
393 |
$0.00 |
| 1159F |
|
218 |
213 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
237 |
226 |
$0.00 |
| 3288F |
|
24 |
24 |
$0.00 |
| 1160F |
|
142 |
139 |
$0.00 |
| 99071 |
|
42 |
40 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
4,250 |
4,194 |
$0.00 |
| 1036F |
|
5,729 |
5,634 |
$0.00 |
| 1000F |
|
6,191 |
6,075 |
$0.00 |
| 91301 |
|
299 |
281 |
$0.00 |
| 3011F |
|
660 |
660 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,709 |
5,094 |
$0.00 |
| 3017F |
|
2,966 |
2,700 |
$0.00 |
| 3014F |
|
1,308 |
1,192 |
$0.00 |
| 4000F |
|
174 |
168 |
$0.00 |
| 1101F |
|
393 |
389 |
$0.00 |
| 1157F |
|
47 |
45 |
$0.00 |
| 3754F |
|
218 |
218 |
$0.00 |
| 91307 |
|
196 |
179 |
$0.00 |