| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,176 |
49,870 |
$120K |
| 90682 |
|
813 |
812 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,749 |
7,743 |
$40K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
8,757 |
8,746 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,305 |
4,273 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,001 |
1,984 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,417 |
5,412 |
$26K |
| 90686 |
|
3,190 |
3,188 |
$26K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,306 |
19,555 |
$17K |
| 99406 |
|
1,961 |
1,848 |
$13K |
| 99442 |
|
904 |
864 |
$12K |
| 3074F |
|
11,622 |
10,512 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
444 |
441 |
$9K |
| 99401 |
|
8,931 |
8,877 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
993 |
992 |
$8K |
| 3078F |
|
10,638 |
9,684 |
$8K |
| 0012A |
|
206 |
206 |
$7K |
| 0011A |
|
205 |
204 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,255 |
1,254 |
$6K |
| 99385 |
|
623 |
623 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,710 |
4,350 |
$6K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
362 |
361 |
$5K |
| 3079F |
|
6,341 |
5,867 |
$5K |
| 93000 |
|
314 |
312 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
711 |
711 |
$4K |
| 0064A |
|
98 |
98 |
$3K |
| 99441 |
|
1,137 |
1,063 |
$3K |
| 99397 |
|
471 |
471 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
30,545 |
30,008 |
$3K |
| 3075F |
|
4,847 |
4,520 |
$3K |
| 3077F |
|
1,215 |
1,121 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
14,025 |
13,401 |
$2K |
| 3080F |
|
844 |
783 |
$2K |
| 90662 |
|
172 |
172 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
797 |
773 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$865.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
942 |
936 |
$771.48 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,138 |
2,131 |
$668.30 |
| 90685 |
|
45 |
44 |
$655.23 |
| 1159F |
|
4,201 |
4,002 |
$535.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$533.46 |
| 1160F |
|
4,502 |
4,303 |
$530.00 |
| 97802 |
|
2,897 |
2,885 |
$499.49 |
| 92551 |
|
356 |
356 |
$424.26 |
| 1126F |
|
16,721 |
15,282 |
$350.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
6,897 |
6,325 |
$326.00 |
| 94760 |
|
35,357 |
32,220 |
$290.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$290.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$244.81 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,165 |
1,099 |
$240.11 |
| 82962 |
|
4,452 |
4,066 |
$224.54 |
| 92082 |
|
1,225 |
1,225 |
$203.72 |
| S9451 |
Exercise classes, non-physician provider, per session |
9,780 |
9,200 |
$173.00 |
| 92552 |
|
1,287 |
1,285 |
$164.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$160.79 |
| G9150 |
National committee for quality assurance - level 3 medical home |
1,335 |
1,291 |
$157.50 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$153.18 |
| 99386 |
|
28 |
28 |
$151.46 |
| 91306 |
|
36 |
36 |
$140.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
128 |
128 |
$130.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$126.44 |
| 1125F |
|
879 |
851 |
$105.00 |
| 87270 |
|
466 |
452 |
$95.99 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$86.41 |
| 91307 |
|
14 |
13 |
$84.02 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
22,933 |
22,267 |
$62.00 |
| 90461 |
|
65 |
64 |
$54.48 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
25,958 |
23,257 |
$50.00 |
| 1170F |
|
415 |
415 |
$50.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
25,577 |
22,918 |
$40.00 |
| 93270 |
|
16 |
16 |
$32.38 |
| 82270 |
|
158 |
150 |
$30.60 |
| G9276 |
Documentation that patient is a current tobacco user |
1,718 |
1,619 |
$25.00 |
| 3044F |
|
947 |
858 |
$20.00 |
| 1000F |
|
16,037 |
15,629 |
$5.00 |
| 3016F |
|
16,075 |
15,618 |
$5.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,525 |
7,510 |
$5.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
11,533 |
10,322 |
$3.00 |
| 4293F |
|
4,924 |
4,917 |
$2.25 |
| G9275 |
Documentation that patient is a current non-tobacco user |
11,830 |
11,764 |
$2.00 |
| 2010F |
|
4,886 |
4,878 |
$1.25 |
| 3008F |
|
39,835 |
35,445 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
670 |
643 |
$0.00 |
| 1036F |
|
14,133 |
13,849 |
$0.00 |
| 0509F |
|
147 |
147 |
$0.00 |
| 3048F |
|
2,601 |
2,387 |
$0.00 |
| 3061F |
|
1,533 |
1,401 |
$0.00 |
| 3049F |
|
1,444 |
1,333 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
219 |
216 |
$0.00 |
| 1034F |
|
1,295 |
1,220 |
$0.00 |
| 3017F |
|
1,890 |
1,862 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 3014F |
|
1,907 |
1,852 |
$0.00 |
| 91301 |
|
480 |
466 |
$0.00 |
| 99000 |
|
463 |
444 |
$0.00 |
| 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) |
75 |
75 |
$0.00 |
| 90619 |
|
40 |
40 |
$0.00 |
| 1101F |
|
126 |
126 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 3060F |
|
15 |
15 |
$0.00 |
| 99173 |
|
669 |
668 |
$0.00 |
| 3725F |
|
12,627 |
12,152 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
37,113 |
32,784 |
$0.00 |
| 3050F |
|
1,589 |
1,459 |
$0.00 |
| 3015F |
|
1,652 |
1,640 |
$0.00 |
| 4004F |
|
1,180 |
1,114 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
853 |
838 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
917 |
917 |
$0.00 |
| 2028F |
|
579 |
579 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
1,099 |
1,097 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
387 |
386 |
$0.00 |
| 0518F |
|
147 |
147 |
$0.00 |
| 1158F |
|
398 |
398 |
$0.00 |
| 3288F |
|
270 |
270 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
370 |
354 |
$0.00 |
| 1090F |
|
423 |
423 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
403 |
375 |
$0.00 |
| 1494F |
|
269 |
269 |
$0.00 |
| 90734 |
|
35 |
35 |
$0.00 |
| 0556F |
|
316 |
316 |
$0.00 |
| 3046F |
|
89 |
75 |
$0.00 |
| 3051F |
|
15 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |