| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,170 |
12,805 |
$1.16M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,645 |
11,636 |
$719K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,819 |
2,814 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,104 |
2,062 |
$212K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,096 |
1,093 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,243 |
3,180 |
$58K |
| 90674 |
|
2,234 |
2,233 |
$57K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,484 |
3,474 |
$44K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,618 |
3,607 |
$44K |
| 99401 |
|
385 |
375 |
$12K |
| 3074F |
|
6,268 |
5,630 |
$10K |
| 3078F |
|
6,103 |
5,486 |
$9K |
| 1111F |
|
2,079 |
2,075 |
$9K |
| 90686 |
|
374 |
373 |
$7K |
| 90661 |
|
314 |
314 |
$6K |
| 90756 |
|
160 |
160 |
$4K |
| 3079F |
|
2,600 |
2,442 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
546 |
546 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
106 |
$3K |
| 99441 |
|
65 |
63 |
$2K |
| 99406 |
|
192 |
190 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
236 |
235 |
$2K |
| 3075F |
|
1,664 |
1,580 |
$2K |
| 3077F |
|
1,311 |
1,216 |
$1K |
| 3080F |
|
515 |
481 |
$790.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,073 |
3,062 |
$765.75 |
| 93000 |
|
84 |
84 |
$716.31 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
591 |
590 |
$609.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
32 |
32 |
$523.00 |
| 90656 |
|
29 |
29 |
$468.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
92 |
$448.82 |
| G0179 |
Physician or allowed practitioner re-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 |
50 |
50 |
$424.12 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,017 |
3,003 |
$194.13 |
| 1160F |
|
3,750 |
3,724 |
$90.00 |
| 3044F |
|
2,905 |
2,882 |
$60.00 |
| G9276 |
Documentation that patient is a current tobacco user |
453 |
442 |
$2.85 |
| 90677 |
|
12 |
12 |
$0.02 |
| 3008F |
|
6,091 |
5,730 |
$0.00 |
| 1000F |
|
2,268 |
2,243 |
$0.00 |
| 1036F |
|
3,126 |
3,112 |
$0.00 |
| 3048F |
|
889 |
881 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,350 |
1,183 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
233 |
226 |
$0.00 |
| 3049F |
|
634 |
630 |
$0.00 |
| 3011F |
|
855 |
849 |
$0.00 |
| 3352F |
|
609 |
609 |
$0.00 |
| 99429 |
|
953 |
800 |
$0.00 |
| 3017F |
|
227 |
223 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,888 |
1,618 |
$0.00 |
| 3066F |
|
15 |
15 |
$0.00 |
| 4000F |
|
38 |
38 |
$0.00 |
| 3014F |
|
46 |
46 |
$0.00 |
| 1170F |
|
17 |
17 |
$0.00 |
| 1034F |
|
37 |
37 |
$0.00 |
| G9642 |
Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) |
12 |
12 |
$0.00 |
| 1101F |
|
93 |
93 |
$0.00 |
| 3050F |
|
582 |
578 |
$0.00 |
| 3725F |
|
3,668 |
3,654 |
$0.00 |
| 4274F |
|
349 |
349 |
$0.00 |
| 1032F |
|
452 |
441 |
$0.00 |
| 3288F |
|
108 |
108 |
$0.00 |
| 1159F |
|
1,967 |
1,945 |
$0.00 |
| 3511F |
|
379 |
376 |
$0.00 |
| 3016F |
|
593 |
592 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,763 |
1,515 |
$0.00 |
| 3095F |
|
45 |
45 |
$0.00 |
| 90750 |
|
25 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
29 |
29 |
$0.00 |