| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,136 |
54,411 |
$1.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,681 |
19,565 |
$766K |
| 99497 |
|
8,736 |
8,649 |
$298K |
| 99490 |
Ccm add 20min |
17,273 |
17,258 |
$240K |
| 93000 |
|
11,485 |
11,404 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,289 |
3,668 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,247 |
3,217 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,885 |
5,077 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
842 |
840 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
472 |
471 |
$19K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,571 |
2,550 |
$18K |
| 99350 |
Prolong home eval add 15m |
303 |
302 |
$17K |
| 90756 |
|
3,211 |
3,210 |
$10K |
| 99442 |
|
545 |
513 |
$9K |
| 0012A |
|
193 |
193 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
674 |
672 |
$7K |
| 0011A |
|
173 |
173 |
$7K |
| 0001A |
|
153 |
153 |
$6K |
| 0002A |
|
142 |
142 |
$6K |
| 0004A |
|
126 |
126 |
$5K |
| 99397 |
|
1,011 |
1,010 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
291 |
290 |
$5K |
| 94010 |
|
427 |
422 |
$4K |
| 3078F |
|
12,677 |
10,946 |
$4K |
| 99491 |
Ccm add 20min |
106 |
105 |
$3K |
| 3074F |
|
8,174 |
7,147 |
$3K |
| 96127 |
|
1,407 |
1,401 |
$3K |
| 3077F |
|
5,282 |
4,802 |
$2K |
| 99406 |
|
389 |
380 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
1,140 |
1,137 |
$2K |
| 3079F |
|
3,669 |
3,403 |
$2K |
| 99443 |
|
90 |
82 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,434 |
3,341 |
$2K |
| 99349 |
|
55 |
54 |
$2K |
| 82274 |
|
150 |
150 |
$1K |
| 99441 |
|
156 |
150 |
$1K |
| 90715 |
|
90 |
90 |
$1K |
| 1160F |
|
18,987 |
16,970 |
$1K |
| 96401 |
|
129 |
124 |
$1K |
| 3075F |
|
3,896 |
3,675 |
$1K |
| 3080F |
|
1,249 |
1,144 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,452 |
4,364 |
$1K |
| 20610 |
|
102 |
63 |
$985.69 |
| 99496 |
|
28 |
26 |
$784.93 |
| 1159F |
|
21,044 |
18,696 |
$746.73 |
| 96160 |
|
707 |
707 |
$675.21 |
| 99051 |
|
1,699 |
1,583 |
$563.90 |
| 90674 |
|
80 |
80 |
$544.44 |
| 0031A |
|
12 |
12 |
$504.47 |
| 90750 |
|
489 |
488 |
$498.82 |
| 90732 |
|
49 |
49 |
$431.00 |
| 90670 |
|
54 |
54 |
$400.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
45 |
$386.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,062 |
1,059 |
$295.12 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
27 |
13 |
$292.53 |
| 99439 |
|
31 |
31 |
$232.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$130.89 |
| 99401 |
|
46 |
43 |
$124.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,845 |
1,837 |
$123.60 |
| G0008 |
Administration of influenza virus vaccine |
2,234 |
2,232 |
$100.31 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
348 |
254 |
$80.97 |
| 99000 |
|
4,422 |
4,319 |
$76.97 |
| 90658 |
|
158 |
157 |
$65.58 |
| G0009 |
Administration of pneumococcal vaccine |
191 |
191 |
$57.52 |
| 99050 |
|
38 |
37 |
$46.07 |
| 1170F |
|
848 |
837 |
$28.58 |
| 1125F |
|
556 |
553 |
$25.88 |
| 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) |
455 |
453 |
$16.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$7.82 |
| 99408 |
|
61 |
61 |
$7.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,026 |
988 |
$4.50 |
| 1158F |
|
587 |
579 |
$3.58 |
| 1157F |
|
328 |
324 |
$1.79 |
| 3288F |
|
375 |
370 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
6,849 |
6,070 |
$0.00 |
| 1032F |
|
75 |
75 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
414 |
393 |
$0.00 |
| 3725F |
|
1,840 |
1,828 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
895 |
787 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,241 |
1,238 |
$0.00 |
| 3016F |
|
1,202 |
1,199 |
$0.00 |
| 0521F |
|
391 |
391 |
$0.00 |
| 1100F |
|
97 |
96 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
74 |
74 |
$0.00 |
| 4005F |
|
54 |
53 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
29 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,287 |
8,742 |
$0.00 |
| 1000F |
|
1,654 |
1,644 |
$0.00 |
| 4037F |
|
154 |
154 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
8,401 |
7,432 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,487 |
1,481 |
$0.00 |
| 1036F |
|
1,416 |
1,410 |
$0.00 |
| 3008F |
|
21,307 |
17,847 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
390 |
363 |
$0.00 |
| 99429 |
|
432 |
367 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
811 |
739 |
$0.00 |
| 4010F |
|
64 |
64 |
$0.00 |
| 2000F |
|
1,925 |
1,611 |
$0.00 |
| 3061F |
|
27 |
27 |
$0.00 |
| 1101F |
|
309 |
307 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
72 |
68 |
$0.00 |
| 2023F |
|
17 |
16 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| 91301 |
|
258 |
251 |
$0.00 |
| 3011F |
|
12 |
12 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
20 |
20 |
$0.00 |