| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,737 |
10,224 |
$903K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,139 |
6,256 |
$675K |
| 90686 |
|
1,738 |
1,596 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
164 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
170 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
156 |
$18K |
| 96160 |
|
6,422 |
3,670 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
101 |
91 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
115 |
101 |
$12K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,961 |
4,238 |
$10K |
| 96127 |
|
2,393 |
2,119 |
$10K |
| 99050 |
|
992 |
891 |
$8K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,764 |
4,223 |
$6K |
| 3074F |
|
2,858 |
2,469 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
41 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
482 |
201 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
63 |
$4K |
| 3008F |
|
1,587 |
1,451 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,067 |
3,613 |
$3K |
| 3078F |
|
2,970 |
2,554 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,656 |
1,449 |
$3K |
| 0072A |
|
60 |
56 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
188 |
170 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
156 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
73 |
$2K |
| 0012A |
|
43 |
42 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
41 |
31 |
$1K |
| 0071A |
|
35 |
35 |
$1K |
| 0031A |
|
54 |
39 |
$1K |
| 0011A |
|
33 |
32 |
$1K |
| 99173 |
|
464 |
433 |
$1K |
| 97802 |
|
33 |
33 |
$990.99 |
| 90656 |
|
49 |
48 |
$826.20 |
| 90648 |
|
34 |
33 |
$755.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
46 |
$617.58 |
| 90662 |
|
12 |
12 |
$588.36 |
| 0002A |
|
13 |
13 |
$520.00 |
| 0004A |
|
14 |
14 |
$520.00 |
| 99401 |
|
17 |
15 |
$466.51 |
| 90670 |
|
18 |
17 |
$396.48 |
| 99177 |
|
75 |
69 |
$352.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
517 |
450 |
$333.82 |
| 90677 |
|
12 |
12 |
$279.36 |
| 92587 |
|
12 |
12 |
$246.84 |
| 93000 |
|
13 |
12 |
$210.96 |
| 1036F |
|
514 |
477 |
$203.78 |
| 1031F |
|
920 |
839 |
$174.60 |
| 3077F |
|
165 |
138 |
$171.80 |
| 83655 |
|
13 |
12 |
$130.79 |
| 99174 |
|
50 |
46 |
$116.02 |
| 81002 |
|
29 |
28 |
$77.03 |
| 1159F |
|
298 |
274 |
$63.00 |
| 3080F |
|
116 |
100 |
$47.60 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
564 |
466 |
$43.31 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
889 |
807 |
$42.97 |
| 85018 |
|
16 |
15 |
$32.62 |
| G8482 |
Influenza immunization administered or previously received |
482 |
453 |
$6.00 |
| 1032F |
|
38 |
36 |
$3.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
354 |
335 |
$2.70 |
| 99499 |
|
186 |
142 |
$2.54 |
| 36416 |
|
23 |
16 |
$1.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
156 |
151 |
$0.60 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
156 |
151 |
$0.60 |
| 91301 |
|
67 |
64 |
$0.35 |
| 91307 |
|
38 |
38 |
$0.02 |
| 91300 |
|
40 |
39 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
122 |
$0.00 |
| 99072 |
|
116 |
110 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
161 |
152 |
$0.00 |
| 99000 |
|
69 |
64 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 91303 |
|
56 |
39 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
45 |
34 |
$0.00 |