| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,783 |
25,099 |
$1.78M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,409 |
2,365 |
$230K |
| 99215 |
Prolong outpt/office vis |
3,325 |
2,657 |
$191K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,522 |
5,799 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,650 |
2,355 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
918 |
863 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,305 |
3,112 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
614 |
600 |
$55K |
| 99457 |
|
2,717 |
2,704 |
$49K |
| 99454 |
|
2,511 |
2,463 |
$46K |
| 99397 |
|
1,056 |
917 |
$45K |
| 99497 |
|
1,410 |
1,242 |
$43K |
| 99337 |
|
754 |
570 |
$28K |
| 69210 |
|
879 |
760 |
$22K |
| 90686 |
|
1,243 |
1,127 |
$20K |
| 99350 |
Prolong home eval add 15m |
351 |
323 |
$15K |
| 93922 |
|
357 |
334 |
$13K |
| 99458 |
|
1,002 |
870 |
$12K |
| 90662 |
|
1,064 |
925 |
$12K |
| 93000 |
|
964 |
910 |
$11K |
| 90715 |
|
396 |
366 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,224 |
1,518 |
$10K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
3,123 |
1,679 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,011 |
2,867 |
$7K |
| 90682 |
|
238 |
197 |
$7K |
| 90746 |
|
128 |
124 |
$6K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,567 |
2,666 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163 |
159 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,365 |
1,027 |
$4K |
| 99490 |
Ccm add 20min |
806 |
796 |
$4K |
| 99386 |
|
27 |
26 |
$3K |
| 90688 |
|
223 |
213 |
$3K |
| 90651 |
|
51 |
50 |
$2K |
| 20611 |
|
80 |
61 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
131 |
$2K |
| 76882 |
|
150 |
107 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
647 |
526 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,337 |
1,019 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
963 |
774 |
$1K |
| 0013A |
|
30 |
28 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
253 |
242 |
$1K |
| 99453 |
|
142 |
137 |
$1K |
| 76942 |
|
83 |
56 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
21 |
$1K |
| 81025 |
|
149 |
139 |
$953.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$822.75 |
| 81002 |
|
259 |
236 |
$680.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
43 |
$556.00 |
| 90656 |
|
14 |
14 |
$431.18 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$393.96 |
| 99349 |
|
14 |
13 |
$345.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
179 |
121 |
$266.65 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$255.04 |
| 90734 |
|
12 |
12 |
$114.80 |
| G0008 |
Administration of influenza virus vaccine |
729 |
600 |
$110.54 |
| G0009 |
Administration of pneumococcal vaccine |
21 |
13 |
$31.36 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,217 |
890 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,754 |
1,345 |
$0.01 |
| 3016F |
|
1,852 |
1,406 |
$0.00 |
| 1159F |
|
7,572 |
5,770 |
$0.00 |
| 1158F |
|
299 |
225 |
$0.00 |
| 2028F |
|
244 |
193 |
$0.00 |
| 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) |
357 |
232 |
$0.00 |
| 1160F |
|
7,435 |
5,693 |
$0.00 |
| 3078F |
|
5,141 |
3,923 |
$0.00 |
| 4035F |
|
461 |
329 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,209 |
889 |
$0.00 |
| 3725F |
|
2,030 |
1,553 |
$0.00 |
| 4013F |
|
772 |
557 |
$0.00 |
| 3045F |
|
46 |
41 |
$0.00 |
| 4274F |
|
92 |
79 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 3288F |
|
27 |
16 |
$0.00 |
| 4040F |
|
16 |
12 |
$0.00 |
| 3077F |
|
27 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
14 |
$0.00 |
| 1170F |
|
80 |
57 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
402 |
268 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
557 |
387 |
$0.00 |
| 4450F |
|
591 |
447 |
$0.00 |
| 3074F |
|
4,986 |
3,794 |
$0.00 |
| 4037F |
|
1,413 |
1,066 |
$0.00 |
| 4010F |
|
603 |
444 |
$0.00 |
| 3017F |
|
1,072 |
819 |
$0.00 |
| 1126F |
|
36 |
25 |
$0.00 |
| 1036F |
|
1,870 |
1,423 |
$0.00 |
| 4210F |
|
342 |
259 |
$0.00 |
| 3044F |
|
2,498 |
1,855 |
$0.00 |
| 3008F |
|
1,301 |
964 |
$0.00 |
| 3014F |
|
1,143 |
884 |
$0.00 |
| 1157F |
|
297 |
216 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
140 |
102 |
$0.00 |
| 1123F |
|
302 |
223 |
$0.00 |
| 1034F |
|
16 |
13 |
$0.00 |
| 4188F |
|
347 |
260 |
$0.00 |
| 3048F |
|
207 |
130 |
$0.00 |
| 4086F |
|
24 |
15 |
$0.00 |