| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,090 |
15,109 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,717 |
9,694 |
$845K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22,039 |
17,205 |
$109K |
| 3074F |
|
18,509 |
13,910 |
$71K |
| 3078F |
|
13,701 |
10,232 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
225 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,036 |
872 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
175 |
$23K |
| 3079F |
|
5,956 |
4,559 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
929 |
707 |
$15K |
| 90686 |
|
1,088 |
836 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
82 |
$12K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,700 |
1,419 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
81 |
$12K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12,299 |
9,983 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
129 |
$10K |
| 3044F |
|
2,555 |
1,992 |
$9K |
| 99215 |
Prolong outpt/office vis |
65 |
39 |
$7K |
| 90677 |
|
72 |
72 |
$5K |
| 99442 |
|
134 |
114 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
473 |
354 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
24 |
$4K |
| 3075F |
|
1,445 |
1,106 |
$3K |
| 99495 |
|
29 |
25 |
$3K |
| 90750 |
|
12 |
12 |
$2K |
| 90648 |
|
66 |
64 |
$2K |
| 90723 |
|
63 |
62 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
37 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
532 |
464 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
98 |
78 |
$1K |
| 3077F |
|
498 |
407 |
$1K |
| 99381 |
|
18 |
13 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
408 |
345 |
$829.82 |
| 90715 |
|
22 |
12 |
$731.49 |
| 99443 |
|
13 |
12 |
$643.19 |
| 3080F |
|
214 |
181 |
$380.00 |
| 3051F |
|
111 |
95 |
$329.75 |
| 90713 |
|
13 |
13 |
$321.02 |
| 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) |
45 |
45 |
$168.33 |
| 3052F |
|
22 |
14 |
$83.40 |
| 3046F |
|
19 |
13 |
$58.61 |
| 90694 |
|
60 |
53 |
$30.50 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,490 |
1,310 |
$28.86 |
| 90656 |
|
13 |
12 |
$19.89 |
| 90662 |
|
80 |
58 |
$10.37 |
| 1101F |
|
3,243 |
2,790 |
$0.00 |
| 1111F |
|
17 |
13 |
$0.00 |
| 3288F |
|
3,764 |
3,191 |
$0.00 |
| 90461 |
|
132 |
129 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
184 |
175 |
$0.00 |