| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,734 |
3,465 |
$324K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,649 |
3,246 |
$212K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
273 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
533 |
240 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
159 |
151 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
141 |
135 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$5K |
| 99215 |
Prolong outpt/office vis |
35 |
35 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
918 |
893 |
$2K |
| 90674 |
|
75 |
75 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
97 |
$691.25 |
| 93000 |
|
51 |
51 |
$444.43 |
| 90686 |
|
14 |
14 |
$251.19 |
| 97803 |
|
79 |
78 |
$180.00 |
| 99058 |
|
31 |
30 |
$110.00 |
| 81003 |
|
56 |
54 |
$84.31 |
| 99406 |
|
12 |
12 |
$50.59 |
| 81000 |
|
15 |
15 |
$36.51 |
| 99051 |
|
12 |
12 |
$35.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
427 |
405 |
$25.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
804 |
795 |
$20.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
375 |
360 |
$17.00 |
| 3078F |
|
1,898 |
1,807 |
$3.51 |
| 3074F |
|
1,810 |
1,714 |
$3.20 |
| 3075F |
|
341 |
330 |
$0.64 |
| 3079F |
|
457 |
446 |
$0.60 |
| 2000F |
|
738 |
673 |
$0.33 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
975 |
844 |
$0.07 |
| 3077F |
|
27 |
27 |
$0.02 |
| 3008F |
|
2,392 |
2,259 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
464 |
427 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
161 |
145 |
$0.00 |
| 1036F |
|
372 |
332 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$0.00 |
| 99000 |
|
69 |
64 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
378 |
342 |
$0.00 |
| 4004F |
|
131 |
118 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
154 |
140 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
202 |
188 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
13 |
13 |
$0.00 |
| 99401 |
|
33 |
30 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |