| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,710 |
7,289 |
$647K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,814 |
8,049 |
$524K |
| 99499 |
|
406 |
366 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
240 |
240 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
161 |
$15K |
| 90674 |
|
502 |
502 |
$13K |
| 96127 |
|
3,894 |
3,808 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
496 |
491 |
$8K |
| 81002 |
|
3,037 |
2,980 |
$8K |
| 93000 |
|
786 |
778 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
798 |
787 |
$7K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
714 |
710 |
$5K |
| 99406 |
|
279 |
272 |
$2K |
| 90632 |
|
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$995.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$992.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
32 |
$991.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$495.72 |
| 90686 |
|
37 |
36 |
$316.48 |
| 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) |
78 |
72 |
$146.91 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$116.20 |
| 82948 |
|
151 |
150 |
$85.39 |
| 98966 |
|
333 |
320 |
$16.10 |
| 3074F |
|
8,256 |
7,447 |
$2.38 |
| 3078F |
|
7,551 |
6,840 |
$1.97 |
| 3079F |
|
2,841 |
2,717 |
$1.04 |
| 1034F |
|
2,357 |
2,104 |
$0.65 |
| 3075F |
|
1,739 |
1,665 |
$0.42 |
| 1159F |
|
8,998 |
8,124 |
$0.20 |
| 1160F |
|
8,767 |
7,934 |
$0.20 |
| 3077F |
|
660 |
615 |
$0.17 |
| 4037F |
|
527 |
523 |
$0.11 |
| 3080F |
|
306 |
292 |
$0.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
899 |
858 |
$0.04 |
| 4000F |
|
53 |
49 |
$0.02 |
| 4013F |
|
44 |
44 |
$0.02 |
| G9007 |
Coordinated care fee, scheduled team conference |
594 |
544 |
$0.01 |
| G9002 |
Coordinated care fee, maintenance rate |
618 |
564 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,225 |
1,213 |
$0.00 |
| 1036F |
|
8,770 |
7,824 |
$0.00 |
| 4010F |
|
49 |
46 |
$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) |
284 |
280 |
$0.00 |
| 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) |
15 |
15 |
$0.00 |
| 4008F |
|
19 |
19 |
$0.00 |
| 98967 |
|
32 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,089 |
1,970 |
$0.00 |
| 3725F |
|
3,801 |
3,674 |
$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) |
44 |
44 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
994 |
963 |
$0.00 |
| 1033F |
|
30 |
28 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
31 |
28 |
$0.00 |
| 4035F |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$0.00 |