| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,844 |
8,032 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,751 |
1,653 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
528 |
513 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
619 |
591 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,037 |
5,821 |
$4K |
| 99201 |
|
628 |
576 |
$4K |
| 1111F |
|
1,219 |
1,071 |
$2K |
| 90658 |
|
107 |
107 |
$2K |
| 90686 |
|
108 |
108 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,795 |
584 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
432 |
427 |
$1K |
| 99000 |
|
1,094 |
1,054 |
$808.78 |
| 97802 |
|
376 |
338 |
$580.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
247 |
235 |
$568.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
641 |
597 |
$500.10 |
| 82962 |
|
1,450 |
1,236 |
$394.76 |
| 90715 |
|
13 |
13 |
$275.55 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
524 |
457 |
$189.26 |
| 3074F |
|
246 |
225 |
$184.97 |
| 3078F |
|
259 |
237 |
$173.42 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
508 |
449 |
$164.33 |
| 99406 |
|
817 |
706 |
$138.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
520 |
476 |
$130.78 |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
90 |
$126.80 |
| 1034F |
|
790 |
681 |
$110.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
569 |
511 |
$96.06 |
| 1036F |
|
642 |
583 |
$95.83 |
| 3008F |
|
1,215 |
1,010 |
$95.33 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
390 |
350 |
$76.18 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$56.63 |
| 0011A |
|
155 |
155 |
$50.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
628 |
572 |
$47.17 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
122 |
117 |
$42.10 |
| 11000 |
|
43 |
29 |
$38.34 |
| J0400 |
Injection, aripiprazole, intramuscular, 0.25 mg |
80 |
78 |
$35.61 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
42 |
39 |
$33.89 |
| 97803 |
|
237 |
152 |
$26.11 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
218 |
192 |
$26.00 |
| 3725F |
|
1,039 |
951 |
$24.00 |
| 4004F |
|
816 |
704 |
$22.70 |
| 3075F |
|
84 |
83 |
$22.70 |
| 96127 |
|
470 |
423 |
$19.04 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
86 |
85 |
$8.08 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
43 |
$5.09 |
| 3046F |
|
175 |
175 |
$3.63 |
| 0002A |
|
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
87 |
83 |
$0.00 |
| 3077F |
|
168 |
159 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
33 |
32 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
42 |
28 |
$0.00 |
| 82274 |
|
31 |
30 |
$0.00 |
| 1159F |
|
15 |
14 |
$0.00 |
| 83037 |
|
107 |
107 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
47 |
45 |
$0.00 |
| 4013F |
|
15 |
13 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
17 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
18 |
$0.00 |
| 3079F |
|
203 |
190 |
$0.00 |
| 0012A |
|
72 |
72 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
79 |
74 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
224 |
212 |
$0.00 |
| 3014F |
|
94 |
83 |
$0.00 |
| 3017F |
|
139 |
135 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
131 |
119 |
$0.00 |
| 81000 |
|
13 |
12 |
$0.00 |
| 4010F |
|
14 |
12 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3080F |
|
46 |
43 |
$0.00 |
| 85018 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
56 |
56 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
109 |
54 |
$0.00 |