| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,924 |
11,389 |
$804K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,409 |
2,255 |
$107K |
| 99215 |
Prolong outpt/office vis |
671 |
632 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
187 |
185 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
128 |
$13K |
| 93000 |
|
978 |
972 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,822 |
3,608 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
128 |
$12K |
| 99051 |
|
659 |
589 |
$9K |
| 96160 |
|
2,549 |
2,434 |
$9K |
| 81002 |
|
3,182 |
3,020 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
481 |
446 |
$6K |
| 94760 |
|
8,092 |
6,824 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
84 |
$5K |
| 81025 |
|
642 |
623 |
$4K |
| 99000 |
|
975 |
892 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
100 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
96 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$232.95 |
| 3008F |
|
6,735 |
5,168 |
$204.46 |
| 90688 |
|
12 |
12 |
$162.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
79 |
71 |
$75.89 |
| 1126F |
|
2,788 |
2,281 |
$69.02 |
| 82962 |
|
44 |
39 |
$64.15 |
| 96127 |
|
45 |
40 |
$56.39 |
| 82947 |
|
13 |
13 |
$46.57 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,004 |
2,329 |
$0.80 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,068 |
2,382 |
$0.79 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,902 |
1,539 |
$0.43 |
| 2000F |
|
6,757 |
5,208 |
$0.36 |
| 2010F |
|
6,162 |
4,778 |
$0.32 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,824 |
2,326 |
$0.25 |
| 1159F |
|
4,809 |
3,881 |
$0.08 |
| 3074F |
|
5,124 |
3,999 |
$0.07 |
| 3037F |
|
6,587 |
5,076 |
$0.07 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,793 |
1,437 |
$0.07 |
| 2001F |
|
6,286 |
4,851 |
$0.06 |
| 3078F |
|
4,426 |
3,485 |
$0.05 |
| 1036F |
|
1,541 |
1,171 |
$0.03 |
| 1160F |
|
4,606 |
3,773 |
$0.03 |
| 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) |
643 |
514 |
$0.03 |
| 3079F |
|
850 |
700 |
$0.02 |
| 2014F |
|
319 |
209 |
$0.01 |
| G8732 |
No documentation of pain assessment, reason not given |
425 |
363 |
$0.00 |
| 1125F |
|
406 |
374 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
81 |
47 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 4010F |
|
47 |
39 |
$0.00 |
| 1034F |
|
132 |
90 |
$0.00 |
| 3075F |
|
93 |
86 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
31 |
$0.00 |
| 3120F |
|
26 |
26 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
394 |
249 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
34 |
27 |
$0.00 |