| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,155 |
30,035 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,248 |
20,025 |
$1.33M |
| 99443 |
|
16,623 |
14,598 |
$839K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12,210 |
4,244 |
$506K |
| 99490 |
Ccm add 20min |
11,986 |
11,966 |
$368K |
| 99442 |
|
11,780 |
10,812 |
$341K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,823 |
3,823 |
$270K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,018 |
2,016 |
$203K |
| 99497 |
|
3,367 |
3,314 |
$181K |
| 17110 |
|
2,685 |
2,601 |
$176K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,293 |
1,531 |
$155K |
| 99441 |
|
6,624 |
6,241 |
$138K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,781 |
1,779 |
$134K |
| 99491 |
Ccm add 20min |
2,287 |
2,284 |
$127K |
| 99215 |
Prolong outpt/office vis |
1,157 |
1,132 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
822 |
822 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,333 |
1,234 |
$50K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
402 |
402 |
$45K |
| 99406 |
|
3,793 |
3,515 |
$36K |
| 80305 |
|
3,814 |
3,456 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,670 |
4,593 |
$22K |
| 11900 |
|
631 |
575 |
$21K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
204 |
203 |
$19K |
| 11102 |
|
320 |
314 |
$18K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
113 |
112 |
$14K |
| 99484 |
|
509 |
508 |
$12K |
| 99306 |
Prolong nursin fac eval 15m |
143 |
142 |
$11K |
| 92250 |
|
285 |
284 |
$11K |
| 99439 |
|
544 |
543 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
351 |
349 |
$9K |
| 99401 |
|
446 |
420 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
297 |
278 |
$7K |
| 17000 |
|
228 |
219 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
193 |
175 |
$6K |
| 80053 |
Comprehensive metabolic panel |
546 |
544 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
438 |
325 |
$4K |
| 96127 |
|
1,830 |
1,762 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
67 |
61 |
$4K |
| 80061 |
Lipid panel |
447 |
446 |
$4K |
| 98926 |
|
118 |
117 |
$3K |
| 11104 |
|
43 |
43 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
568 |
566 |
$3K |
| 94760 |
|
3,405 |
3,149 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
163 |
145 |
$2K |
| 87625 |
|
98 |
98 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,581 |
1,567 |
$2K |
| 81025 |
|
956 |
838 |
$2K |
| 99454 |
|
77 |
77 |
$2K |
| 99307 |
|
83 |
49 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
262 |
257 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99437 |
|
39 |
39 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
167 |
167 |
$1K |
| 90686 |
|
84 |
84 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
154 |
$1K |
| 90674 |
|
62 |
61 |
$1K |
| 3078F |
|
6,824 |
6,150 |
$1K |
| 3074F |
|
7,232 |
6,596 |
$1K |
| 94010 |
|
49 |
49 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,050 |
952 |
$1K |
| 99449 |
|
50 |
41 |
$960.26 |
| 93000 |
|
83 |
83 |
$931.48 |
| 99407 |
|
77 |
66 |
$894.22 |
| 3079F |
|
2,877 |
2,753 |
$722.84 |
| 88141 |
|
97 |
97 |
$722.10 |
| 99457 |
|
59 |
59 |
$710.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
60 |
$702.34 |
| 99316 |
|
13 |
13 |
$692.15 |
| 82947 |
|
153 |
143 |
$666.60 |
| 99447 |
|
17 |
17 |
$539.92 |
| 36415 |
Collection of venous blood by venipuncture |
681 |
674 |
$499.68 |
| 84439 |
|
62 |
61 |
$492.02 |
| 81000 |
|
71 |
70 |
$186.41 |
| 99173 |
|
277 |
275 |
$175.78 |
| 99453 |
|
14 |
14 |
$166.22 |
| 82607 |
|
14 |
14 |
$159.08 |
| 82746 |
|
14 |
14 |
$156.36 |
| 1111F |
|
1,029 |
980 |
$150.00 |
| 0513F |
|
12 |
12 |
$133.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$125.60 |
| 3075F |
|
1,201 |
1,144 |
$125.00 |
| 3061F |
|
230 |
223 |
$120.00 |
| 3044F |
|
2,462 |
2,127 |
$20.00 |
| 2001F |
|
736 |
665 |
$20.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18,613 |
17,360 |
$14.88 |
| 1160F |
|
6,665 |
5,667 |
$7.10 |
| 99072 |
|
1,545 |
1,452 |
$3.62 |
| 1159F |
|
3,590 |
2,885 |
$2.10 |
| 3077F |
|
1,506 |
1,402 |
$0.34 |
| 99499 |
|
349 |
324 |
$0.13 |
| 99000 |
|
841 |
772 |
$0.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22,211 |
20,489 |
$0.00 |
| 1090F |
|
2,103 |
1,924 |
$0.00 |
| 3028F |
|
506 |
465 |
$0.00 |
| 99080 |
|
1,742 |
1,436 |
$0.00 |
| 4004F |
|
868 |
816 |
$0.00 |
| 1033F |
|
133 |
116 |
$0.00 |
| 3015F |
|
30 |
30 |
$0.00 |
| 3725F |
|
457 |
438 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
272 |
268 |
$0.00 |
| 1003F |
|
118 |
103 |
$0.00 |
| 1032F |
|
32 |
28 |
$0.00 |
| 3046F |
|
27 |
26 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,122 |
9,510 |
$0.00 |
| 1036F |
|
424 |
411 |
$0.00 |
| 3011F |
|
217 |
216 |
$0.00 |
| 3080F |
|
586 |
559 |
$0.00 |
| 3037F |
|
505 |
464 |
$0.00 |
| 1157F |
|
846 |
822 |
$0.00 |
| 1000F |
|
181 |
170 |
$0.00 |
| 3351F |
|
249 |
239 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
75 |
70 |
$0.00 |
| 3014F |
|
93 |
91 |
$0.00 |
| 3278F |
|
95 |
92 |
$0.00 |
| 1101F |
|
106 |
105 |
$0.00 |
| 3017F |
|
133 |
133 |
$0.00 |
| 3754F |
|
126 |
118 |
$0.00 |
| 3008F |
|
436 |
398 |
$0.00 |
| 3048F |
|
13 |
13 |
$0.00 |
| 3279F |
|
37 |
37 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16 |
14 |
$0.00 |