| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,124 |
4,860 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
574 |
570 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,356 |
1,295 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
409 |
$34K |
| 99444 |
|
470 |
125 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,913 |
1,134 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
99 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,540 |
1,495 |
$7K |
| H0049 |
Alcohol and/or drug screening |
448 |
437 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$5K |
| S8301 |
Infection control supplies, not otherwise specified |
1,073 |
1,029 |
$4K |
| 99051 |
|
306 |
290 |
$4K |
| 96160 |
|
1,165 |
1,147 |
$2K |
| 99422 |
|
86 |
24 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
28 |
$1K |
| 90461 |
|
107 |
82 |
$754.68 |
| 99091 |
|
36 |
36 |
$562.51 |
| 92551 |
|
398 |
392 |
$531.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
39 |
$415.14 |
| 90480 |
|
13 |
13 |
$390.00 |
| 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) |
73 |
56 |
$137.59 |
| 99497 |
|
12 |
12 |
$94.58 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
17 |
16 |
$61.96 |
| 90688 |
|
185 |
184 |
$58.48 |
| 90686 |
|
291 |
290 |
$18.62 |
| 99173 |
|
901 |
881 |
$17.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
130 |
130 |
$11.90 |
| G8482 |
Influenza immunization administered or previously received |
159 |
157 |
$0.00 |
| 4035F |
|
1,209 |
1,199 |
$0.00 |
| 3288F |
|
90 |
86 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
126 |
126 |
$0.00 |
| 3725F |
|
591 |
585 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
76 |
76 |
$0.00 |
| 1090F |
|
29 |
29 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
39 |
37 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
102 |
102 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
151 |
151 |
$0.00 |
| 90662 |
|
91 |
90 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
13 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
29 |
28 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
21 |
21 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
67 |
67 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
107 |
107 |
$0.00 |
| 3008F |
|
1,432 |
1,412 |
$0.00 |
| 2001F |
|
1,327 |
1,314 |
$0.00 |
| 4037F |
|
85 |
85 |
$0.00 |
| 3351F |
|
641 |
635 |
$0.00 |
| 7010F |
|
1,320 |
1,308 |
$0.00 |
| 1101F |
|
88 |
83 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
109 |
109 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
96 |
96 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
113 |
112 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
111 |
111 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 1036F |
|
20 |
20 |
$0.00 |
| 3072F |
|
14 |
13 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |