| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,040 |
7,789 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,416 |
5,862 |
$161K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
516 |
504 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
220 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
155 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
712 |
659 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
386 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
128 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
75 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,314 |
1,178 |
$4K |
| 99385 |
|
61 |
60 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
348 |
288 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$3K |
| 97802 |
|
602 |
556 |
$2K |
| 93000 |
|
505 |
466 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
247 |
227 |
$1K |
| 99397 |
|
13 |
13 |
$1K |
| 1158F |
|
2,356 |
1,955 |
$583.18 |
| 99495 |
|
17 |
12 |
$483.07 |
| 99499 |
|
41 |
40 |
$392.48 |
| 3288F |
|
4,054 |
3,312 |
$373.49 |
| 90461 |
|
53 |
38 |
$321.88 |
| 81002 |
|
255 |
224 |
$302.87 |
| 3008F |
|
18,077 |
13,712 |
$293.35 |
| 3075F |
|
1,710 |
1,528 |
$232.80 |
| 1170F |
|
5,577 |
4,573 |
$230.15 |
| 3014F |
|
231 |
212 |
$163.93 |
| 3074F |
|
4,832 |
4,270 |
$150.08 |
| 1160F |
|
8,609 |
7,277 |
$129.22 |
| 1126F |
|
6,519 |
5,455 |
$115.19 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$90.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
19 |
$89.37 |
| 99173 |
|
305 |
239 |
$56.72 |
| 4013F |
|
3,903 |
3,010 |
$52.01 |
| 4010F |
|
4,460 |
3,454 |
$50.64 |
| 92567 |
|
255 |
219 |
$42.86 |
| 3017F |
|
124 |
108 |
$37.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$27.84 |
| 3079F |
|
3,048 |
2,506 |
$26.78 |
| 3725F |
|
5,380 |
4,121 |
$25.22 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$20.84 |
| 3044F |
|
303 |
231 |
$20.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
29 |
$18.62 |
| 1125F |
|
1,385 |
1,229 |
$12.75 |
| 4086F |
|
660 |
518 |
$12.61 |
| 1159F |
|
6,241 |
5,176 |
$0.50 |
| 90686 |
|
330 |
301 |
$0.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
38 |
$0.04 |
| 1123F |
|
1,956 |
1,634 |
$0.00 |
| 1101F |
|
2,762 |
1,993 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
656 |
452 |
$0.00 |
| 2000F |
|
2,222 |
1,627 |
$0.00 |
| 2001F |
|
228 |
121 |
$0.00 |
| 3080F |
|
272 |
209 |
$0.00 |
| 2010F |
|
142 |
137 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
159 |
109 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
161 |
105 |
$0.00 |
| 1111F |
|
299 |
220 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
682 |
595 |
$0.00 |
| 96127 |
|
52 |
52 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 1034F |
|
15 |
12 |
$0.00 |
| 1036F |
|
22 |
17 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3077F |
|
1,082 |
830 |
$0.00 |
| 3078F |
|
4,867 |
4,060 |
$0.00 |
| 2028F |
|
259 |
188 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
666 |
478 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| 1124F |
|
171 |
127 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
114 |
72 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
360 |
252 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 4004F |
|
24 |
14 |
$0.00 |