| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,109 |
33,702 |
$407K |
| 96156 |
|
10,671 |
10,460 |
$388K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,937 |
3,895 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,691 |
3,659 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,965 |
2,929 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,130 |
9,779 |
$100K |
| G9920 |
Screening performed and negative |
2,953 |
2,935 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,547 |
1,515 |
$34K |
| 90686 |
|
3,009 |
2,997 |
$26K |
| 99497 |
|
2,884 |
2,842 |
$25K |
| 99490 |
Ccm add 20min |
4,570 |
4,570 |
$23K |
| 90670 |
|
1,636 |
1,623 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
608 |
605 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,442 |
1,175 |
$16K |
| 90698 |
|
1,853 |
1,837 |
$15K |
| 90680 |
|
1,789 |
1,772 |
$14K |
| 83037 |
|
2,196 |
2,181 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,771 |
2,554 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
439 |
437 |
$10K |
| 99381 |
|
180 |
179 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,132 |
3,090 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,205 |
5,890 |
$9K |
| 90633 |
|
1,299 |
1,289 |
$9K |
| 99215 |
Prolong outpt/office vis |
322 |
319 |
$8K |
| 90744 |
|
1,018 |
1,014 |
$8K |
| 83655 |
|
1,223 |
1,210 |
$7K |
| 99188 |
|
1,287 |
1,278 |
$7K |
| 96151 |
|
384 |
381 |
$7K |
| 90461 |
|
4,823 |
2,965 |
$6K |
| 97803 |
|
2,138 |
2,125 |
$6K |
| 92551 |
|
853 |
849 |
$6K |
| 90674 |
|
212 |
212 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
608 |
604 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
175 |
175 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
178 |
178 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,689 |
1,253 |
$5K |
| 90707 |
|
477 |
472 |
$4K |
| 90671 |
|
741 |
734 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
171 |
139 |
$4K |
| 90716 |
|
497 |
493 |
$4K |
| 99386 |
|
114 |
114 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,706 |
2,671 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
347 |
346 |
$3K |
| 99385 |
|
124 |
124 |
$3K |
| 85018 |
|
2,593 |
2,561 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
798 |
783 |
$3K |
| 90656 |
|
512 |
511 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
568 |
566 |
$2K |
| 90648 |
|
332 |
331 |
$2K |
| 0071A |
|
59 |
59 |
$2K |
| 90700 |
|
334 |
333 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
139 |
138 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,352 |
1,036 |
$2K |
| 82947 |
|
6,965 |
5,565 |
$2K |
| 0064A |
|
123 |
123 |
$2K |
| 96127 |
|
2,331 |
2,300 |
$2K |
| 90662 |
|
247 |
247 |
$2K |
| 99350 |
Prolong home eval add 15m |
57 |
54 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
284 |
279 |
$1K |
| 0082A |
|
35 |
35 |
$1K |
| 0081A |
|
33 |
33 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,537 |
4,280 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
23 |
22 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
193 |
$985.85 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
190 |
146 |
$874.92 |
| 90710 |
|
133 |
132 |
$819.00 |
| 90696 |
|
138 |
137 |
$810.00 |
| 99354 |
|
292 |
271 |
$706.59 |
| 97802 |
|
190 |
189 |
$685.00 |
| 99205 |
Prolong outpt/office vis |
43 |
43 |
$625.00 |
| 90694 |
|
115 |
115 |
$601.12 |
| 95251 |
|
413 |
406 |
$575.55 |
| 90756 |
|
140 |
140 |
$520.04 |
| 93923 |
|
117 |
106 |
$517.21 |
| 0083A |
|
12 |
12 |
$480.00 |
| 90651 |
|
108 |
108 |
$450.00 |
| 99483 |
Prolong outpt/office vis |
211 |
211 |
$435.08 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
39 |
$417.28 |
| 36416 |
|
936 |
919 |
$409.43 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
58 |
28 |
$385.66 |
| 99406 |
|
203 |
183 |
$371.42 |
| 96150 |
|
28 |
27 |
$367.61 |
| 99173 |
|
874 |
870 |
$352.59 |
| 90685 |
|
38 |
37 |
$332.44 |
| 90661 |
|
124 |
124 |
$247.86 |
| 3008F |
|
7,469 |
6,186 |
$239.56 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
58 |
28 |
$218.26 |
| 95249 |
|
12 |
12 |
$209.08 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
158 |
117 |
$184.11 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
44 |
$153.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
634 |
633 |
$112.38 |
| 96161 |
|
577 |
572 |
$84.00 |
| 99383 |
|
13 |
13 |
$70.73 |
| 99401 |
|
160 |
158 |
$66.41 |
| 36410 |
|
105 |
105 |
$64.80 |
| J0132 |
Injection, acetylcysteine, 100 mg |
19 |
17 |
$54.76 |
| 3288F |
|
1,760 |
1,743 |
$49.90 |
| J3411 |
Injection, thiamine hcl, 100 mg |
55 |
47 |
$39.69 |
| 93925 |
|
68 |
68 |
$39.59 |
| G8482 |
Influenza immunization administered or previously received |
1,834 |
1,818 |
$34.98 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15,913 |
11,208 |
$31.12 |
| 93880 |
|
27 |
27 |
$27.83 |
| 90619 |
|
12 |
12 |
$27.00 |
| 3078F |
|
3,970 |
3,263 |
$25.00 |
| 2028F |
|
362 |
254 |
$18.66 |
| 90381 |
|
33 |
33 |
$18.00 |
| 1126F |
|
6,447 |
4,914 |
$16.16 |
| J7050 |
Infusion, normal saline solution, 250 cc |
18 |
18 |
$15.57 |
| 1157F |
|
259 |
255 |
$9.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12,525 |
9,092 |
$9.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
16 |
$1.82 |
| 1125F |
|
7,235 |
5,117 |
$0.00 |
| 1170F |
|
2,018 |
1,999 |
$0.00 |
| 3080F |
|
561 |
497 |
$0.00 |
| 3048F |
|
181 |
179 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
5,444 |
3,119 |
$0.00 |
| 3079F |
|
1,599 |
1,398 |
$0.00 |
| 3074F |
|
4,896 |
3,885 |
$0.00 |
| 3044F |
|
2,027 |
1,967 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,059 |
951 |
$0.00 |
| 4037F |
|
1,404 |
1,394 |
$0.00 |
| 4010F |
|
3,246 |
2,273 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,440 |
6,033 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
243 |
138 |
$0.00 |
| 3049F |
|
163 |
160 |
$0.00 |
| 3075F |
|
867 |
787 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
182 |
165 |
$0.00 |
| 3014F |
|
42 |
40 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$0.00 |
| 3077F |
|
328 |
299 |
$0.00 |
| 2026F |
|
16 |
15 |
$0.00 |
| 1160F |
|
5,562 |
4,598 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,582 |
3,848 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,910 |
12,569 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,356 |
4,467 |
$0.00 |
| 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) |
1,317 |
1,074 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,724 |
10,052 |
$0.00 |
| 3725F |
|
1,629 |
1,607 |
$0.00 |
| 1158F |
|
1,224 |
1,207 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
3,312 |
2,710 |
$0.00 |
| 1124F |
|
1,176 |
1,126 |
$0.00 |
| 1159F |
|
5,572 |
4,610 |
$0.00 |
| 4274F |
|
1,180 |
1,172 |
$0.00 |
| 1090F |
|
94 |
94 |
$0.00 |
| 3050F |
|
98 |
97 |
$0.00 |
| 0013A |
|
66 |
66 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
329 |
324 |
$0.00 |
| 3095F |
|
14 |
14 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
44 |
41 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
14 |
14 |
$0.00 |
| 3051F |
|
110 |
110 |
$0.00 |
| 2024F |
|
16 |
15 |
$0.00 |
| 2022F |
|
16 |
15 |
$0.00 |