| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,212 |
7,353 |
$611K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,488 |
2,189 |
$136K |
| 99493 |
|
978 |
927 |
$104K |
| 99215 |
Prolong outpt/office vis |
740 |
658 |
$71K |
| 95800 |
|
227 |
213 |
$24K |
| 99494 |
|
306 |
225 |
$22K |
| 96127 |
|
4,661 |
4,301 |
$20K |
| 99492 |
|
109 |
106 |
$13K |
| 99385 |
|
93 |
86 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
211 |
$6K |
| 1036F |
|
11,875 |
10,332 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
39 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
144 |
$4K |
| 90688 |
|
180 |
161 |
$3K |
| 90686 |
|
138 |
134 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
353 |
315 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
31 |
$2K |
| 99386 |
|
13 |
13 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 3017F |
|
2,881 |
2,524 |
$950.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$851.16 |
| 90619 |
|
12 |
12 |
$661.34 |
| 90682 |
|
36 |
26 |
$567.78 |
| 0012A |
|
27 |
20 |
$547.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
39 |
$525.87 |
| 86328 |
|
23 |
13 |
$316.61 |
| 0011A |
|
24 |
21 |
$253.23 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
13 |
$251.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
156 |
$190.04 |
| 99072 |
|
138 |
102 |
$163.38 |
| 3044F |
|
78 |
68 |
$100.00 |
| 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) |
14 |
14 |
$61.96 |
| 90461 |
|
19 |
18 |
$6.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,768 |
10,334 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
11,793 |
10,247 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,882 |
1,601 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
749 |
655 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,231 |
3,689 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
172 |
149 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
29 |
26 |
$0.00 |
| 1111F |
|
44 |
29 |
$0.00 |
| 1123F |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
11,472 |
9,980 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
504 |
432 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,347 |
5,505 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,791 |
1,519 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,115 |
5,779 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
44 |
42 |
$0.00 |
| 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) |
3,624 |
3,195 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
58 |
52 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,406 |
1,976 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
251 |
222 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
191 |
169 |
$0.00 |
| 4004F |
|
23 |
16 |
$0.00 |
| 2022F |
|
160 |
142 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
180 |
165 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
89 |
60 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
19 |
12 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
13 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
22 |
19 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
23 |
20 |
$0.00 |