| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,866 |
19,214 |
$1.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,972 |
4,010 |
$323K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
803 |
797 |
$81K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,717 |
434 |
$67K |
| 99407 |
|
2,932 |
2,789 |
$47K |
| 99223 |
Prolong inpt eval add15 m |
375 |
348 |
$41K |
| 99215 |
Prolong outpt/office vis |
362 |
358 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
2,127 |
2,083 |
$40K |
| 90682 |
|
468 |
465 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
945 |
826 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
361 |
343 |
$21K |
| 93000 |
|
2,274 |
2,230 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,106 |
1,916 |
$17K |
| 99205 |
Prolong outpt/office vis |
130 |
130 |
$17K |
| 99408 |
|
1,417 |
1,392 |
$17K |
| 82947 |
|
4,400 |
3,899 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,704 |
4,473 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,271 |
1,244 |
$13K |
| 94060 |
|
401 |
396 |
$12K |
| 90686 |
|
518 |
511 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
106 |
$10K |
| 99220 |
|
80 |
78 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
91 |
86 |
$8K |
| 90756 |
|
320 |
310 |
$7K |
| 90673 |
|
97 |
96 |
$7K |
| 91320 |
|
32 |
32 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
418 |
408 |
$4K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
667 |
621 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
34 |
12 |
$2K |
| 81003 |
|
935 |
914 |
$2K |
| 80305 |
|
215 |
186 |
$1K |
| 96160 |
|
598 |
592 |
$1K |
| 90480 |
|
33 |
33 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
12 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
160 |
159 |
$1K |
| 0124A |
|
32 |
32 |
$1K |
| 90688 |
|
55 |
53 |
$917.67 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
80 |
75 |
$906.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
38 |
38 |
$867.03 |
| 99409 |
|
75 |
72 |
$670.98 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$598.52 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
425 |
406 |
$482.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
263 |
241 |
$369.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
332 |
312 |
$366.65 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$274.98 |
| 96127 |
|
36 |
35 |
$91.10 |
| 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) |
93 |
89 |
$36.85 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,678 |
1,597 |
$22.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
39 |
$20.86 |
| 99072 |
|
808 |
742 |
$7.50 |
| 2028F |
|
166 |
162 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,013 |
1,894 |
$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) |
395 |
369 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,874 |
5,229 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
385 |
352 |
$0.00 |
| 3078F |
|
5,472 |
5,034 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,532 |
1,348 |
$0.00 |
| 3077F |
|
285 |
271 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
93 |
90 |
$0.00 |
| 4001F |
|
79 |
73 |
$0.00 |
| 1160F |
|
159 |
155 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
403 |
384 |
$0.00 |
| 3046F |
|
41 |
38 |
$0.00 |
| 1100F |
|
55 |
55 |
$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) |
664 |
604 |
$0.00 |
| 1036F |
|
5,865 |
5,365 |
$0.00 |
| 3080F |
|
388 |
362 |
$0.00 |
| 3074F |
|
6,795 |
6,170 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
713 |
674 |
$0.00 |
| 3079F |
|
4,662 |
4,349 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
413 |
391 |
$0.00 |
| 3011F |
|
1,258 |
1,145 |
$0.00 |
| 3075F |
|
2,889 |
2,736 |
$0.00 |
| 4000F |
|
672 |
617 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,861 |
3,508 |
$0.00 |
| 1101F |
|
156 |
156 |
$0.00 |
| 4010F |
|
1,136 |
1,040 |
$0.00 |
| 3044F |
|
456 |
422 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
25 |
25 |
$0.00 |
| 0001F |
|
80 |
70 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
230 |
208 |
$0.00 |
| 1000F |
|
947 |
866 |
$0.00 |
| 3048F |
|
124 |
116 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |
| 4086F |
|
61 |
58 |
$0.00 |
| 3049F |
|
91 |
86 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
27 |
26 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |