| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,788 |
29,652 |
$2.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,403 |
11,039 |
$906K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,332 |
3,332 |
$429K |
| 99490 |
Ccm add 20min |
10,040 |
10,034 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,850 |
2,652 |
$100K |
| 93000 |
|
7,208 |
7,195 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,008 |
3,904 |
$66K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,692 |
3,681 |
$47K |
| 99497 |
|
1,343 |
1,340 |
$45K |
| 83013 |
|
839 |
839 |
$41K |
| 90686 |
|
2,896 |
2,891 |
$34K |
| H0049 |
Alcohol and/or drug screening |
1,173 |
1,171 |
$20K |
| 90688 |
|
1,538 |
1,530 |
$20K |
| 94010 |
|
884 |
884 |
$17K |
| H0001 |
Alcohol and/or drug assessment |
2,165 |
2,152 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
134 |
$16K |
| 99406 |
|
1,337 |
1,325 |
$16K |
| 99051 |
|
1,788 |
1,566 |
$12K |
| 90715 |
|
301 |
297 |
$9K |
| 83014 |
|
1,529 |
1,528 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,738 |
5,709 |
$7K |
| 99441 |
|
227 |
217 |
$6K |
| 90707 |
|
71 |
71 |
$6K |
| 90656 |
|
535 |
535 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
576 |
568 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
317 |
317 |
$3K |
| 99439 |
|
410 |
409 |
$3K |
| 3074F |
|
2,846 |
2,784 |
$1K |
| 3078F |
|
3,502 |
3,424 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,849 |
5,725 |
$1K |
| 99442 |
|
32 |
31 |
$938.22 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,945 |
2,883 |
$777.00 |
| 90677 |
|
131 |
131 |
$652.37 |
| 90746 |
|
25 |
25 |
$528.31 |
| 3075F |
|
1,053 |
1,043 |
$508.53 |
| 3079F |
|
379 |
376 |
$299.01 |
| G0008 |
Administration of influenza virus vaccine |
1,979 |
1,970 |
$294.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
17 |
$268.47 |
| 97802 |
|
267 |
265 |
$232.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
170 |
169 |
$153.30 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
663 |
662 |
$147.65 |
| 1126F |
|
1,410 |
1,410 |
$141.00 |
| 99397 |
|
52 |
52 |
$140.60 |
| 3044F |
|
965 |
953 |
$98.00 |
| 99072 |
|
430 |
366 |
$86.25 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
190 |
190 |
$64.59 |
| 3048F |
|
2,688 |
2,671 |
$49.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,397 |
2,394 |
$43.74 |
| 3051F |
|
178 |
177 |
$40.00 |
| 2023F |
|
74 |
72 |
$20.00 |
| 1158F |
|
360 |
360 |
$18.00 |
| G0009 |
Administration of pneumococcal vaccine |
179 |
179 |
$17.42 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
16 |
$11.31 |
| 3077F |
|
12 |
12 |
$2.50 |
| 1160F |
|
14 |
14 |
$1.72 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,415 |
3,403 |
$0.74 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,967 |
2,950 |
$0.48 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
4,832 |
4,766 |
$0.25 |
| G9276 |
Documentation that patient is a current tobacco user |
926 |
916 |
$0.09 |
| 3008F |
|
7,777 |
7,594 |
$0.08 |
| 3049F |
|
466 |
464 |
$0.02 |
| 90750 |
|
313 |
303 |
$0.01 |
| 1036F |
|
2,011 |
2,002 |
$0.01 |
| 1000F |
|
3,337 |
3,319 |
$0.01 |
| 3725F |
|
2,157 |
2,152 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,612 |
2,584 |
$0.00 |
| 3016F |
|
2,437 |
2,434 |
$0.00 |
| 1032F |
|
514 |
512 |
$0.00 |
| 4013F |
|
449 |
444 |
$0.00 |
| 2014F |
|
2,525 |
2,512 |
$0.00 |
| 1124F |
|
367 |
365 |
$0.00 |
| 3045F |
|
62 |
61 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
19 |
19 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 90679 |
|
27 |
27 |
$0.00 |
| J0897 |
Injection, denosumab, 1 mg |
14 |
13 |
$0.00 |
| 1220F |
|
2,416 |
2,409 |
$0.00 |
| 1022F |
|
177 |
177 |
$0.00 |
| 3017F |
|
2,132 |
2,101 |
$0.00 |
| 3014F |
|
1,239 |
1,224 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
28 |
27 |
$0.00 |
| 3061F |
|
172 |
171 |
$0.00 |
| 1170F |
|
18 |
16 |
$0.00 |
| 1030F |
|
88 |
86 |
$0.00 |
| 90732 |
|
17 |
17 |
$0.00 |
| 1125F |
|
79 |
78 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
12 |
12 |
$0.00 |