| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,207 |
23,947 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,195 |
6,427 |
$589K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,207 |
5,159 |
$434K |
| 99401 |
|
12,449 |
11,462 |
$296K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,503 |
2,491 |
$198K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,112 |
6,155 |
$122K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
9,036 |
8,995 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,857 |
2,688 |
$101K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
8,193 |
8,153 |
$92K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,701 |
2,615 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,541 |
2,533 |
$34K |
| 90688 |
|
1,982 |
1,978 |
$30K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,401 |
1,300 |
$29K |
| 93000 |
|
2,346 |
2,342 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
7,566 |
7,464 |
$20K |
| 99497 |
|
225 |
224 |
$11K |
| 99000 |
|
4,957 |
4,757 |
$10K |
| 99406 |
|
858 |
834 |
$10K |
| 95924 |
|
69 |
69 |
$8K |
| 93923 |
|
69 |
69 |
$8K |
| 99442 |
|
277 |
246 |
$8K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
388 |
364 |
$8K |
| 95923 |
|
68 |
68 |
$7K |
| 99385 |
|
58 |
56 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
123 |
122 |
$5K |
| 90686 |
|
215 |
215 |
$5K |
| 95922 |
|
54 |
54 |
$4K |
| 95921 |
|
54 |
54 |
$4K |
| 99386 |
|
26 |
26 |
$3K |
| 93922 |
|
43 |
43 |
$3K |
| 90656 |
|
187 |
187 |
$3K |
| 99441 |
|
160 |
148 |
$2K |
| 3078F |
|
9,668 |
8,365 |
$2K |
| 3074F |
|
10,257 |
8,847 |
$2K |
| 90662 |
|
26 |
26 |
$2K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
84 |
83 |
$1K |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
26 |
26 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
55 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
52 |
52 |
$789.36 |
| 82274 |
|
44 |
44 |
$730.88 |
| 3079F |
|
4,971 |
4,608 |
$702.50 |
| 3075F |
|
3,714 |
3,461 |
$435.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$427.44 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$404.76 |
| 81003 |
|
141 |
141 |
$178.55 |
| 94760 |
|
55 |
55 |
$134.46 |
| 3044F |
|
1,416 |
1,338 |
$80.00 |
| 1126F |
|
3,174 |
2,986 |
$29.39 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
2,125 |
1,988 |
$15.97 |
| H0001 |
Alcohol and/or drug assessment |
6,078 |
5,969 |
$12.96 |
| 3077F |
|
1,487 |
1,369 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,306 |
5,261 |
$5.29 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25,884 |
20,701 |
$3.03 |
| 2010F |
|
18,607 |
14,709 |
$1.88 |
| G8598 |
Aspirin or another antiplatelet therapy used |
659 |
618 |
$1.54 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15,518 |
13,125 |
$1.43 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
560 |
511 |
$1.34 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,849 |
3,807 |
$1.17 |
| 1160F |
|
22,560 |
17,514 |
$0.64 |
| 1159F |
|
20,972 |
16,656 |
$0.63 |
| 3008F |
|
18,678 |
14,765 |
$0.58 |
| 0521F |
|
224 |
209 |
$0.16 |
| 1125F |
|
1,935 |
1,873 |
$0.16 |
| 3725F |
|
3,053 |
3,017 |
$0.12 |
| 3016F |
|
2,608 |
2,577 |
$0.12 |
| 1000F |
|
3,634 |
3,554 |
$0.12 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,731 |
7,280 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,969 |
3,432 |
$0.00 |
| 99499 |
|
27 |
22 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
964 |
880 |
$0.00 |
| 3015F |
|
461 |
441 |
$0.00 |
| 3051F |
|
192 |
172 |
$0.00 |
| 3045F |
|
172 |
145 |
$0.00 |
| 3050F |
|
101 |
100 |
$0.00 |
| 4274F |
|
902 |
888 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
60 |
57 |
$0.00 |
| 99071 |
|
170 |
167 |
$0.00 |
| 4004F |
|
112 |
107 |
$0.00 |
| 2022F |
|
76 |
72 |
$0.00 |
| 1158F |
|
24 |
24 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
13 |
13 |
$0.00 |
| 99072 |
|
148 |
134 |
$0.00 |
| 3017F |
|
1,166 |
1,068 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,201 |
7,627 |
$0.00 |
| 3061F |
|
270 |
259 |
$0.00 |
| 1036F |
|
3,024 |
2,963 |
$0.00 |
| 4010F |
|
959 |
906 |
$0.00 |
| 3080F |
|
770 |
716 |
$0.00 |
| 3048F |
|
833 |
810 |
$0.00 |
| 3072F |
|
102 |
99 |
$0.00 |
| 1030F |
|
902 |
888 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
453 |
427 |
$0.00 |
| 4037F |
|
918 |
904 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
827 |
711 |
$0.00 |
| 1034F |
|
443 |
429 |
$0.00 |
| 4008F |
|
272 |
242 |
$0.00 |
| 2023F |
|
59 |
57 |
$0.00 |
| 3049F |
|
216 |
210 |
$0.00 |
| 3014F |
|
84 |
81 |
$0.00 |
| 4086F |
|
297 |
277 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
60 |
57 |
$0.00 |
| 3052F |
|
31 |
29 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
115 |
111 |
$0.00 |
| 1123F |
|
16 |
16 |
$0.00 |
| 1157F |
|
25 |
25 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
17 |
17 |
$0.00 |