| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,819 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,065 |
1,065 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,186 |
3,128 |
$4K |
| 3074F |
|
1,978 |
1,964 |
$2K |
| 3078F |
|
1,944 |
1,925 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,578 |
2,480 |
$1K |
| 3008F |
|
2,699 |
2,695 |
$878.00 |
| 99385 |
|
107 |
107 |
$292.45 |
| 99386 |
|
28 |
28 |
$288.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
199 |
$262.90 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,923 |
1,919 |
$255.73 |
| 90756 |
|
117 |
117 |
$218.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
195 |
$214.65 |
| 1159F |
|
2,292 |
2,253 |
$168.00 |
| 1160F |
|
1,670 |
1,648 |
$166.20 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
301 |
301 |
$122.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$90.00 |
| 90863 |
|
1,406 |
1,391 |
$76.80 |
| 1125F |
|
1,704 |
1,692 |
$76.50 |
| H0049 |
Alcohol and/or drug screening |
2,608 |
2,602 |
$60.00 |
| 90688 |
|
49 |
49 |
$43.60 |
| 3075F |
|
60 |
60 |
$40.00 |
| 99407 |
|
49 |
48 |
$17.94 |
| 90658 |
|
35 |
35 |
$16.75 |
| 1157F |
|
2,321 |
2,314 |
$15.30 |
| 1170F |
|
2,295 |
2,294 |
$15.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
15 |
15 |
$15.00 |
| 97802 |
|
711 |
707 |
$13.98 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
50 |
47 |
$11.44 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,800 |
1,800 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,387 |
1,387 |
$9.63 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,061 |
1,061 |
$9.62 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$9.00 |
| 81000 |
|
2,105 |
2,101 |
$9.00 |
| 83704 |
|
2,529 |
2,523 |
$8.00 |
| 99421 |
|
33 |
31 |
$6.60 |
| 3077F |
|
49 |
48 |
$5.00 |
| 3044F |
|
12 |
12 |
$5.00 |
| 4010F |
|
24 |
24 |
$5.00 |
| 82270 |
|
1,000 |
1,000 |
$2.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
860 |
858 |
$1.90 |
| 3288F |
|
2,256 |
2,253 |
$0.60 |
| 3725F |
|
2,259 |
2,255 |
$0.30 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,264 |
1,263 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
1,081 |
1,081 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
280 |
273 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,116 |
1,116 |
$0.00 |
| 82042 |
|
25 |
25 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
26 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,209 |
1,201 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
27 |
27 |
$0.00 |
| 83037 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
37 |
37 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| 2028F |
|
24 |
24 |
$0.00 |
| G8990 |
Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals |
17 |
17 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,277 |
1,261 |
$0.00 |
| 1126F |
|
1,047 |
1,047 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
181 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
58 |
58 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
127 |
127 |
$0.00 |
| 3079F |
|
55 |
55 |
$0.00 |
| 1034F |
|
25 |
25 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
72 |
72 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
12 |
12 |
$0.00 |
| 44388 |
|
24 |
24 |
$0.00 |
| 82044 |
|
13 |
12 |
$0.00 |
| 88150 |
|
12 |
12 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |