| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,726 |
14,451 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,192 |
16,889 |
$1.17M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,661 |
4,616 |
$450K |
| 99215 |
Prolong outpt/office vis |
2,538 |
2,454 |
$251K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,819 |
2,788 |
$244K |
| 93000 |
|
7,408 |
7,200 |
$59K |
| 36415 |
Collection of venous blood by venipuncture |
15,531 |
14,723 |
$51K |
| 90686 |
|
1,205 |
1,180 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,477 |
2,210 |
$19K |
| 96127 |
|
7,013 |
6,845 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,440 |
1,421 |
$14K |
| 96160 |
|
3,797 |
3,759 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
138 |
$11K |
| 99406 |
|
1,926 |
1,855 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
518 |
493 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
226 |
221 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
229 |
224 |
$5K |
| 99051 |
|
586 |
573 |
$5K |
| 99397 |
|
76 |
74 |
$4K |
| 90688 |
|
243 |
237 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$3K |
| 99385 |
|
25 |
25 |
$2K |
| 90732 |
|
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
69 |
$2K |
| 90656 |
|
91 |
90 |
$2K |
| 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) |
436 |
421 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
862 |
822 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
570 |
502 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
17 |
16 |
$910.97 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
56 |
$310.98 |
| 94010 |
|
14 |
12 |
$247.17 |
| 99050 |
|
13 |
13 |
$89.76 |
| 81002 |
|
26 |
24 |
$26.49 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,688 |
5,543 |
$17.87 |
| 3074F |
|
18,376 |
16,887 |
$17.87 |
| 3011F |
|
13,795 |
13,565 |
$17.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
35 |
$17.65 |
| G0008 |
Administration of influenza virus vaccine |
31 |
29 |
$16.94 |
| 3079F |
|
14,144 |
13,281 |
$11.92 |
| 3078F |
|
7,903 |
7,513 |
$5.95 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15,593 |
14,067 |
$0.00 |
| 3075F |
|
4,369 |
4,209 |
$0.00 |
| 3052F |
|
14 |
13 |
$0.00 |
| 3080F |
|
5,920 |
5,571 |
$0.00 |
| 3044F |
|
3,322 |
3,243 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,465 |
2,187 |
$0.00 |
| 3061F |
|
546 |
526 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13,062 |
11,636 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
269 |
241 |
$0.00 |
| 4010F |
|
43 |
42 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
473 |
421 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,296 |
2,049 |
$0.00 |
| 3077F |
|
5,155 |
4,832 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
227 |
218 |
$0.00 |
| 3051F |
|
358 |
345 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
133 |
123 |
$0.00 |
| 3046F |
|
28 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,769 |
1,643 |
$0.00 |
| 3045F |
|
155 |
151 |
$0.00 |
| 99072 |
|
882 |
800 |
$0.00 |