| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,975 |
5,014 |
$208K |
| 99215 |
Prolong outpt/office vis |
2,095 |
1,940 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,686 |
2,446 |
$147K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
569 |
532 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
534 |
494 |
$37K |
| 99205 |
Prolong outpt/office vis |
292 |
259 |
$34K |
| 99407 |
|
372 |
353 |
$11K |
| 90674 |
|
606 |
547 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
339 |
311 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
426 |
294 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
432 |
$7K |
| 82947 |
|
1,377 |
1,118 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,968 |
1,808 |
$5K |
| 99401 |
|
204 |
187 |
$4K |
| 90651 |
|
25 |
25 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
61 |
$3K |
| 81003 |
|
1,776 |
1,638 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,346 |
4,475 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
120 |
$2K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,090 |
3,437 |
$2K |
| 92081 |
|
46 |
45 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
340 |
312 |
$1K |
| 99442 |
|
60 |
55 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$988.90 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
251 |
232 |
$744.80 |
| 36416 |
|
1,425 |
1,171 |
$716.87 |
| 90686 |
|
45 |
41 |
$486.41 |
| 90633 |
|
25 |
25 |
$474.97 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,258 |
1,072 |
$425.21 |
| 81025 |
|
62 |
57 |
$406.10 |
| 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) |
2,242 |
1,970 |
$405.05 |
| 3074F |
|
4,646 |
4,014 |
$327.34 |
| 1111F |
|
612 |
548 |
$311.21 |
| 3078F |
|
4,003 |
3,518 |
$268.56 |
| 3725F |
|
1,775 |
1,635 |
$267.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
97 |
91 |
$252.00 |
| 3016F |
|
1,639 |
1,539 |
$231.75 |
| 2029F |
|
1,610 |
1,525 |
$222.00 |
| 3511F |
|
1,431 |
1,343 |
$220.50 |
| 3015F |
|
1,319 |
1,174 |
$209.25 |
| 3011F |
|
1,344 |
1,281 |
$202.50 |
| 4013F |
|
929 |
851 |
$195.75 |
| 4005F |
|
1,151 |
1,093 |
$177.75 |
| 99441 |
|
19 |
18 |
$176.80 |
| 3492F |
|
1,018 |
975 |
$171.00 |
| 0513F |
|
353 |
317 |
$162.00 |
| 1036F |
|
1,139 |
1,054 |
$159.75 |
| 92552 |
|
15 |
14 |
$159.12 |
| G8482 |
Influenza immunization administered or previously received |
1,013 |
918 |
$150.00 |
| 4010F |
|
851 |
748 |
$122.04 |
| 3044F |
|
1,667 |
1,530 |
$117.53 |
| 4004F |
|
795 |
716 |
$110.35 |
| 4008F |
|
551 |
494 |
$108.00 |
| 4040F |
|
720 |
647 |
$107.57 |
| 3079F |
|
1,021 |
931 |
$105.98 |
| 4086F |
|
689 |
627 |
$99.05 |
| 3048F |
|
1,008 |
950 |
$99.00 |
| 3049F |
|
467 |
433 |
$92.25 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
34 |
30 |
$90.00 |
| 99406 |
|
25 |
22 |
$78.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
140 |
134 |
$74.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
33 |
31 |
$67.50 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
15 |
15 |
$62.87 |
| 4140F |
|
480 |
436 |
$60.75 |
| 4050F |
|
452 |
415 |
$51.75 |
| 2028F |
|
264 |
233 |
$51.75 |
| 3075F |
|
421 |
396 |
$49.59 |
| 2027F |
|
221 |
195 |
$45.00 |
| 3077F |
|
469 |
411 |
$40.69 |
| 2022F |
|
275 |
243 |
$38.31 |
| 3050F |
|
232 |
218 |
$38.25 |
| 3014F |
|
515 |
480 |
$31.50 |
| 3080F |
|
517 |
457 |
$29.49 |
| 1160F |
|
5,163 |
4,409 |
$29.32 |
| G8598 |
Aspirin or another antiplatelet therapy used |
24 |
22 |
$22.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
121 |
111 |
$16.41 |
| 4322F |
|
81 |
74 |
$11.25 |
| 3061F |
|
17 |
15 |
$4.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
45 |
39 |
$2.25 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
43 |
37 |
$2.25 |
| 3008F |
|
442 |
405 |
$0.02 |
| 3045F |
|
53 |
46 |
$0.01 |
| 3017F |
|
787 |
707 |
$0.00 |
| 2014F |
|
141 |
137 |
$0.00 |
| 1090F |
|
27 |
20 |
$0.00 |
| 1159F |
|
37 |
34 |
$0.00 |