| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,022 |
24,519 |
$1.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,993 |
9,813 |
$453K |
| 99490 |
Ccm add 20min |
8,185 |
8,177 |
$152K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
738 |
733 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
434 |
432 |
$47K |
| 99442 |
|
1,013 |
976 |
$39K |
| 93000 |
|
3,686 |
3,642 |
$29K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,030 |
3,862 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,999 |
1,963 |
$24K |
| 99497 |
|
1,540 |
1,515 |
$22K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,807 |
2,709 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
773 |
749 |
$19K |
| G0180 |
Physician or allowed practitioner 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 |
930 |
879 |
$17K |
| 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 |
1,338 |
1,323 |
$16K |
| 90756 |
|
1,379 |
1,376 |
$15K |
| 99397 |
|
1,776 |
1,771 |
$13K |
| 0012A |
|
240 |
240 |
$9K |
| 90674 |
|
1,642 |
1,634 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
1,099 |
1,051 |
$7K |
| 3074F |
|
14,273 |
12,322 |
$7K |
| 0011A |
|
180 |
180 |
$7K |
| 3078F |
|
17,449 |
14,989 |
$7K |
| 99051 |
|
6,191 |
5,509 |
$6K |
| 99439 |
|
414 |
414 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
659 |
613 |
$4K |
| 99491 |
Ccm add 20min |
133 |
133 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
987 |
804 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,537 |
1,472 |
$3K |
| 99408 |
|
908 |
882 |
$3K |
| 96127 |
|
684 |
683 |
$3K |
| 90670 |
|
315 |
313 |
$2K |
| 36410 |
|
1,738 |
1,661 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,491 |
4,384 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,679 |
1,673 |
$2K |
| 3079F |
|
4,330 |
4,026 |
$1K |
| 99406 |
|
145 |
145 |
$998.54 |
| 3075F |
|
4,267 |
4,029 |
$837.38 |
| 3077F |
|
4,109 |
3,782 |
$821.08 |
| G0009 |
Administration of pneumococcal vaccine |
551 |
548 |
$597.01 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22 |
14 |
$588.74 |
| 3080F |
|
661 |
638 |
$365.00 |
| 94010 |
|
12 |
12 |
$319.03 |
| 90750 |
|
232 |
229 |
$258.60 |
| 90677 |
|
45 |
45 |
$245.35 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,078 |
1,064 |
$230.09 |
| 90732 |
|
140 |
140 |
$226.46 |
| 0064A |
|
32 |
32 |
$189.55 |
| 90661 |
|
253 |
251 |
$184.25 |
| G0008 |
Administration of influenza virus vaccine |
2,182 |
2,173 |
$184.20 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
411 |
402 |
$172.00 |
| 99401 |
|
636 |
604 |
$145.39 |
| 99407 |
|
13 |
13 |
$143.45 |
| 1160F |
|
2,454 |
2,376 |
$137.66 |
| 3044F |
|
2,358 |
2,273 |
$86.00 |
| 1159F |
|
6,199 |
5,504 |
$84.52 |
| G9275 |
Documentation that patient is a current non-tobacco user |
387 |
381 |
$80.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,249 |
2,149 |
$54.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
337 |
334 |
$27.10 |
| 94016 |
|
12 |
12 |
$25.96 |
| 90656 |
|
134 |
133 |
$22.35 |
| 1111F |
|
16 |
12 |
$20.00 |
| 1125F |
|
508 |
503 |
$18.96 |
| 1170F |
|
607 |
601 |
$18.96 |
| 3008F |
|
12,425 |
11,410 |
$18.38 |
| 90736 |
|
80 |
79 |
$11.00 |
| 3048F |
|
1,479 |
1,416 |
$9.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$6.80 |
| 3050F |
|
306 |
298 |
$4.00 |
| 3049F |
|
601 |
587 |
$4.00 |
| 0521F |
|
295 |
291 |
$2.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
19 |
12 |
$1.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
101 |
67 |
$0.54 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
46 |
45 |
$0.01 |
| 3288F |
|
716 |
707 |
$0.00 |
| 3045F |
|
106 |
101 |
$0.00 |
| 4013F |
|
128 |
126 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
988 |
934 |
$0.00 |
| 3725F |
|
2,002 |
1,915 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,791 |
4,292 |
$0.00 |
| 3051F |
|
273 |
247 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
31 |
31 |
$0.00 |
| 1100F |
|
358 |
357 |
$0.00 |
| 1158F |
|
101 |
101 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
798 |
766 |
$0.00 |
| 99072 |
|
248 |
218 |
$0.00 |
| 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) |
625 |
584 |
$0.00 |
| 97803 |
|
110 |
106 |
$0.00 |
| 3016F |
|
418 |
408 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
42 |
42 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
16 |
15 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
14 |
14 |
$0.00 |
| 3096F |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
19 |
19 |
$0.00 |
| 4037F |
|
1,217 |
1,212 |
$0.00 |
| 1036F |
|
414 |
407 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,730 |
5,074 |
$0.00 |
| 99429 |
|
745 |
587 |
$0.00 |
| 1000F |
|
470 |
461 |
$0.00 |
| 97802 |
|
61 |
61 |
$0.00 |
| 4000F |
|
128 |
128 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
850 |
796 |
$0.00 |
| 2000F |
|
5,721 |
4,910 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
18 |
18 |
$0.00 |
| 4010F |
|
78 |
73 |
$0.00 |
| 1101F |
|
238 |
237 |
$0.00 |
| 90694 |
|
15 |
15 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
26 |
25 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
13 |
$0.00 |
| 36000 |
|
39 |
26 |
$0.00 |
| 1157F |
|
13 |
13 |
$0.00 |