| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,242 |
9,946 |
$951K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,195 |
8,158 |
$515K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,195 |
1,164 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,329 |
1,243 |
$40K |
| 90658 |
|
723 |
686 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
125 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,027 |
3,873 |
$11K |
| 92250 |
|
630 |
612 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
692 |
659 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
1,591 |
1,446 |
$7K |
| 99397 |
|
18 |
18 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 93000 |
|
227 |
225 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
43 |
$311.92 |
| 80306 |
|
58 |
57 |
$210.49 |
| 82962 |
|
60 |
59 |
$143.08 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
36 |
$34.41 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
42 |
$24.92 |
| 81001 |
|
14 |
12 |
$17.02 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
45 |
43 |
$14.92 |
| 2028F |
|
554 |
544 |
$2.70 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,027 |
6,927 |
$2.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,175 |
2,119 |
$2.23 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
194 |
192 |
$2.23 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,322 |
2,184 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
415 |
395 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,508 |
2,356 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,460 |
1,424 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
26 |
26 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
522 |
504 |
$0.00 |
| 1036F |
|
35 |
35 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
221 |
214 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
34 |
$0.00 |