| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,723 |
26,024 |
$1.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,327 |
2,754 |
$198K |
| 99385 |
|
892 |
871 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,127 |
1,017 |
$78K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
660 |
651 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
484 |
467 |
$43K |
| 99386 |
|
384 |
379 |
$43K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
885 |
577 |
$35K |
| 99496 |
|
179 |
150 |
$28K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
826 |
797 |
$26K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,159 |
3,034 |
$22K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
809 |
779 |
$20K |
| 93000 |
|
2,640 |
2,200 |
$20K |
| 93880 |
|
570 |
348 |
$15K |
| 99490 |
Ccm add 20min |
2,950 |
2,367 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
360 |
342 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
521 |
490 |
$3K |
| 82962 |
|
3,485 |
3,077 |
$3K |
| 90756 |
|
251 |
208 |
$2K |
| 99459 |
|
83 |
73 |
$1K |
| 99421 |
|
65 |
64 |
$515.70 |
| 81002 |
|
390 |
374 |
$511.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$460.06 |
| 3074F |
|
942 |
890 |
$285.00 |
| 81025 |
|
57 |
56 |
$182.71 |
| Q3014 |
Telehealth originating site facility fee |
39 |
31 |
$121.83 |
| 94760 |
|
109 |
96 |
$90.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$80.00 |
| 99497 |
|
86 |
85 |
$55.00 |
| 3077F |
|
363 |
333 |
$55.00 |
| 3075F |
|
100 |
92 |
$55.00 |
| 3080F |
|
269 |
245 |
$15.00 |
| 3078F |
|
841 |
799 |
$5.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,549 |
12,078 |
$0.01 |
| 1160F |
|
979 |
923 |
$0.00 |
| 1159F |
|
978 |
922 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
95 |
88 |
$0.00 |
| 1111F |
|
381 |
361 |
$0.00 |
| 1101F |
|
2,512 |
2,410 |
$0.00 |
| 3079F |
|
289 |
279 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
446 |
409 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
130 |
90 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
835 |
772 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
14 |
$0.00 |
| 99406 |
|
83 |
78 |
$0.00 |
| 1170F |
|
26 |
25 |
$0.00 |