| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,937 |
5,660 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,124 |
5,382 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
757 |
717 |
$57K |
| 99444 |
|
840 |
245 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
657 |
628 |
$47K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
722 |
654 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
146 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
979 |
914 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
432 |
395 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
118 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
915 |
862 |
$6K |
| 99442 |
|
113 |
105 |
$5K |
| 99423 |
|
68 |
43 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
329 |
308 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,078 |
2,043 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
220 |
215 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
52 |
$2K |
| 99443 |
|
153 |
151 |
$2K |
| 82947 |
|
359 |
331 |
$761.83 |
| 99497 |
|
90 |
78 |
$747.44 |
| 90674 |
|
206 |
203 |
$686.91 |
| 93923 |
|
44 |
44 |
$333.49 |
| 99421 |
|
16 |
13 |
$286.08 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
91 |
84 |
$230.42 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of 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 (3) patient education |
269 |
259 |
$229.43 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
64 |
62 |
$194.23 |
| 99441 |
|
41 |
37 |
$173.08 |
| 90686 |
|
333 |
327 |
$164.49 |
| 99490 |
Ccm add 20min |
218 |
218 |
$141.80 |
| 95921 |
|
48 |
48 |
$75.62 |
| 82962 |
|
3,371 |
2,981 |
$48.34 |
| 87807 |
|
16 |
16 |
$44.00 |
| 99072 |
|
341 |
310 |
$5.00 |
| 90658 |
|
204 |
196 |
$0.35 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,419 |
2,149 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
2,837 |
2,487 |
$0.00 |
| 3725F |
|
1,623 |
1,348 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
1,039 |
995 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,170 |
2,960 |
$0.00 |
| 3288F |
|
1,336 |
1,272 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
445 |
369 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,968 |
1,864 |
$0.00 |
| 1100F |
|
926 |
898 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
288 |
265 |
$0.00 |
| 3078F |
|
1,391 |
1,214 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
206 |
189 |
$0.00 |
| 0521F |
|
149 |
146 |
$0.00 |
| 3045F |
|
333 |
330 |
$0.00 |
| 3046F |
|
113 |
109 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 1090F |
|
488 |
456 |
$0.00 |
| 95923 |
|
47 |
47 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |
| 1126F |
|
580 |
561 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
61 |
59 |
$0.00 |
| 3074F |
|
1,319 |
1,153 |
$0.00 |
| 3044F |
|
937 |
924 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,521 |
2,302 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
767 |
737 |
$0.00 |
| 3008F |
|
1,598 |
1,386 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
600 |
572 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,372 |
1,350 |
$0.00 |
| 1036F |
|
346 |
316 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,908 |
2,620 |
$0.00 |
| 1125F |
|
673 |
649 |
$0.00 |
| 1170F |
|
1,534 |
1,477 |
$0.00 |
| 1101F |
|
53 |
53 |
$0.00 |
| 3075F |
|
73 |
67 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
316 |
286 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,095 |
993 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
182 |
165 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
210 |
193 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
691 |
558 |
$0.00 |
| 90651 |
|
88 |
85 |
$0.00 |
| 90733 |
|
101 |
98 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
106 |
104 |
$0.00 |