| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,542 |
24,008 |
$1.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,524 |
8,229 |
$779K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,520 |
2,490 |
$240K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,613 |
2,595 |
$231K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,946 |
4,542 |
$196K |
| 99406 |
|
13,627 |
11,216 |
$108K |
| 94060 |
|
3,055 |
3,013 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
519 |
519 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
3,088 |
3,015 |
$56K |
| 99497 |
|
1,167 |
1,165 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
594 |
592 |
$50K |
| 93000 |
|
3,713 |
3,601 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
240 |
129 |
$20K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
934 |
932 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
453 |
402 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
642 |
230 |
$17K |
| 90756 |
|
737 |
731 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
371 |
124 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
120 |
111 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,759 |
1,739 |
$11K |
| 82274 |
|
935 |
921 |
$11K |
| 81003 |
|
6,632 |
6,333 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
882 |
876 |
$9K |
| 99496 |
|
48 |
48 |
$6K |
| 99401 |
|
1,708 |
1,516 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
60 |
57 |
$4K |
| 99221 |
|
86 |
66 |
$4K |
| 0012A |
|
127 |
127 |
$4K |
| 0011A |
|
136 |
136 |
$4K |
| 99407 |
|
283 |
264 |
$4K |
| 99051 |
|
646 |
605 |
$4K |
| 99441 |
|
153 |
126 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
80 |
64 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$3K |
| 90688 |
|
183 |
183 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
192 |
191 |
$2K |
| 96127 |
|
787 |
729 |
$2K |
| 72110 |
|
69 |
68 |
$2K |
| 90661 |
|
59 |
59 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$2K |
| 99495 |
|
13 |
13 |
$2K |
| 99220 |
|
14 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
32 |
12 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
19 |
19 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
13 |
13 |
$1K |
| 97802 |
|
240 |
226 |
$1K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
625 |
529 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
364 |
352 |
$974.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
95 |
$839.46 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$814.22 |
| 96160 |
|
1,149 |
1,147 |
$698.10 |
| G9007 |
Coordinated care fee, scheduled team conference |
437 |
363 |
$660.96 |
| G9002 |
Coordinated care fee, maintenance rate |
1,193 |
935 |
$643.56 |
| 84703 |
|
154 |
147 |
$630.92 |
| G0102 |
Prostate cancer screening; digital rectal examination |
94 |
94 |
$587.04 |
| 99217 |
|
15 |
14 |
$574.60 |
| 99490 |
Ccm add 20min |
28 |
28 |
$565.50 |
| 0013A |
|
20 |
20 |
$492.05 |
| 82962 |
|
204 |
182 |
$476.38 |
| 73030 |
|
16 |
12 |
$293.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$247.61 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$174.54 |
| 99408 |
|
13 |
12 |
$144.20 |
| 98966 |
|
566 |
519 |
$27.92 |
| 82272 |
|
15 |
13 |
$24.97 |
| 3079F |
|
2,920 |
2,772 |
$6.53 |
| 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) |
12 |
12 |
$3.30 |
| G9001 |
Coordinated care fee, initial rate |
327 |
320 |
$1.49 |
| 1111F |
|
288 |
279 |
$0.14 |
| 98967 |
|
13 |
12 |
$0.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,131 |
1,085 |
$0.02 |
| 1034F |
|
10,866 |
8,978 |
$0.00 |
| 3074F |
|
7,083 |
6,645 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
587 |
538 |
$0.00 |
| 3075F |
|
1,702 |
1,659 |
$0.00 |
| 3080F |
|
1,466 |
1,361 |
$0.00 |
| 1036F |
|
370 |
347 |
$0.00 |
| 2000F |
|
11,292 |
10,029 |
$0.00 |
| 3044F |
|
315 |
315 |
$0.00 |
| 4086F |
|
90 |
86 |
$0.00 |
| 2010F |
|
109 |
105 |
$0.00 |
| 4000F |
|
2,294 |
2,001 |
$0.00 |
| 1125F |
|
102 |
95 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 1126F |
|
19 |
19 |
$0.00 |
| 3008F |
|
82 |
78 |
$0.00 |
| 3090F |
|
197 |
175 |
$0.00 |
| 3077F |
|
2,472 |
2,269 |
$0.00 |
| 3078F |
|
6,082 |
5,735 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
564 |
507 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,859 |
1,663 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
589 |
529 |
$0.00 |
| 3045F |
|
62 |
62 |
$0.00 |
| 3088F |
|
56 |
55 |
$0.00 |
| 1159F |
|
76 |
76 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
109 |
100 |
$0.00 |
| 4004F |
|
59 |
57 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
13 |
12 |
$0.00 |