| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,448 |
12,988 |
$742K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,856 |
2,588 |
$213K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,651 |
1,646 |
$127K |
| 99441 |
|
2,409 |
2,156 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
984 |
982 |
$73K |
| 99401 |
|
5,268 |
4,940 |
$65K |
| 99443 |
|
505 |
465 |
$35K |
| 99442 |
|
511 |
465 |
$32K |
| 93000 |
|
2,736 |
2,705 |
$27K |
| 99497 |
|
1,150 |
1,066 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,097 |
1,025 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
140 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
753 |
745 |
$9K |
| 93922 |
|
131 |
129 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,094 |
988 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
568 |
561 |
$8K |
| 90688 |
|
409 |
409 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
78 |
76 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
7,339 |
7,141 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
97 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$4K |
| 94010 |
|
216 |
213 |
$4K |
| 93880 |
|
57 |
55 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
229 |
227 |
$4K |
| 90658 |
|
187 |
185 |
$3K |
| 99408 |
|
221 |
212 |
$3K |
| 99406 |
|
213 |
208 |
$3K |
| 3074F |
|
1,160 |
1,103 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
56 |
$2K |
| 3078F |
|
1,176 |
1,117 |
$2K |
| 90756 |
|
117 |
117 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
873 |
779 |
$972.24 |
| 3079F |
|
145 |
144 |
$685.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
16 |
$620.69 |
| 0012A |
|
20 |
20 |
$537.28 |
| 0034A |
|
14 |
14 |
$480.00 |
| 3075F |
|
107 |
105 |
$452.50 |
| 3044F |
|
432 |
390 |
$440.00 |
| 0011A |
|
16 |
16 |
$390.08 |
| 99490 |
Ccm add 20min |
68 |
66 |
$345.16 |
| 20610 |
|
16 |
12 |
$161.43 |
| 97804 |
|
160 |
158 |
$77.30 |
| 99457 |
|
12 |
12 |
$59.68 |
| 85014 |
|
57 |
57 |
$51.60 |
| 1160F |
|
3,467 |
2,850 |
$50.00 |
| 1159F |
|
3,466 |
2,848 |
$50.00 |
| 81000 |
|
25 |
25 |
$30.67 |
| 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) |
80 |
78 |
$21.30 |
| 82948 |
|
14 |
13 |
$19.79 |
| 1170F |
|
376 |
327 |
$5.00 |
| 3077F |
|
14 |
14 |
$5.00 |
| 91301 |
|
17 |
17 |
$0.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,353 |
3,956 |
$0.01 |
| 3017F |
|
293 |
280 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |
| 1157F |
|
52 |
46 |
$0.00 |
| 3351F |
|
2,399 |
2,187 |
$0.00 |
| 3049F |
|
190 |
169 |
$0.00 |
| 3048F |
|
247 |
227 |
$0.00 |
| 3014F |
|
42 |
42 |
$0.00 |
| 99000 |
|
1,288 |
1,248 |
$0.00 |
| 3061F |
|
228 |
209 |
$0.00 |
| 1126F |
|
71 |
66 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
18 |
17 |
$0.00 |
| 3288F |
|
240 |
210 |
$0.00 |
| 3050F |
|
164 |
156 |
$0.00 |
| 3725F |
|
1,852 |
1,700 |
$0.00 |
| 99072 |
|
928 |
853 |
$0.00 |
| 3015F |
|
56 |
56 |
$0.00 |