| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,155 |
35,940 |
$2.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,304 |
14,596 |
$749K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,778 |
4,347 |
$400K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,994 |
2,756 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,598 |
2,356 |
$218K |
| 94729 |
|
6,965 |
6,387 |
$116K |
| 94060 |
|
7,023 |
6,446 |
$116K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,727 |
5,122 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,204 |
1,104 |
$103K |
| 94727 |
|
7,025 |
6,450 |
$95K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,838 |
7,832 |
$88K |
| 99215 |
Prolong outpt/office vis |
1,054 |
938 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
814 |
766 |
$61K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
229 |
182 |
$52K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
624 |
244 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,292 |
1,102 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,167 |
765 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
1,067 |
369 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
454 |
430 |
$25K |
| 95806 |
|
571 |
393 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,291 |
559 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
996 |
888 |
$14K |
| 95811 |
|
46 |
37 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,325 |
1,262 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
535 |
383 |
$6K |
| 90474 |
|
498 |
451 |
$5K |
| 99205 |
Prolong outpt/office vis |
30 |
29 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
125 |
92 |
$3K |
| 94618 |
|
92 |
87 |
$1K |
| 90674 |
|
163 |
146 |
$854.83 |
| 99306 |
Prolong nursin fac eval 15m |
21 |
20 |
$833.63 |
| 94760 |
|
609 |
431 |
$777.47 |
| 90670 |
|
2,752 |
2,421 |
$616.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
40 |
$553.49 |
| 90733 |
|
178 |
166 |
$378.24 |
| 90651 |
|
484 |
445 |
$278.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$259.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
82 |
$167.37 |
| 90686 |
|
1,856 |
1,547 |
$119.74 |
| 90688 |
|
44 |
42 |
$116.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19 |
18 |
$99.32 |
| 90723 |
|
1,958 |
1,711 |
$76.86 |
| 95012 |
|
19 |
17 |
$26.58 |
| 90648 |
|
2,884 |
2,540 |
$21.61 |
| 3023F |
|
1,423 |
1,233 |
$20.00 |
| 90633 |
|
916 |
852 |
$4.64 |
| 90710 |
|
501 |
458 |
$3.62 |
| 90681 |
|
508 |
459 |
$1.21 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,820 |
5,227 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
723 |
702 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
775 |
736 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
1,196 |
1,094 |
$0.00 |
| 4004F |
|
893 |
760 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,325 |
1,250 |
$0.00 |
| 4040F |
|
1,084 |
982 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
213 |
206 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
128 |
100 |
$0.00 |
| 90700 |
|
66 |
62 |
$0.00 |
| 90685 |
|
142 |
134 |
$0.00 |
| 90653 |
|
30 |
29 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
13 |
13 |
$0.00 |
| 1036F |
|
2,129 |
1,902 |
$0.00 |
| G8924 |
Spirometry results documented (fev1/fvc < 70%) |
655 |
587 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
299 |
291 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
28 |
27 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
17 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
168 |
135 |
$0.00 |
| 90677 |
|
124 |
117 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
28 |
27 |
$0.00 |
| 90696 |
|
40 |
39 |
$0.00 |