| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,408 |
8,137 |
$484K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,541 |
3,893 |
$283K |
| 99490 |
Ccm add 20min |
4,611 |
4,499 |
$147K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
454 |
447 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
217 |
212 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
201 |
$17K |
| 3008F |
|
4,506 |
3,849 |
$16K |
| 1160F |
|
3,843 |
3,289 |
$11K |
| 3074F |
|
2,216 |
1,940 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
120 |
$9K |
| 0002A |
|
244 |
229 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
101 |
100 |
$9K |
| 3079F |
|
1,692 |
1,520 |
$8K |
| 0001A |
|
237 |
217 |
$7K |
| 96127 |
|
1,459 |
1,391 |
$7K |
| 90686 |
|
434 |
425 |
$6K |
| 3078F |
|
1,413 |
1,262 |
$6K |
| 91320 |
|
58 |
57 |
$6K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
279 |
164 |
$6K |
| 4010F |
|
1,968 |
1,659 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
67 |
$5K |
| 3044F |
|
824 |
741 |
$4K |
| 3017F |
|
1,924 |
1,680 |
$4K |
| 3075F |
|
766 |
692 |
$4K |
| 0003A |
|
105 |
100 |
$4K |
| 3014F |
|
960 |
869 |
$3K |
| 3048F |
|
872 |
778 |
$2K |
| 3015F |
|
492 |
461 |
$2K |
| 4013F |
|
499 |
452 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 99439 |
|
76 |
68 |
$2K |
| 97802 |
|
1,253 |
1,167 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,428 |
1,319 |
$2K |
| 0124A |
|
62 |
54 |
$2K |
| 3061F |
|
996 |
877 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| 99491 |
Ccm add 20min |
146 |
99 |
$1K |
| 90656 |
|
69 |
69 |
$1K |
| 0072A |
|
33 |
31 |
$1K |
| 3077F |
|
191 |
162 |
$1K |
| 90734 |
|
27 |
25 |
$983.91 |
| 99000 |
|
405 |
368 |
$979.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
297 |
$954.56 |
| 3080F |
|
148 |
127 |
$946.00 |
| 90688 |
|
132 |
89 |
$901.96 |
| 90480 |
|
58 |
57 |
$781.08 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
145 |
89 |
$779.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
293 |
224 |
$640.40 |
| 99497 |
|
97 |
68 |
$555.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
150 |
147 |
$554.12 |
| 90651 |
|
26 |
26 |
$518.93 |
| 3051F |
|
59 |
53 |
$353.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
523 |
448 |
$340.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
609 |
524 |
$299.00 |
| 90461 |
|
118 |
115 |
$225.94 |
| 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) |
202 |
169 |
$208.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
789 |
762 |
$149.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
313 |
227 |
$138.59 |
| 1101F |
|
62 |
57 |
$131.90 |
| 3085F |
|
40 |
38 |
$90.00 |
| 3288F |
|
54 |
46 |
$87.40 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
53 |
34 |
$53.77 |
| G8482 |
Influenza immunization administered or previously received |
364 |
329 |
$27.50 |
| 90662 |
|
86 |
61 |
$14.13 |
| 2023F |
|
13 |
13 |
$8.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
532 |
459 |
$4.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
556 |
476 |
$4.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
203 |
133 |
$0.00 |
| 4040F |
|
19 |
19 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
139 |
93 |
$0.00 |
| 1170F |
|
237 |
168 |
$0.00 |