| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,922 |
5,473 |
$557K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
3,527 |
$241K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,161 |
1,342 |
$173K |
| 99223 |
Prolong inpt eval add15 m |
587 |
577 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
368 |
367 |
$50K |
| 99233 |
Prolong inpt eval add15 m |
696 |
433 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
429 |
428 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
457 |
456 |
$41K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
445 |
438 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
4,001 |
3,753 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
71 |
$6K |
| 96127 |
|
2,181 |
2,148 |
$6K |
| 99406 |
|
607 |
591 |
$5K |
| 99401 |
|
258 |
254 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
395 |
379 |
$4K |
| 90682 |
|
65 |
62 |
$3K |
| 90688 |
|
186 |
178 |
$3K |
| 99408 |
|
118 |
113 |
$2K |
| 93000 |
|
240 |
234 |
$2K |
| 99220 |
|
13 |
12 |
$1K |
| 90661 |
|
32 |
32 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
21 |
18 |
$937.54 |
| 99307 |
|
35 |
27 |
$931.23 |
| 96160 |
|
1,000 |
979 |
$705.86 |
| 82947 |
|
133 |
127 |
$469.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$433.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$429.05 |
| 99441 |
|
12 |
12 |
$407.46 |
| 99415 |
Prolong outpt/office vis |
26 |
26 |
$331.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$307.09 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
52 |
49 |
$236.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
19 |
$118.12 |
| 80061 |
Lipid panel |
19 |
19 |
$105.12 |
| 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) |
74 |
71 |
$97.40 |
| 96156 |
|
725 |
709 |
$82.59 |
| 1159F |
|
7,112 |
6,589 |
$34.66 |
| 3078F |
|
4,993 |
4,694 |
$22.93 |
| 3075F |
|
1,334 |
1,292 |
$20.99 |
| G8432 |
Depression screening not documented, reason not given |
1,262 |
1,190 |
$20.00 |
| 1160F |
|
7,097 |
6,576 |
$14.67 |
| 3074F |
|
5,621 |
5,266 |
$2.74 |
| 3079F |
|
2,299 |
2,223 |
$1.09 |
| 3077F |
|
892 |
854 |
$0.53 |
| 3008F |
|
8,123 |
7,499 |
$0.15 |
| 3080F |
|
607 |
582 |
$0.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
615 |
606 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
14 |
$0.00 |
| 1101F |
|
38 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
39 |
39 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
13 |
13 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
74 |
74 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
19 |
19 |
$0.00 |
| 4004F |
|
81 |
81 |
$0.00 |
| 99072 |
|
68 |
66 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
26 |
$0.00 |
| G9920 |
Screening performed and negative |
29 |
25 |
$0.00 |