| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,933 |
11,395 |
$708K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,570 |
4,458 |
$356K |
| 99487 |
Ccm add 20min |
6,155 |
6,115 |
$354K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
4,130 |
3,556 |
$138K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,402 |
1,392 |
$118K |
| 99490 |
Ccm add 20min |
1,836 |
1,830 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,230 |
1,109 |
$53K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,893 |
3,377 |
$45K |
| 99442 |
|
546 |
530 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
293 |
292 |
$22K |
| 99401 |
|
1,399 |
1,383 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,514 |
1,487 |
$18K |
| 90682 |
|
203 |
202 |
$13K |
| 90688 |
|
540 |
539 |
$10K |
| 99408 |
|
3,371 |
3,190 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
660 |
642 |
$9K |
| 90673 |
|
98 |
98 |
$7K |
| 3078F |
|
4,850 |
4,212 |
$6K |
| 3074F |
|
4,349 |
3,780 |
$6K |
| 90686 |
|
240 |
240 |
$5K |
| 99051 |
|
1,172 |
1,112 |
$4K |
| 99443 |
|
84 |
81 |
$4K |
| 99441 |
|
152 |
149 |
$4K |
| 99406 |
|
403 |
371 |
$4K |
| 95923 |
|
33 |
33 |
$3K |
| 3079F |
|
1,409 |
1,320 |
$3K |
| 99497 |
|
113 |
112 |
$3K |
| 93922 |
|
33 |
33 |
$2K |
| 3075F |
|
1,277 |
1,206 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
272 |
258 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
1,801 |
1,626 |
$2K |
| 95921 |
|
33 |
33 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,714 |
3,684 |
$2K |
| 3044F |
|
2,250 |
2,136 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
178 |
176 |
$998.41 |
| 3077F |
|
906 |
844 |
$855.00 |
| 82042 |
|
220 |
217 |
$778.54 |
| 99439 |
|
40 |
40 |
$735.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
356 |
353 |
$575.66 |
| 90653 |
|
16 |
16 |
$503.32 |
| 90662 |
|
13 |
13 |
$454.40 |
| 99457 |
|
33 |
33 |
$444.69 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
24 |
24 |
$399.47 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
67 |
67 |
$394.70 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$348.01 |
| 1111F |
|
156 |
151 |
$265.04 |
| 90658 |
|
13 |
13 |
$248.60 |
| 1160F |
|
3,961 |
3,604 |
$239.30 |
| 1159F |
|
2,455 |
2,366 |
$167.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
12 |
$144.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,648 |
1,487 |
$140.70 |
| 1126F |
|
3,024 |
2,740 |
$135.00 |
| 99458 |
|
14 |
14 |
$118.04 |
| 98960 |
|
31 |
31 |
$83.07 |
| 88142 |
|
12 |
12 |
$72.04 |
| 2023F |
|
84 |
72 |
$60.00 |
| 3080F |
|
28 |
25 |
$50.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
54 |
52 |
$41.64 |
| 1125F |
|
139 |
131 |
$5.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,658 |
3,424 |
$3.09 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
324 |
309 |
$2.10 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
71 |
66 |
$0.21 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,309 |
3,122 |
$0.03 |
| 3008F |
|
6,605 |
5,636 |
$0.02 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
2,170 |
1,980 |
$0.01 |
| G9276 |
Documentation that patient is a current tobacco user |
289 |
266 |
$0.01 |
| 1000F |
|
2,805 |
2,622 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,268 |
1,985 |
$0.00 |
| 4010F |
|
2,304 |
1,995 |
$0.00 |
| 3049F |
|
583 |
551 |
$0.00 |
| 3061F |
|
274 |
249 |
$0.00 |
| 3048F |
|
1,624 |
1,548 |
$0.00 |
| 1036F |
|
2,391 |
2,244 |
$0.00 |
| 3017F |
|
668 |
577 |
$0.00 |
| 3014F |
|
497 |
428 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
793 |
700 |
$0.00 |
| 82270 |
|
16 |
16 |
$0.00 |
| 1101F |
|
27 |
26 |
$0.00 |
| G9811 |
Patient did not achieve a pdc of at least 75% for their asthma controller medication |
21 |
20 |
$0.00 |
| 1157F |
|
15 |
14 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 3725F |
|
2,712 |
2,532 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
4,879 |
4,197 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,313 |
6,224 |
$0.00 |
| 3045F |
|
48 |
45 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
732 |
647 |
$0.00 |
| 3050F |
|
194 |
183 |
$0.00 |
| 2028F |
|
1,058 |
949 |
$0.00 |
| 3016F |
|
214 |
202 |
$0.00 |
| 4013F |
|
3,360 |
2,850 |
$0.00 |
| 2022F |
|
134 |
124 |
$0.00 |
| 99072 |
|
2,006 |
1,801 |
$0.00 |
| 3015F |
|
404 |
352 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
218 |
203 |
$0.00 |
| 1032F |
|
48 |
45 |
$0.00 |
| 3288F |
|
27 |
26 |
$0.00 |
| 1100F |
|
27 |
26 |
$0.00 |
| 1158F |
|
15 |
14 |
$0.00 |
| G9810 |
Patient achieved a pdc of at least 75% for their asthma controller medication |
24 |
24 |
$0.00 |
| 3051F |
|
15 |
13 |
$0.00 |