| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,211 |
6,581 |
$420K |
| 99215 |
Prolong outpt/office vis |
2,738 |
1,874 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,233 |
2,875 |
$110K |
| 99199 |
Unlisted special service, procedure or report |
17,116 |
10,393 |
$73K |
| 99490 |
Ccm add 20min |
9,434 |
6,549 |
$61K |
| 99443 |
|
318 |
246 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
268 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,365 |
1,167 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
26 |
$3K |
| 99442 |
|
38 |
33 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
16 |
$1K |
| 81003 |
|
764 |
622 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90686 |
|
156 |
96 |
$867.82 |
| 99497 |
|
119 |
106 |
$851.15 |
| 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) |
457 |
352 |
$798.65 |
| 99439 |
|
153 |
116 |
$782.91 |
| 96127 |
|
200 |
181 |
$684.73 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
79 |
$451.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$172.90 |
| 96160 |
|
64 |
52 |
$169.01 |
| 99406 |
|
14 |
14 |
$113.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
61 |
49 |
$31.37 |
| 1170F |
|
4,097 |
3,347 |
$0.47 |
| 1126F |
|
1,697 |
1,478 |
$0.24 |
| 1125F |
|
1,109 |
927 |
$0.18 |
| 1160F |
|
3,848 |
3,002 |
$0.10 |
| 1159F |
|
2,881 |
2,281 |
$0.10 |
| 3078F |
|
1,871 |
1,540 |
$0.07 |
| 3074F |
|
2,373 |
1,907 |
$0.06 |
| 3044F |
|
96 |
78 |
$0.02 |
| 3075F |
|
586 |
499 |
$0.02 |
| 3079F |
|
1,295 |
1,070 |
$0.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
55 |
$0.00 |
| 3288F |
|
108 |
101 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
170 |
134 |
$0.00 |
| 3077F |
|
40 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
229 |
186 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
122 |
99 |
$0.00 |
| 1158F |
|
33 |
30 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
1,957 |
1,596 |
$0.00 |
| 1036F |
|
450 |
371 |
$0.00 |
| 1111F |
|
32 |
26 |
$0.00 |
| 3008F |
|
566 |
473 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
198 |
165 |
$0.00 |
| 1034F |
|
123 |
95 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
179 |
141 |
$0.00 |
| 1220F |
|
108 |
101 |
$0.00 |
| 3080F |
|
43 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |