| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,207 |
9,707 |
$718K |
| 99336 |
|
11,462 |
6,619 |
$148K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
9,512 |
7,378 |
$67K |
| 99349 |
|
2,356 |
1,740 |
$46K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,099 |
1,980 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
243 |
$18K |
| 99490 |
Ccm add 20min |
4,781 |
4,780 |
$16K |
| 99335 |
|
1,834 |
1,215 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
803 |
791 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
118 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
106 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
766 |
765 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
697 |
148 |
$6K |
| 99348 |
|
628 |
459 |
$6K |
| 99401 |
|
432 |
430 |
$6K |
| 99483 |
Prolong outpt/office vis |
455 |
455 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
510 |
501 |
$5K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
688 |
632 |
$4K |
| 90756 |
|
282 |
282 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
200 |
200 |
$4K |
| 93000 |
|
347 |
341 |
$3K |
| 90674 |
|
103 |
103 |
$3K |
| G0180 |
Physician or allowed practitioner 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 |
1,088 |
898 |
$3K |
| 99491 |
Ccm add 20min |
719 |
719 |
$3K |
| 90673 |
|
31 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,017 |
4,849 |
$2K |
| 96160 |
|
763 |
759 |
$2K |
| 90682 |
|
44 |
44 |
$2K |
| 90662 |
|
513 |
512 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
68 |
66 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
132 |
128 |
$924.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
95 |
$832.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
967 |
966 |
$790.00 |
| 99496 |
|
55 |
55 |
$774.35 |
| 99487 |
Ccm add 20min |
97 |
97 |
$447.09 |
| G0008 |
Administration of influenza virus vaccine |
715 |
713 |
$313.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
47 |
$309.34 |
| 3074F |
|
1,186 |
812 |
$250.00 |
| 3078F |
|
1,696 |
1,091 |
$227.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
121 |
121 |
$175.12 |
| 3079F |
|
490 |
408 |
$150.00 |
| 3077F |
|
473 |
355 |
$122.50 |
| 3075F |
|
635 |
471 |
$117.50 |
| 99408 |
|
192 |
192 |
$103.97 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
121 |
97 |
$102.64 |
| 99406 |
|
103 |
100 |
$90.46 |
| 99439 |
|
72 |
72 |
$89.18 |
| 99000 |
|
7,063 |
6,513 |
$63.37 |
| 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 |
33 |
33 |
$46.48 |
| 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)). |
79 |
79 |
$35.33 |
| G9275 |
Documentation that patient is a current non-tobacco user |
878 |
877 |
$12.00 |
| 1160F |
|
687 |
687 |
$5.00 |
| 1159F |
|
423 |
423 |
$5.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
337 |
337 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
656 |
460 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,057 |
1,412 |
$0.00 |
| 3725F |
|
176 |
176 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
22 |
20 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
106 |
106 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
19 |
19 |
$0.00 |
| 3288F |
|
24 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,484 |
1,659 |
$0.00 |
| 3008F |
|
2,103 |
1,598 |
$0.00 |
| 1000F |
|
175 |
175 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
755 |
580 |
$0.00 |
| 4037F |
|
655 |
652 |
$0.00 |
| 1126F |
|
25 |
25 |
$0.00 |
| 3060F |
|
44 |
44 |
$0.00 |
| 1036F |
|
142 |
142 |
$0.00 |
| 1111F |
|
44 |
44 |
$0.00 |
| 1157F |
|
37 |
37 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
71 |
$0.00 |
| 96161 |
|
18 |
18 |
$0.00 |