| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,636 |
2,242 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,867 |
1,532 |
$84K |
| 99490 |
Ccm add 20min |
477 |
476 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
471 |
451 |
$6K |
| 99441 |
|
244 |
231 |
$6K |
| 0012A |
|
154 |
154 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
311 |
307 |
$3K |
| 0011A |
|
116 |
116 |
$3K |
| 99401 |
|
193 |
185 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
55 |
$3K |
| 90674 |
|
102 |
102 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
447 |
438 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
283 |
$2K |
| 0004A |
|
41 |
41 |
$2K |
| 90686 |
|
100 |
100 |
$2K |
| 90682 |
|
30 |
30 |
$1K |
| 0001A |
|
35 |
35 |
$1K |
| 99487 |
Ccm add 20min |
15 |
15 |
$1K |
| 0002A |
|
32 |
32 |
$1K |
| 93000 |
|
122 |
121 |
$996.84 |
| H0001 |
Alcohol and/or drug assessment |
58 |
57 |
$920.06 |
| 36415 |
Collection of venous blood by venipuncture |
1,181 |
1,157 |
$841.93 |
| 99491 |
Ccm add 20min |
15 |
15 |
$783.65 |
| 0064A |
|
45 |
45 |
$762.70 |
| 96127 |
|
174 |
172 |
$714.06 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
188 |
180 |
$656.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
343 |
333 |
$649.50 |
| 99442 |
|
13 |
13 |
$619.89 |
| 99497 |
|
44 |
44 |
$560.69 |
| 99397 |
|
131 |
130 |
$353.03 |
| 99439 |
|
23 |
23 |
$286.13 |
| 3078F |
|
1,563 |
1,306 |
$277.61 |
| 3074F |
|
1,145 |
974 |
$250.00 |
| 99051 |
|
138 |
127 |
$187.78 |
| 99408 |
|
122 |
121 |
$150.54 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
498 |
419 |
$139.50 |
| H0049 |
Alcohol and/or drug screening |
15 |
14 |
$97.50 |
| 99000 |
|
368 |
344 |
$90.78 |
| 3079F |
|
356 |
322 |
$55.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
44 |
44 |
$54.00 |
| 0134A |
|
17 |
17 |
$40.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
280 |
231 |
$18.00 |
| 3075F |
|
356 |
326 |
$17.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
241 |
208 |
$1.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
354 |
300 |
$1.00 |
| 90679 |
|
33 |
33 |
$0.04 |
| 1160F |
|
656 |
525 |
$0.00 |
| 3725F |
|
224 |
216 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
667 |
531 |
$0.00 |
| 1033F |
|
95 |
95 |
$0.00 |
| 99072 |
|
215 |
187 |
$0.00 |
| 1159F |
|
766 |
609 |
$0.00 |
| 90662 |
|
86 |
86 |
$0.00 |
| 4013F |
|
34 |
29 |
$0.00 |
| 96160 |
|
15 |
14 |
$0.00 |
| 3077F |
|
274 |
233 |
$0.00 |
| 4004F |
|
113 |
112 |
$0.00 |
| 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) |
72 |
66 |
$0.00 |
| 3016F |
|
146 |
141 |
$0.00 |
| 1158F |
|
19 |
18 |
$0.00 |
| 3008F |
|
2,254 |
1,855 |
$0.00 |
| 1220F |
|
185 |
178 |
$0.00 |
| 3048F |
|
159 |
129 |
$0.00 |
| 4037F |
|
172 |
172 |
$0.00 |
| 2000F |
|
1,047 |
855 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
221 |
219 |
$0.00 |
| 1036F |
|
76 |
75 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
79 |
78 |
$0.00 |
| 90694 |
|
98 |
98 |
$0.00 |
| 99429 |
|
14 |
12 |
$0.00 |
| 1000F |
|
46 |
46 |
$0.00 |
| 3044F |
|
31 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
30 |
26 |
$0.00 |