| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,333 |
12,346 |
$416K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,667 |
7,130 |
$293K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,881 |
5,664 |
$87K |
| 99233 |
Prolong inpt eval add15 m |
2,393 |
709 |
$47K |
| 99495 |
|
630 |
461 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
519 |
422 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
899 |
800 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
185 |
66 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
179 |
161 |
$8K |
| 80305 |
|
2,020 |
1,556 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
88 |
$7K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
210 |
188 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,498 |
3,462 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
70 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
244 |
206 |
$5K |
| 99497 |
|
173 |
151 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
785 |
632 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
438 |
413 |
$4K |
| 96160 |
|
689 |
623 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,029 |
2,223 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,596 |
2,133 |
$2K |
| 3008F |
|
13,350 |
10,349 |
$2K |
| 82947 |
|
2,482 |
1,997 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,009 |
3,096 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
192 |
$2K |
| 99406 |
|
391 |
337 |
$2K |
| 3078F |
|
6,505 |
5,144 |
$2K |
| 3079F |
|
3,669 |
2,883 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
222 |
44 |
$2K |
| 3074F |
|
7,086 |
5,560 |
$2K |
| 90688 |
|
145 |
126 |
$1K |
| 3077F |
|
1,715 |
1,345 |
$1K |
| 3080F |
|
1,347 |
1,021 |
$1K |
| 90686 |
|
140 |
94 |
$1K |
| 3075F |
|
2,718 |
2,167 |
$884.01 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
147 |
131 |
$860.89 |
| 90756 |
|
48 |
36 |
$697.04 |
| 99442 |
|
44 |
44 |
$671.86 |
| 1159F |
|
746 |
533 |
$620.00 |
| 1125F |
|
483 |
354 |
$600.00 |
| 1160F |
|
415 |
304 |
$570.00 |
| 20610 |
|
14 |
13 |
$528.87 |
| 90674 |
|
32 |
31 |
$444.71 |
| 99215 |
Prolong outpt/office vis |
19 |
18 |
$378.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
214 |
169 |
$369.33 |
| 96127 |
|
194 |
159 |
$308.98 |
| 36416 |
|
1,855 |
1,448 |
$280.97 |
| 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) |
193 |
178 |
$172.04 |
| 1111F |
|
194 |
144 |
$170.00 |
| 94760 |
|
142 |
59 |
$52.70 |
| 81002 |
|
59 |
44 |
$38.65 |
| 81003 |
|
17 |
12 |
$10.74 |
| 1126F |
|
16 |
14 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
44 |
$0.00 |
| 1036F |
|
18 |
12 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
92 |
84 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
12 |
$0.00 |
| G0028 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
29 |
28 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| 2000F |
|
58 |
36 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
19 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
19 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,351 |
1,239 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
154 |
101 |
$0.00 |
| 4004F |
|
1,284 |
1,174 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
49 |
39 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
36 |
33 |
$0.00 |
| 1124F |
|
194 |
164 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
60 |
55 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.00 |