| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,042 |
6,393 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,741 |
4,989 |
$346K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
353 |
339 |
$40K |
| 99215 |
Prolong outpt/office vis |
176 |
158 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,296 |
995 |
$10K |
| 99406 |
|
986 |
871 |
$8K |
| 96127 |
|
809 |
791 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
290 |
273 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 96160 |
|
294 |
286 |
$2K |
| 99443 |
|
70 |
66 |
$2K |
| 90756 |
|
71 |
70 |
$1K |
| 83037 |
|
199 |
198 |
$1K |
| 99442 |
|
25 |
23 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
128 |
$1K |
| 99408 |
|
354 |
350 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
37 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
14 |
$805.14 |
| 90686 |
|
44 |
42 |
$741.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
15 |
$581.72 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
55 |
53 |
$514.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
337 |
250 |
$425.31 |
| 90656 |
|
17 |
16 |
$385.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$297.61 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
13 |
13 |
$271.92 |
| 90688 |
|
18 |
18 |
$227.52 |
| 99402 |
|
13 |
12 |
$200.37 |
| 99407 |
|
15 |
15 |
$191.17 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
101 |
83 |
$162.00 |
| 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) |
69 |
59 |
$147.02 |
| 81002 |
|
25 |
25 |
$64.54 |
| 3008F |
|
7,970 |
6,755 |
$2.34 |
| 1159F |
|
6,894 |
5,777 |
$1.97 |
| 3074F |
|
4,802 |
4,128 |
$1.61 |
| 2010F |
|
6,500 |
5,463 |
$1.53 |
| 3078F |
|
3,790 |
3,339 |
$1.31 |
| 3079F |
|
3,163 |
2,874 |
$0.60 |
| 3700F |
|
780 |
762 |
$0.45 |
| 3075F |
|
1,759 |
1,620 |
$0.25 |
| 3077F |
|
498 |
468 |
$0.16 |
| 1034F |
|
616 |
548 |
$0.14 |
| 1033F |
|
65 |
59 |
$0.04 |
| 3080F |
|
117 |
114 |
$0.03 |
| 4013F |
|
35 |
26 |
$0.01 |
| 1036F |
|
1,080 |
965 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,231 |
1,067 |
$0.00 |
| 1111F |
|
444 |
419 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
43 |
43 |
$0.00 |
| 2000F |
|
15 |
15 |
$0.00 |
| 3044F |
|
66 |
65 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
61 |
$0.00 |
| 4010F |
|
18 |
15 |
$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) |
194 |
184 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
192 |
187 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
229 |
227 |
$0.00 |
| G9920 |
Screening performed and negative |
170 |
169 |
$0.00 |
| 99072 |
|
925 |
805 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
55 |
$0.00 |
| 3725F |
|
270 |
251 |
$0.00 |
| 98960 |
|
73 |
62 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
31 |
28 |
$0.00 |