| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,653 |
9,272 |
$335K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
735 |
711 |
$58K |
| 90670 |
|
625 |
602 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,506 |
1,034 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
475 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,058 |
2,678 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
989 |
647 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,250 |
1,016 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
702 |
515 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
591 |
553 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
220 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,651 |
3,482 |
$11K |
| 99188 |
|
1,834 |
1,647 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$11K |
| 90716 |
|
247 |
240 |
$9K |
| 90633 |
|
740 |
722 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
234 |
182 |
$8K |
| 90651 |
|
279 |
264 |
$7K |
| 90686 |
|
631 |
604 |
$5K |
| 90700 |
|
933 |
905 |
$5K |
| 99050 |
|
634 |
621 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
214 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
402 |
399 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
719 |
528 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
878 |
534 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
157 |
113 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
250 |
137 |
$1K |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
359 |
328 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
16 |
$995.22 |
| 90621 |
|
41 |
41 |
$655.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,145 |
8,238 |
$559.86 |
| 99460 |
|
12 |
12 |
$555.13 |
| 90685 |
|
51 |
51 |
$447.04 |
| 99051 |
|
47 |
47 |
$359.20 |
| 90734 |
|
134 |
131 |
$247.57 |
| 90744 |
|
286 |
282 |
$178.11 |
| 90707 |
|
261 |
254 |
$178.01 |
| 96160 |
|
903 |
753 |
$140.45 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
77 |
76 |
$126.16 |
| 81002 |
|
630 |
363 |
$109.14 |
| 90715 |
|
63 |
61 |
$100.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
40 |
$96.42 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
153 |
138 |
$81.82 |
| 90713 |
|
741 |
717 |
$60.47 |
| 90648 |
|
636 |
613 |
$32.74 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,793 |
1,607 |
$17.84 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,251 |
1,130 |
$14.37 |
| 1036F |
|
703 |
622 |
$0.99 |
| 3074F |
|
927 |
861 |
$0.93 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,889 |
3,462 |
$0.62 |
| 3075F |
|
186 |
183 |
$0.58 |
| 4004F |
|
645 |
588 |
$0.47 |
| 1159F |
|
170 |
139 |
$0.42 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
90 |
84 |
$0.35 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
93 |
87 |
$0.35 |
| 3077F |
|
114 |
105 |
$0.23 |
| 3288F |
|
357 |
330 |
$0.21 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
47 |
39 |
$0.18 |
| 1160F |
|
152 |
125 |
$0.12 |
| 1111F |
|
47 |
40 |
$0.08 |
| G8478 |
Blood pressure measurement not performed or documented, reason not given |
135 |
124 |
$0.08 |
| G8421 |
Bmi not documented and no reason is given |
36 |
35 |
$0.05 |
| 3044F |
|
31 |
28 |
$0.04 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
453 |
414 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
88 |
86 |
$0.01 |
| 3078F |
|
979 |
910 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
229 |
227 |
$0.00 |
| 3016F |
|
17 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
188 |
181 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
272 |
252 |
$0.00 |
| 0518F |
|
25 |
25 |
$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) |
138 |
124 |
$0.00 |
| 4025F |
|
42 |
40 |
$0.00 |
| 4040F |
|
60 |
59 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
16 |
$0.00 |
| 90680 |
|
300 |
286 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
349 |
323 |
$0.00 |
| 3008F |
|
203 |
196 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,011 |
3,573 |
$0.00 |
| 1170F |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
352 |
335 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
367 |
338 |
$0.00 |
| 3079F |
|
262 |
245 |
$0.00 |
| 1123F |
|
49 |
49 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
12 |
$0.00 |
| 92587 |
|
42 |
40 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
15 |
$0.00 |
| 3017F |
|
68 |
65 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
139 |
84 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 3080F |
|
29 |
26 |
$0.00 |