| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,102 |
7,979 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,339 |
1,229 |
$115K |
| 99490 |
Ccm add 20min |
1,830 |
1,830 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
196 |
171 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,456 |
1,360 |
$21K |
| 99401 |
|
1,410 |
1,297 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
627 |
577 |
$17K |
| H0049 |
Alcohol and/or drug screening |
976 |
955 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
101 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
782 |
364 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,373 |
1,306 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
174 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
81 |
$9K |
| 99051 |
|
1,722 |
1,554 |
$7K |
| 90682 |
|
109 |
108 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,211 |
2,076 |
$5K |
| 90686 |
|
229 |
229 |
$4K |
| 99457 |
|
219 |
219 |
$3K |
| 91320 |
|
62 |
62 |
$2K |
| 3074F |
|
2,295 |
1,927 |
$2K |
| 99497 |
|
56 |
56 |
$2K |
| 3078F |
|
2,254 |
1,885 |
$2K |
| 99454 |
|
132 |
132 |
$2K |
| 90674 |
|
73 |
73 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,808 |
1,757 |
$2K |
| 93000 |
|
287 |
282 |
$1K |
| 90656 |
|
70 |
70 |
$1K |
| 99397 |
|
28 |
27 |
$1K |
| 97802 |
|
886 |
878 |
$905.83 |
| 90694 |
|
108 |
108 |
$772.67 |
| 90480 |
|
62 |
62 |
$753.82 |
| 0064A |
|
25 |
25 |
$733.48 |
| 36410 |
|
497 |
472 |
$714.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
126 |
119 |
$597.24 |
| 90756 |
|
24 |
24 |
$572.67 |
| 97803 |
|
152 |
151 |
$537.76 |
| 0124A |
|
38 |
38 |
$531.44 |
| 3079F |
|
723 |
665 |
$515.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
30 |
30 |
$490.06 |
| H0001 |
Alcohol and/or drug assessment |
37 |
35 |
$487.75 |
| 90662 |
|
94 |
94 |
$419.87 |
| 3075F |
|
549 |
506 |
$375.00 |
| 90688 |
|
20 |
20 |
$347.60 |
| A4927 |
Gloves, non-sterile, per 100 |
1,029 |
936 |
$264.78 |
| 99316 |
|
15 |
15 |
$230.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
43 |
$133.88 |
| 3080F |
|
78 |
70 |
$120.00 |
| 99000 |
|
795 |
726 |
$110.89 |
| 3077F |
|
294 |
268 |
$87.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,028 |
966 |
$14.24 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$13.23 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
137 |
133 |
$8.64 |
| A4930 |
Gloves, sterile, per pair |
113 |
86 |
$7.18 |
| 91312 |
|
35 |
35 |
$0.12 |
| 91306 |
|
21 |
21 |
$0.01 |
| 1036F |
|
1,028 |
967 |
$0.00 |
| 3017F |
|
195 |
194 |
$0.00 |
| 3008F |
|
3,221 |
2,760 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,469 |
1,311 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
350 |
317 |
$0.00 |
| 1000F |
|
1,164 |
1,099 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
35 |
34 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |
| 1170F |
|
32 |
32 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 3725F |
|
1,314 |
1,228 |
$0.00 |
| 3016F |
|
368 |
366 |
$0.00 |
| 3015F |
|
108 |
108 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
199 |
188 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
346 |
312 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |