| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,349 |
16,473 |
$645K |
| 99091 |
|
1,062 |
1,051 |
$177K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,398 |
1,324 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,302 |
2,179 |
$124K |
| 99444 |
|
2,169 |
548 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,153 |
1,098 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,312 |
1,236 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,032 |
987 |
$65K |
| 99423 |
|
1,163 |
292 |
$65K |
| 99385 |
|
410 |
393 |
$30K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,424 |
2,170 |
$27K |
| 99406 |
|
3,493 |
3,020 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
354 |
327 |
$27K |
| 99386 |
|
204 |
194 |
$17K |
| 99384 |
|
158 |
154 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,817 |
705 |
$14K |
| 81025 |
|
1,947 |
1,837 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
757 |
700 |
$9K |
| 86318 |
|
509 |
491 |
$8K |
| 81002 |
|
3,120 |
2,919 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
694 |
591 |
$7K |
| 0513F |
|
1,822 |
1,733 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
559 |
256 |
$5K |
| 99383 |
|
53 |
53 |
$5K |
| 90461 |
|
521 |
352 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
54 |
$3K |
| 3044F |
|
4,334 |
3,800 |
$2K |
| 90686 |
|
253 |
235 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 90473 |
|
96 |
94 |
$1K |
| 69209 |
|
93 |
86 |
$1K |
| 90672 |
|
97 |
92 |
$532.16 |
| 82947 |
|
200 |
188 |
$490.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
88 |
$483.41 |
| 3046F |
|
333 |
279 |
$400.00 |
| 94664 |
|
2,569 |
2,327 |
$290.46 |
| 99457 |
|
269 |
268 |
$204.87 |
| 90660 |
|
151 |
140 |
$192.76 |
| 99454 |
|
129 |
128 |
$159.85 |
| 99458 |
|
234 |
233 |
$139.02 |
| 90688 |
|
13 |
12 |
$84.05 |
| 88142 |
|
17 |
14 |
$69.78 |
| 3011F |
|
862 |
832 |
$20.00 |
| 90734 |
|
147 |
126 |
$10.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,308 |
1,258 |
$2.42 |
| 90715 |
|
60 |
53 |
$0.02 |
| 3061F |
|
10,700 |
8,524 |
$0.01 |
| 3049F |
|
1,775 |
1,516 |
$0.01 |
| 3008F |
|
1,381 |
1,283 |
$0.01 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
14,219 |
12,577 |
$0.01 |
| 4000F |
|
1,471 |
1,375 |
$0.00 |
| 3048F |
|
3,485 |
3,013 |
$0.00 |
| 3079F |
|
4,531 |
4,009 |
$0.00 |
| 1170F |
|
2,487 |
2,280 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,099 |
3,549 |
$0.00 |
| 1036F |
|
1,690 |
1,570 |
$0.00 |
| 3075F |
|
4,683 |
4,112 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,507 |
1,390 |
$0.00 |
| 1125F |
|
1,206 |
1,085 |
$0.00 |
| 3080F |
|
127 |
119 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
957 |
820 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
138 |
130 |
$0.00 |
| 3060F |
|
558 |
439 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,204 |
2,028 |
$0.00 |
| 3074F |
|
5,572 |
4,852 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
394 |
348 |
$0.00 |
| 1034F |
|
1,442 |
1,355 |
$0.00 |
| 90744 |
|
28 |
24 |
$0.00 |
| 3072F |
|
2,996 |
2,826 |
$0.00 |
| 1126F |
|
82 |
79 |
$0.00 |
| 90716 |
|
84 |
77 |
$0.00 |
| 90696 |
|
34 |
31 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
35 |
28 |
$0.00 |
| 4010F |
|
63 |
56 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
126 |
109 |
$0.00 |
| 1111F |
|
26 |
25 |
$0.00 |
| 90649 |
|
165 |
148 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
540 |
462 |
$0.00 |
| 3210F |
|
497 |
478 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
746 |
646 |
$0.00 |
| 0521F |
|
859 |
797 |
$0.00 |
| 1090F |
|
2,560 |
2,338 |
$0.00 |
| 90707 |
|
78 |
71 |
$0.00 |
| 1160F |
|
3,533 |
3,294 |
$0.00 |
| 3078F |
|
5,826 |
5,056 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
935 |
803 |
$0.00 |
| 3288F |
|
2,689 |
2,420 |
$0.00 |
| 3725F |
|
3,284 |
2,989 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,202 |
3,834 |
$0.00 |
| 3077F |
|
327 |
293 |
$0.00 |
| 3050F |
|
1,363 |
1,194 |
$0.00 |
| 1159F |
|
3,532 |
3,294 |
$0.00 |
| 90633 |
|
45 |
44 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
465 |
377 |
$0.00 |
| 1100F |
|
46 |
36 |
$0.00 |
| 91300 |
|
69 |
66 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
27 |
$0.00 |
| 0518F |
|
16 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 3117F |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |