| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,396 |
11,353 |
$314K |
| 87428 |
|
1,367 |
1,298 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,332 |
3,037 |
$70K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,867 |
1,743 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
786 |
751 |
$40K |
| 99444 |
|
521 |
128 |
$30K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,919 |
2,586 |
$20K |
| 99215 |
Prolong outpt/office vis |
775 |
683 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,479 |
1,187 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
904 |
873 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
132 |
$10K |
| 99490 |
Ccm add 20min |
3,510 |
3,505 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
574 |
280 |
$6K |
| 99421 |
|
421 |
111 |
$5K |
| 99442 |
|
173 |
157 |
$3K |
| 99423 |
|
49 |
24 |
$2K |
| 99307 |
|
130 |
124 |
$2K |
| 99443 |
|
13 |
13 |
$1K |
| 99497 |
|
375 |
370 |
$519.02 |
| CP002 |
|
12 |
12 |
$99.41 |
| 99318 |
|
48 |
48 |
$88.80 |
| 81003 |
|
938 |
910 |
$58.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
125 |
$15.48 |
| 80061 |
Lipid panel |
759 |
742 |
$11.25 |
| 80053 |
Comprehensive metabolic panel |
896 |
872 |
$10.30 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
199 |
195 |
$3.55 |
| 80076 |
|
138 |
137 |
$3.43 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14,198 |
11,225 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
850 |
689 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
16 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
591 |
536 |
$0.00 |
| 3288F |
|
309 |
306 |
$0.00 |
| 90662 |
|
244 |
244 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
772 |
685 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
606 |
496 |
$0.00 |
| 99491 |
Ccm add 20min |
47 |
47 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
49 |
46 |
$0.00 |
| 4040F |
|
60 |
58 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
124 |
121 |
$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) |
13 |
12 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
291 |
241 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
229 |
225 |
$0.00 |
| 1036F |
|
1,850 |
1,597 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
376 |
375 |
$0.00 |
| 1111F |
|
1,010 |
821 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
207 |
204 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
808 |
784 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,046 |
914 |
$0.00 |
| 90686 |
|
38 |
38 |
$0.00 |
| 82962 |
|
29 |
25 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
27 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
942 |
855 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
14 |
14 |
$0.00 |
| 1101F |
|
89 |
87 |
$0.00 |
| 90688 |
|
49 |
49 |
$0.00 |
| 1170F |
|
434 |
432 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
458 |
456 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
125 |
122 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
77 |
76 |
$0.00 |
| G9901 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
13 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| G9910 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
46 |
44 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$0.00 |
| 3017F |
|
28 |
25 |
$0.00 |