| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,764 |
21,446 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,118 |
9,665 |
$788K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,268 |
3,960 |
$425K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,833 |
1,549 |
$213K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,123 |
974 |
$124K |
| 93000 |
|
7,034 |
6,181 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
704 |
$79K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,098 |
13,033 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
584 |
531 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
511 |
459 |
$52K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,063 |
1,043 |
$51K |
| 99215 |
Prolong outpt/office vis |
964 |
861 |
$51K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
165 |
130 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
507 |
421 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
770 |
691 |
$38K |
| 90686 |
|
1,720 |
1,507 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
259 |
222 |
$26K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,964 |
4,824 |
$24K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
130 |
127 |
$23K |
| 93015 |
|
347 |
314 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,526 |
1,249 |
$16K |
| W7010 |
|
1,016 |
804 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,019 |
901 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,517 |
1,244 |
$12K |
| 97802 |
|
611 |
545 |
$11K |
| 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) |
756 |
669 |
$10K |
| 91320 |
|
78 |
66 |
$10K |
| 90670 |
|
378 |
341 |
$8K |
| 0011A |
|
237 |
215 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
467 |
388 |
$8K |
| 3008F |
|
10,575 |
8,765 |
$8K |
| 96127 |
|
1,616 |
1,316 |
$6K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,440 |
1,118 |
$6K |
| 99177 |
|
1,285 |
1,131 |
$5K |
| 90461 |
|
533 |
438 |
$5K |
| 90658 |
|
269 |
251 |
$5K |
| D1206 |
Topical application of fluoride varnish |
186 |
185 |
$5K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,740 |
2,159 |
$5K |
| 3044F |
|
2,428 |
1,941 |
$4K |
| 3074F |
|
5,987 |
5,056 |
$4K |
| 90633 |
|
181 |
164 |
$4K |
| 90698 |
|
181 |
162 |
$4K |
| 90688 |
|
184 |
135 |
$4K |
| 90662 |
|
205 |
161 |
$3K |
| 90480 |
|
82 |
70 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
27 |
26 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
26 |
12 |
$3K |
| 0134A |
|
85 |
51 |
$2K |
| 92551 |
|
231 |
213 |
$2K |
| 3015F |
|
558 |
483 |
$2K |
| 90680 |
|
96 |
88 |
$2K |
| 94010 |
|
78 |
64 |
$2K |
| 0031A |
|
47 |
45 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
327 |
263 |
$2K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,317 |
1,020 |
$2K |
| 1036F |
|
2,400 |
1,826 |
$2K |
| 96160 |
|
799 |
671 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
36 |
26 |
$2K |
| 90687 |
|
79 |
59 |
$1K |
| 90744 |
|
64 |
55 |
$1K |
| 93922 |
|
14 |
14 |
$1K |
| 0001A |
|
32 |
30 |
$1K |
| 93224 |
|
13 |
12 |
$930.29 |
| 0071A |
|
22 |
22 |
$886.98 |
| 90715 |
|
33 |
28 |
$884.86 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,958 |
1,447 |
$847.60 |
| 99173 |
|
715 |
575 |
$772.75 |
| 0513F |
|
466 |
389 |
$727.86 |
| 3075F |
|
884 |
765 |
$697.84 |
| 90710 |
|
29 |
26 |
$605.28 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$542.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
25 |
$464.36 |
| 0111A |
|
21 |
13 |
$442.32 |
| 90651 |
|
21 |
16 |
$349.20 |
| 90734 |
|
15 |
13 |
$279.36 |
| 90707 |
|
12 |
12 |
$279.36 |
| 3077F |
|
476 |
407 |
$201.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
212 |
120 |
$193.99 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
222 |
132 |
$190.99 |
| 99051 |
|
18 |
13 |
$157.04 |
| 3014F |
|
160 |
141 |
$140.00 |
| 36000 |
|
12 |
12 |
$125.30 |
| 1111F |
|
2,066 |
1,620 |
$110.27 |
| 99188 |
|
21 |
21 |
$94.50 |
| 1170F |
|
135 |
106 |
$85.49 |
| 4040F |
|
29 |
27 |
$68.98 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,020 |
760 |
$40.90 |
| 3078F |
|
4,657 |
3,919 |
$15.09 |
| 3079F |
|
2,476 |
2,140 |
$8.17 |
| 3080F |
|
440 |
382 |
$1.11 |
| 91311 |
|
15 |
12 |
$0.11 |
| 91300 |
|
26 |
25 |
$0.08 |
| 91301 |
|
54 |
54 |
$0.08 |
| 1159F |
|
8,862 |
7,306 |
$0.07 |
| 91307 |
|
16 |
16 |
$0.07 |
| 3048F |
|
205 |
189 |
$0.07 |
| 1160F |
|
8,044 |
6,646 |
$0.06 |
| 3725F |
|
2,748 |
2,249 |
$0.02 |
| 91313 |
|
56 |
31 |
$0.02 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
584 |
474 |
$0.01 |
| 4013F |
|
624 |
494 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
92 |
58 |
$0.00 |
| 3050F |
|
79 |
71 |
$0.00 |
| 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 |
14 |
$0.00 |
| 3049F |
|
143 |
129 |
$0.00 |
| 1000F |
|
494 |
417 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
408 |
321 |
$0.00 |
| 3017F |
|
281 |
253 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
121 |
67 |
$0.00 |
| 4010F |
|
44 |
39 |
$0.00 |
| 91303 |
|
37 |
36 |
$0.00 |