| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,770 |
12,448 |
$713K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,942 |
3,894 |
$272K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,846 |
1,840 |
$151K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
11,356 |
8,402 |
$95K |
| 99335 |
|
4,280 |
3,853 |
$68K |
| 99348 |
|
2,498 |
1,664 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,470 |
1,298 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
458 |
457 |
$34K |
| 99307 |
|
5,437 |
3,514 |
$31K |
| 99349 |
|
716 |
685 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,954 |
1,913 |
$24K |
| 90688 |
|
1,411 |
1,403 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,655 |
1,625 |
$19K |
| 99334 |
|
2,253 |
1,707 |
$18K |
| 99305 |
|
465 |
454 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
7,635 |
7,441 |
$10K |
| 99441 |
|
270 |
241 |
$8K |
| 90662 |
|
477 |
459 |
$5K |
| 93000 |
|
393 |
385 |
$5K |
| 3074F |
|
2,999 |
2,459 |
$4K |
| 3079F |
|
2,286 |
2,000 |
$3K |
| 3078F |
|
2,077 |
1,791 |
$3K |
| 99304 |
|
325 |
310 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24,785 |
19,644 |
$3K |
| 3075F |
|
1,228 |
1,120 |
$2K |
| 90670 |
|
31 |
30 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
155 |
154 |
$1K |
| 99336 |
|
27 |
27 |
$997.76 |
| 90732 |
|
39 |
39 |
$934.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
35 |
$595.01 |
| 99397 |
|
12 |
12 |
$521.78 |
| 90686 |
|
20 |
19 |
$337.88 |
| 1123F |
|
2,398 |
2,337 |
$324.36 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12,004 |
8,255 |
$276.06 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
10,178 |
7,357 |
$227.81 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
38 |
$224.66 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,126 |
4,008 |
$215.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$201.89 |
| G0008 |
Administration of influenza virus vaccine |
327 |
326 |
$193.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
165 |
164 |
$159.60 |
| 94760 |
|
320 |
256 |
$149.43 |
| 86580 |
|
15 |
15 |
$85.09 |
| 3080F |
|
125 |
109 |
$70.01 |
| 3077F |
|
148 |
130 |
$70.00 |
| 3008F |
|
2,443 |
2,421 |
$0.44 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
5,038 |
4,148 |
$0.02 |
| 1036F |
|
3,821 |
3,772 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,056 |
3,921 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
184 |
176 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
53 |
53 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
20 |
19 |
$0.00 |
| 99429 |
|
110 |
83 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
123 |
112 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
42 |
42 |
$0.00 |
| 99318 |
|
19 |
19 |
$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) |
1,610 |
1,597 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,521 |
4,431 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,672 |
1,326 |
$0.00 |
| 4040F |
|
543 |
539 |
$0.00 |
| 1124F |
|
569 |
556 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
36 |
35 |
$0.00 |