| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,792 |
19,420 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,117 |
14,067 |
$1.29M |
| 99401 |
|
9,527 |
8,457 |
$128K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,274 |
3,267 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
762 |
760 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
435 |
433 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,439 |
1,378 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
409 |
407 |
$35K |
| 99406 |
|
2,971 |
2,696 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,006 |
3,994 |
$30K |
| 93000 |
|
2,199 |
2,168 |
$29K |
| 84439 |
|
4,122 |
4,114 |
$29K |
| 80061 |
Lipid panel |
4,220 |
4,204 |
$27K |
| 84480 |
|
4,113 |
4,105 |
$27K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,864 |
2,851 |
$25K |
| 83550 |
|
3,815 |
3,807 |
$18K |
| 99215 |
Prolong outpt/office vis |
144 |
139 |
$18K |
| 82607 |
|
1,598 |
1,595 |
$16K |
| 83540 |
|
3,812 |
3,804 |
$16K |
| 83735 |
|
3,694 |
3,687 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,745 |
1,735 |
$16K |
| 83615 |
|
3,661 |
3,654 |
$15K |
| 82728 |
|
1,355 |
1,352 |
$14K |
| 92587 |
|
514 |
514 |
$14K |
| 82746 |
|
1,369 |
1,366 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,109 |
545 |
$14K |
| 84100 |
|
3,685 |
3,678 |
$14K |
| 84550 |
|
3,683 |
3,678 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
11,779 |
11,483 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
131 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,401 |
1,397 |
$12K |
| 96127 |
|
3,738 |
3,713 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
67 |
67 |
$10K |
| 86141 |
|
815 |
815 |
$7K |
| 82977 |
|
1,503 |
1,500 |
$7K |
| 94010 |
|
259 |
259 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,262 |
1,254 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
636 |
574 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,619 |
1,606 |
$5K |
| 99385 |
|
50 |
50 |
$5K |
| 3074F |
|
5,113 |
4,619 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
354 |
353 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,012 |
11,578 |
$4K |
| 81003 |
|
2,623 |
2,572 |
$4K |
| 80050 |
General health panel |
175 |
175 |
$4K |
| 3078F |
|
3,815 |
3,481 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
1,487 |
1,368 |
$4K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,451 |
10,217 |
$3K |
| 86431 |
|
721 |
721 |
$3K |
| 90686 |
|
144 |
144 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,144 |
3,746 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$2K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,320 |
3,963 |
$1K |
| 90674 |
|
58 |
58 |
$1K |
| 99490 |
Ccm add 20min |
52 |
52 |
$1K |
| 3079F |
|
777 |
737 |
$887.52 |
| 84403 |
|
41 |
41 |
$841.29 |
| 94690 |
|
28 |
28 |
$708.22 |
| 99072 |
|
401 |
376 |
$431.75 |
| 86769 |
|
13 |
13 |
$397.81 |
| 80305 |
|
70 |
69 |
$388.54 |
| 84153 |
|
27 |
27 |
$369.23 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,100 |
997 |
$336.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
44 |
$295.70 |
| 84479 |
|
1,768 |
1,758 |
$293.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$223.65 |
| 86430 |
|
50 |
50 |
$182.75 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
894 |
803 |
$157.50 |
| 81002 |
|
53 |
50 |
$90.25 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
312 |
292 |
$87.50 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
245 |
223 |
$84.00 |
| 3075F |
|
52 |
52 |
$65.00 |
| 3080F |
|
31 |
28 |
$60.00 |
| 82947 |
|
14 |
12 |
$57.83 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$54.72 |
| 3077F |
|
27 |
25 |
$42.50 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
74 |
72 |
$42.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
52 |
49 |
$38.50 |
| 99000 |
|
4,582 |
4,306 |
$20.66 |
| 1126F |
|
455 |
420 |
$10.00 |
| 1160F |
|
942 |
818 |
$7.51 |
| 1159F |
|
574 |
516 |
$5.00 |
| 3008F |
|
2,315 |
2,059 |
$0.09 |
| 4004F |
|
69 |
62 |
$0.00 |
| 3288F |
|
478 |
430 |
$0.00 |
| 3017F |
|
775 |
702 |
$0.00 |
| 1036F |
|
3,902 |
3,456 |
$0.00 |
| 3044F |
|
162 |
147 |
$0.00 |
| 1125F |
|
16 |
12 |
$0.00 |