| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,155 |
11,891 |
$1.29M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,357 |
1,355 |
$177K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
517 |
515 |
$159K |
| 94060 |
|
1,975 |
1,961 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
803 |
736 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,038 |
2,588 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
282 |
$34K |
| 93000 |
|
2,025 |
2,014 |
$34K |
| 97802 |
|
3,652 |
3,381 |
$33K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,326 |
1,250 |
$24K |
| 94664 |
|
2,207 |
2,195 |
$19K |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
3,262 |
3,114 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
798 |
791 |
$14K |
| 99401 |
|
256 |
256 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
4,279 |
4,185 |
$7K |
| 3079F |
|
1,127 |
1,077 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$6K |
| 90658 |
|
367 |
365 |
$5K |
| 3075F |
|
890 |
860 |
$5K |
| 90756 |
|
165 |
165 |
$5K |
| 3074F |
|
1,694 |
1,619 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
273 |
272 |
$4K |
| 3078F |
|
1,558 |
1,498 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
803 |
770 |
$4K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 95250 |
|
12 |
12 |
$2K |
| 90688 |
|
101 |
101 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$2K |
| 3051F |
|
510 |
506 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
987 |
814 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
19 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$1K |
| 99091 |
|
2,267 |
1,763 |
$869.84 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
54 |
52 |
$862.15 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
86 |
85 |
$738.65 |
| 94010 |
|
2,070 |
2,053 |
$632.55 |
| 3044F |
|
415 |
411 |
$540.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
586 |
566 |
$522.13 |
| 99490 |
Ccm add 20min |
95 |
95 |
$406.63 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
18 |
15 |
$382.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
20 |
$274.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$204.75 |
| 3077F |
|
61 |
61 |
$160.00 |
| 81002 |
|
54 |
54 |
$84.41 |
| S9470 |
Nutritional counseling, dietitian visit |
29 |
28 |
$80.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
661 |
661 |
$70.20 |
| J7050 |
Infusion, normal saline solution, 250 cc |
53 |
48 |
$22.21 |
| 99072 |
|
649 |
520 |
$20.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
29 |
$16.59 |
| 4274F |
|
201 |
201 |
$0.00 |
| 3050F |
|
566 |
560 |
$0.00 |
| 1159F |
|
557 |
537 |
$0.00 |
| 1160F |
|
542 |
524 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$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) |
35 |
35 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,819 |
2,618 |
$0.00 |
| 2000F |
|
929 |
678 |
$0.00 |
| 99000 |
|
2,537 |
2,479 |
$0.00 |
| 2001F |
|
902 |
655 |
$0.00 |
| 3048F |
|
223 |
221 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
372 |
297 |
$0.00 |
| 3049F |
|
59 |
58 |
$0.00 |
| 3008F |
|
4,163 |
3,778 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
653 |
584 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
192 |
171 |
$0.00 |
| 4010F |
|
13 |
12 |
$0.00 |
| 3017F |
|
17 |
17 |
$0.00 |