| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,890 |
11,525 |
$442K |
| 99199 |
Unlisted special service, procedure or report |
42,228 |
21,971 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,746 |
4,289 |
$159K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,766 |
2,167 |
$69K |
| 99401 |
|
1,385 |
895 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
93 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,087 |
735 |
$6K |
| 92552 |
|
645 |
441 |
$5K |
| 99215 |
Prolong outpt/office vis |
187 |
145 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
120 |
$1K |
| 96160 |
|
468 |
330 |
$976.65 |
| 99051 |
|
140 |
87 |
$949.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
12 |
$914.74 |
| 99441 |
|
36 |
32 |
$808.32 |
| 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) |
832 |
731 |
$804.88 |
| 81002 |
|
667 |
472 |
$660.45 |
| 99497 |
|
83 |
80 |
$654.36 |
| 92551 |
|
197 |
135 |
$634.86 |
| 99173 |
|
958 |
660 |
$513.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
48 |
$500.29 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$482.92 |
| 90756 |
|
143 |
111 |
$252.73 |
| 81025 |
|
46 |
26 |
$218.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
16 |
$207.95 |
| 3044F |
|
970 |
804 |
$100.10 |
| 90686 |
|
157 |
112 |
$99.30 |
| 99443 |
|
150 |
143 |
$80.81 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
198 |
177 |
$45.00 |
| G0008 |
Administration of influenza virus vaccine |
293 |
213 |
$35.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
321 |
276 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
440 |
412 |
$26.02 |
| 1125F |
|
2,322 |
1,858 |
$0.21 |
| 3078F |
|
8,653 |
6,517 |
$0.06 |
| 1111F |
|
102 |
78 |
$0.05 |
| 3074F |
|
7,668 |
5,752 |
$0.05 |
| 3061F |
|
627 |
531 |
$0.04 |
| G9796 |
Patient is currently on a high intensity statin therapy |
955 |
816 |
$0.03 |
| 4010F |
|
495 |
409 |
$0.03 |
| 1160F |
|
1,719 |
1,365 |
$0.02 |
| 1159F |
|
1,659 |
1,277 |
$0.02 |
| 3079F |
|
1,871 |
1,412 |
$0.02 |
| 3077F |
|
795 |
574 |
$0.01 |
| 3288F |
|
165 |
137 |
$0.00 |
| 4013F |
|
1,013 |
874 |
$0.00 |
| 4064F |
|
40 |
34 |
$0.00 |
| 3050F |
|
382 |
296 |
$0.00 |
| 3051F |
|
28 |
25 |
$0.00 |
| 1158F |
|
40 |
37 |
$0.00 |
| G9920 |
Screening performed and negative |
16 |
13 |
$0.00 |
| 90662 |
|
35 |
28 |
$0.00 |
| 3046F |
|
14 |
12 |
$0.00 |
| M1189 |
Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed |
66 |
58 |
$0.00 |
| 3080F |
|
98 |
57 |
$0.00 |
| 3008F |
|
3,859 |
2,929 |
$0.00 |
| 3049F |
|
622 |
512 |
$0.00 |
| G9521 |
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months |
19 |
13 |
$0.00 |
| 3075F |
|
1,998 |
1,552 |
$0.00 |
| 98967 |
|
413 |
231 |
$0.00 |
| 3048F |
|
1,138 |
969 |
$0.00 |
| 3060F |
|
139 |
128 |
$0.00 |
| 4063F |
|
39 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
132 |
127 |
$0.00 |
| G2209 |
Patient refused to participate |
63 |
57 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| 3066F |
|
60 |
52 |
$0.00 |
| 1130F |
|
15 |
12 |
$0.00 |
| 99172 |
|
24 |
14 |
$0.00 |