| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,904 |
11,947 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,105 |
7,785 |
$390K |
| 99215 |
Prolong outpt/office vis |
985 |
866 |
$112K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
457 |
425 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
373 |
355 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
124 |
120 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
146 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
60 |
$2K |
| 96127 |
|
542 |
508 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
587 |
549 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99401 |
|
218 |
157 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
38 |
$492.57 |
| 4004F |
|
365 |
297 |
$280.00 |
| 3044F |
|
953 |
823 |
$280.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
36 |
$264.89 |
| 99406 |
|
95 |
84 |
$176.17 |
| 99422 |
|
43 |
26 |
$51.40 |
| 81002 |
|
26 |
25 |
$46.02 |
| 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) |
313 |
238 |
$3.12 |
| 3078F |
|
332 |
310 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,051 |
3,377 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
74 |
61 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,461 |
2,898 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
114 |
106 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,031 |
2,638 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,557 |
2,149 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
790 |
609 |
$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) |
978 |
861 |
$0.00 |
| G9665 |
Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy |
2,100 |
1,791 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
123 |
95 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
79 |
71 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
46 |
44 |
$0.00 |
| 98968 |
|
32 |
29 |
$0.00 |
| 3015F |
|
51 |
38 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
26 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
871 |
698 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,394 |
2,087 |
$0.00 |
| 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) |
425 |
377 |
$0.00 |
| 3074F |
|
336 |
313 |
$0.00 |
| 4008F |
|
109 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
14 |
$0.00 |
| 1036F |
|
535 |
413 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,083 |
930 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
789 |
704 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
25 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,454 |
1,281 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
824 |
681 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3017F |
|
30 |
29 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
35 |
29 |
$0.00 |
| 4086F |
|
75 |
68 |
$0.00 |
| 1111F |
|
76 |
68 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
97 |
65 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
15 |
12 |
$0.00 |
| 3079F |
|
18 |
17 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
15 |
15 |
$0.00 |