| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,281 |
17,834 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,530 |
12,044 |
$705K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,074 |
1,071 |
$127K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
906 |
904 |
$88K |
| 90837 |
Psychotherapy, 53 minutes with patient |
748 |
426 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
704 |
699 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
551 |
545 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
612 |
608 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
426 |
426 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
342 |
342 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,911 |
2,889 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
874 |
864 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
392 |
389 |
$28K |
| 90677 |
|
217 |
216 |
$23K |
| 90756 |
|
994 |
989 |
$21K |
| 92015 |
Determination of refractive state |
1,721 |
1,710 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,189 |
2,178 |
$16K |
| 96127 |
|
3,669 |
3,599 |
$15K |
| 90715 |
|
399 |
397 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,156 |
960 |
$12K |
| 92250 |
|
574 |
563 |
$12K |
| 0011A |
|
445 |
444 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
556 |
551 |
$10K |
| 99490 |
Ccm add 20min |
291 |
286 |
$8K |
| 90674 |
|
429 |
429 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
215 |
$7K |
| 0012A |
|
198 |
198 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
294 |
288 |
$6K |
| 99385 |
|
54 |
54 |
$5K |
| 0064A |
|
133 |
133 |
$5K |
| 80305 |
|
675 |
624 |
$5K |
| 90688 |
|
230 |
230 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
521 |
500 |
$4K |
| 92341 |
|
138 |
136 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
42 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
65 |
65 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$978.95 |
| 90670 |
|
206 |
206 |
$860.00 |
| 81002 |
|
221 |
219 |
$558.01 |
| 96160 |
|
15 |
15 |
$415.26 |
| 90658 |
|
26 |
25 |
$285.16 |
| 81025 |
|
25 |
25 |
$178.98 |
| 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) |
801 |
784 |
$155.21 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14,658 |
14,245 |
$5.96 |
| 4004F |
|
9,447 |
8,981 |
$5.96 |
| G8484 |
Influenza immunization was not administered, reason not given |
9,758 |
9,313 |
$5.96 |
| 90461 |
|
359 |
357 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,346 |
5,187 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,304 |
1,260 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
790 |
739 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
3,793 |
3,697 |
$0.00 |
| 3046F |
|
936 |
829 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
805 |
767 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
2,527 |
2,415 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
277 |
257 |
$0.00 |
| 3045F |
|
91 |
90 |
$0.00 |
| 90661 |
|
49 |
49 |
$0.00 |
| 3023F |
|
14 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
6,511 |
6,332 |
$0.00 |
| 3044F |
|
1,256 |
1,101 |
$0.00 |
| 1101F |
|
85 |
83 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
2,794 |
2,725 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,338 |
6,124 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,104 |
2,019 |
$0.00 |
| 1036F |
|
11,387 |
10,928 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
7,431 |
7,092 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
14 |
14 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
57 |
54 |
$0.00 |
| 90680 |
|
37 |
37 |
$0.00 |
| 1123F |
|
147 |
141 |
$0.00 |
| 90686 |
|
141 |
140 |
$0.00 |
| 3014F |
|
77 |
73 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
41 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |