| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,001 |
20,195 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,045 |
14,118 |
$597K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,202 |
1,088 |
$34K |
| 99443 |
|
705 |
659 |
$31K |
| 99215 |
Prolong outpt/office vis |
360 |
329 |
$31K |
| 90686 |
|
2,000 |
1,935 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,474 |
1,413 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,756 |
1,705 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
614 |
599 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
523 |
$14K |
| 99442 |
|
219 |
185 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
64 |
$4K |
| 0054A |
|
100 |
99 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 99441 |
|
146 |
134 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
367 |
355 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
25 |
$3K |
| 96127 |
|
556 |
530 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90461 |
|
251 |
248 |
$1K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
37 |
15 |
$909.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$666.89 |
| 0031A |
|
18 |
17 |
$666.10 |
| 11721 |
|
38 |
37 |
$658.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
93 |
$243.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$181.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,184 |
1,090 |
$116.62 |
| 1036F |
|
2,113 |
1,923 |
$116.62 |
| 92551 |
|
13 |
13 |
$72.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$65.52 |
| 86580 |
|
12 |
12 |
$35.52 |
| 99173 |
|
32 |
32 |
$32.66 |
| G0127 |
Trimming of dystrophic nails, any number |
43 |
40 |
$16.73 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
471 |
438 |
$10.00 |
| 1160F |
|
337 |
311 |
$10.00 |
| 1111F |
|
308 |
283 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
71 |
70 |
$2.33 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
74 |
67 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,120 |
1,055 |
$0.00 |
| 3725F |
|
1,608 |
1,498 |
$0.00 |
| 4274F |
|
3,380 |
3,122 |
$0.00 |
| 3077F |
|
638 |
592 |
$0.00 |
| 3078F |
|
2,604 |
2,425 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,657 |
2,440 |
$0.00 |
| 3288F |
|
95 |
86 |
$0.00 |
| 3046F |
|
69 |
60 |
$0.00 |
| 3045F |
|
39 |
39 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
16 |
14 |
$0.00 |
| 1126F |
|
2,158 |
1,992 |
$0.00 |
| 3074F |
|
2,799 |
2,622 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
4,988 |
4,543 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
4,214 |
3,919 |
$0.00 |
| 3079F |
|
823 |
781 |
$0.00 |
| 3060F |
|
41 |
41 |
$0.00 |
| 3044F |
|
1,622 |
1,487 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,021 |
935 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,488 |
2,296 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,242 |
1,124 |
$0.00 |
| 1125F |
|
192 |
175 |
$0.00 |
| 4037F |
|
206 |
190 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
32 |
30 |
$0.00 |
| 3075F |
|
143 |
136 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 90688 |
|
29 |
24 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
13 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |