| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,486 |
10,284 |
$1.08M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,271 |
1,265 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
1,109 |
$123K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,530 |
1,479 |
$25K |
| 90686 |
|
525 |
524 |
$10K |
| 90756 |
|
416 |
414 |
$10K |
| 93000 |
|
689 |
685 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
189 |
$10K |
| 99406 |
|
681 |
679 |
$7K |
| 90682 |
|
156 |
155 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
271 |
271 |
$7K |
| 92552 |
|
187 |
185 |
$7K |
| 3078F |
|
3,405 |
3,029 |
$6K |
| 3074F |
|
2,850 |
2,509 |
$5K |
| 99358 |
Prolong nursin fac eval 15m |
61 |
58 |
$4K |
| 90688 |
|
216 |
216 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,969 |
2,938 |
$3K |
| 94010 |
|
107 |
107 |
$3K |
| 90658 |
|
151 |
151 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
568 |
566 |
$2K |
| 94664 |
|
111 |
111 |
$2K |
| 99408 |
|
443 |
443 |
$2K |
| 3075F |
|
580 |
564 |
$890.50 |
| 99487 |
Ccm add 20min |
13 |
13 |
$711.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
95 |
$709.74 |
| 1159F |
|
3,797 |
3,193 |
$315.00 |
| 1160F |
|
3,745 |
3,154 |
$295.00 |
| 80061 |
Lipid panel |
100 |
98 |
$145.49 |
| 3044F |
|
386 |
373 |
$126.00 |
| 3079F |
|
59 |
54 |
$107.00 |
| 3048F |
|
220 |
213 |
$90.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
39 |
38 |
$54.82 |
| 81002 |
|
13 |
13 |
$24.11 |
| 1125F |
|
80 |
80 |
$20.00 |
| 1170F |
|
107 |
107 |
$20.00 |
| 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) |
15 |
15 |
$16.15 |
| 3725F |
|
1,270 |
1,266 |
$0.00 |
| 1100F |
|
102 |
102 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
452 |
391 |
$0.00 |
| 3288F |
|
101 |
101 |
$0.00 |
| 4004F |
|
17 |
17 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$0.00 |
| 1158F |
|
20 |
20 |
$0.00 |
| 1036F |
|
1,232 |
1,230 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
998 |
996 |
$0.00 |
| 3049F |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
801 |
798 |
$0.00 |
| 1000F |
|
1,301 |
1,299 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
579 |
575 |
$0.00 |
| 3061F |
|
482 |
472 |
$0.00 |
| 99429 |
|
145 |
132 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
459 |
394 |
$0.00 |
| 1101F |
|
102 |
102 |
$0.00 |