| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,111 |
5,901 |
$128K |
| 99497 |
|
5,459 |
5,385 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,398 |
1,378 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,620 |
1,618 |
$34K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,583 |
2,579 |
$23K |
| 93000 |
|
2,897 |
2,884 |
$22K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,036 |
2,014 |
$19K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
758 |
758 |
$11K |
| 99401 |
|
1,158 |
1,149 |
$6K |
| 3074F |
|
3,740 |
3,680 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,661 |
6,276 |
$4K |
| 3078F |
|
3,474 |
3,413 |
$4K |
| 99215 |
Prolong outpt/office vis |
92 |
92 |
$2K |
| 3079F |
|
1,629 |
1,608 |
$2K |
| 82044 |
|
2,657 |
2,634 |
$2K |
| 81002 |
|
3,521 |
3,346 |
$2K |
| 3075F |
|
1,058 |
1,049 |
$1K |
| 3077F |
|
798 |
777 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,061 |
3,024 |
$979.15 |
| 99406 |
|
253 |
250 |
$930.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
111 |
$848.46 |
| 99385 |
|
26 |
26 |
$816.95 |
| 99386 |
|
52 |
52 |
$714.22 |
| 1170F |
|
6,008 |
5,816 |
$580.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$579.87 |
| 1159F |
|
6,612 |
6,368 |
$564.85 |
| 1126F |
|
4,879 |
4,731 |
$483.85 |
| 3080F |
|
380 |
370 |
$462.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
124 |
$452.07 |
| 1160F |
|
7,355 |
6,974 |
$446.38 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,351 |
2,345 |
$420.82 |
| 99442 |
|
32 |
30 |
$384.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
95 |
$340.68 |
| 99397 |
|
60 |
60 |
$332.39 |
| 90756 |
|
60 |
59 |
$311.72 |
| 99441 |
|
42 |
39 |
$266.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,050 |
2,045 |
$187.64 |
| 3044F |
|
2,624 |
2,622 |
$180.00 |
| 1125F |
|
1,360 |
1,342 |
$134.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,999 |
1,994 |
$120.06 |
| 84132 |
|
2,296 |
2,277 |
$82.54 |
| 80061 |
Lipid panel |
2,405 |
2,400 |
$80.94 |
| 82565 |
|
2,245 |
2,229 |
$74.17 |
| 90674 |
|
16 |
16 |
$72.15 |
| 3051F |
|
37 |
37 |
$40.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
3,996 |
3,940 |
$40.00 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$20.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,897 |
2,854 |
$12.00 |
| 1158F |
|
7,647 |
7,328 |
$10.00 |
| 3015F |
|
475 |
462 |
$10.00 |
| 3725F |
|
2,616 |
2,613 |
$10.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,921 |
4,691 |
$10.00 |
| 3008F |
|
7,051 |
6,909 |
$10.00 |
| 3017F |
|
946 |
907 |
$10.00 |
| 1157F |
|
7,651 |
7,332 |
$10.00 |
| 3351F |
|
1,896 |
1,895 |
$10.00 |
| 3049F |
|
1,029 |
1,027 |
$0.01 |
| 0521F |
|
1,526 |
1,507 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,706 |
1,677 |
$0.00 |
| 3050F |
|
815 |
815 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
912 |
867 |
$0.00 |
| 87270 |
|
28 |
28 |
$0.00 |
| 86703 |
|
390 |
389 |
$0.00 |
| 4025F |
|
247 |
242 |
$0.00 |
| 4013F |
|
1,154 |
1,129 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
570 |
551 |
$0.00 |
| 82272 |
|
28 |
28 |
$0.00 |
| 82787 |
|
68 |
68 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 3511F |
|
109 |
109 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
148 |
144 |
$0.00 |
| 2022F |
|
28 |
28 |
$0.00 |
| 3061F |
|
2,027 |
2,024 |
$0.00 |
| 1123F |
|
3,210 |
3,177 |
$0.00 |
| 1036F |
|
7,276 |
6,979 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,099 |
1,088 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
296 |
287 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,624 |
1,624 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
749 |
733 |
$0.00 |
| 1000F |
|
662 |
662 |
$0.00 |
| 3048F |
|
1,653 |
1,653 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
479 |
462 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
459 |
438 |
$0.00 |
| 4010F |
|
437 |
426 |
$0.00 |
| 3014F |
|
648 |
647 |
$0.00 |
| 4008F |
|
771 |
749 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |