| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,346 |
15,765 |
$954K |
| 98929 |
|
6,416 |
4,925 |
$282K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,986 |
4,810 |
$261K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,133 |
5,266 |
$183K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
455 |
454 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,764 |
2,651 |
$36K |
| 98928 |
|
699 |
625 |
$31K |
| 90750 |
|
450 |
445 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
242 |
$19K |
| 93000 |
|
1,916 |
1,901 |
$16K |
| 3074F |
|
13,485 |
9,865 |
$15K |
| H0049 |
Alcohol and/or drug screening |
4,385 |
4,349 |
$15K |
| 3078F |
|
13,828 |
10,251 |
$15K |
| 99497 |
|
976 |
967 |
$13K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
918 |
896 |
$11K |
| 90756 |
|
954 |
954 |
$11K |
| 90678 |
|
162 |
161 |
$11K |
| 90670 |
|
105 |
105 |
$9K |
| 20611 |
|
401 |
203 |
$9K |
| 90688 |
|
867 |
865 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,251 |
1,709 |
$6K |
| 90732 |
|
114 |
114 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,858 |
4,755 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
667 |
418 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
5,711 |
5,616 |
$2K |
| 99490 |
Ccm add 20min |
162 |
161 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
841 |
840 |
$2K |
| 3079F |
|
2,564 |
2,244 |
$2K |
| 90686 |
|
85 |
85 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12,337 |
10,654 |
$1K |
| 3075F |
|
2,465 |
2,150 |
$1K |
| 99397 |
|
56 |
56 |
$910.46 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
61 |
27 |
$764.23 |
| G0009 |
Administration of pneumococcal vaccine |
208 |
208 |
$707.38 |
| 3080F |
|
579 |
532 |
$558.00 |
| G0008 |
Administration of influenza virus vaccine |
836 |
834 |
$536.55 |
| G9666 |
Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl |
1,590 |
1,575 |
$523.75 |
| 3044F |
|
3,915 |
3,883 |
$508.00 |
| 3077F |
|
1,224 |
1,115 |
$488.00 |
| 99406 |
|
65 |
65 |
$464.07 |
| 1125F |
|
2,508 |
2,338 |
$424.43 |
| 90656 |
|
19 |
19 |
$368.76 |
| 90674 |
|
22 |
22 |
$358.80 |
| 90661 |
|
166 |
166 |
$294.80 |
| 1160F |
|
8,060 |
7,249 |
$280.79 |
| 1159F |
|
7,277 |
6,566 |
$254.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,480 |
1,332 |
$228.25 |
| 20610 |
|
28 |
14 |
$209.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
181 |
163 |
$206.02 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
19 |
19 |
$173.25 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,600 |
2,494 |
$147.00 |
| 1170F |
|
1,827 |
1,811 |
$138.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,272 |
1,216 |
$55.50 |
| 90658 |
|
17 |
17 |
$21.86 |
| 1036F |
|
3,725 |
3,648 |
$0.00 |
| 3048F |
|
1,739 |
1,723 |
$0.00 |
| 3017F |
|
703 |
694 |
$0.00 |
| 4010F |
|
870 |
854 |
$0.00 |
| 3014F |
|
127 |
127 |
$0.00 |
| 3049F |
|
415 |
415 |
$0.00 |
| 3008F |
|
1,071 |
1,056 |
$0.00 |
| 2000F |
|
6,814 |
5,679 |
$0.00 |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
108 |
55 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |
| 3095F |
|
315 |
311 |
$0.00 |
| 4013F |
|
1,143 |
1,122 |
$0.00 |
| 3288F |
|
1,944 |
1,931 |
$0.00 |
| 3725F |
|
454 |
452 |
$0.00 |
| 1158F |
|
908 |
903 |
$0.00 |
| 3050F |
|
136 |
135 |
$0.00 |
| 1100F |
|
65 |
64 |
$0.00 |