| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,982 |
12,382 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,316 |
7,212 |
$295K |
| 99490 |
Ccm add 20min |
7,696 |
7,677 |
$124K |
| 99442 |
|
1,206 |
1,070 |
$66K |
| 99497 |
|
930 |
926 |
$12K |
| 93000 |
|
2,241 |
2,198 |
$10K |
| 90674 |
|
1,244 |
1,244 |
$6K |
| 96127 |
|
989 |
973 |
$5K |
| 99439 |
|
392 |
392 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
435 |
427 |
$4K |
| G0179 |
Physician or allowed practitioner re-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 |
326 |
321 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
703 |
695 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
113 |
$2K |
| 99491 |
Ccm add 20min |
115 |
114 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
501 |
439 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 99401 |
|
957 |
888 |
$1K |
| 0011A |
|
24 |
24 |
$959.18 |
| 0012A |
|
23 |
23 |
$919.18 |
| 36415 |
Collection of venous blood by venipuncture |
2,692 |
2,653 |
$905.53 |
| 93922 |
|
57 |
55 |
$871.78 |
| 99397 |
|
760 |
759 |
$865.79 |
| 0064A |
|
52 |
52 |
$733.74 |
| 3074F |
|
7,058 |
5,694 |
$604.74 |
| 3078F |
|
8,001 |
6,369 |
$555.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
25 |
$493.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
72 |
39 |
$460.43 |
| 90746 |
|
27 |
27 |
$446.83 |
| 0134A |
|
122 |
122 |
$332.94 |
| 94010 |
|
36 |
36 |
$314.44 |
| 99051 |
|
1,796 |
1,678 |
$302.12 |
| 3079F |
|
2,892 |
2,459 |
$251.53 |
| 99460 |
|
26 |
26 |
$214.24 |
| 81002 |
|
468 |
464 |
$205.54 |
| G0010 |
Administration of hepatitis b vaccine |
26 |
25 |
$142.68 |
| 3075F |
|
2,649 |
2,367 |
$139.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
371 |
369 |
$131.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
731 |
715 |
$123.98 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,227 |
2,588 |
$114.00 |
| 3077F |
|
1,573 |
1,447 |
$92.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
216 |
214 |
$64.09 |
| G0008 |
Administration of influenza virus vaccine |
1,283 |
1,282 |
$46.47 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
309 |
306 |
$38.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
543 |
543 |
$34.03 |
| 90658 |
|
198 |
198 |
$21.86 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,123 |
1,828 |
$21.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,876 |
1,610 |
$21.50 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
520 |
515 |
$21.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,903 |
1,747 |
$20.00 |
| 3008F |
|
10,653 |
8,174 |
$15.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
15 |
15 |
$15.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$14.90 |
| 1125F |
|
383 |
378 |
$12.64 |
| 1170F |
|
417 |
412 |
$11.79 |
| 1160F |
|
2,931 |
2,663 |
$10.37 |
| 3080F |
|
99 |
94 |
$7.50 |
| 1159F |
|
4,708 |
3,897 |
$6.79 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,794 |
1,473 |
$5.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
77 |
39 |
$3.04 |
| 81003 |
|
20 |
20 |
$2.22 |
| 1157F |
|
248 |
248 |
$1.79 |
| 1158F |
|
312 |
310 |
$1.79 |
| 90750 |
|
35 |
35 |
$0.02 |
| 3017F |
|
538 |
535 |
$0.00 |
| 3014F |
|
291 |
288 |
$0.00 |
| 2000F |
|
5,529 |
4,063 |
$0.00 |
| 3048F |
|
743 |
712 |
$0.00 |
| 4037F |
|
726 |
726 |
$0.00 |
| 99429 |
|
835 |
539 |
$0.00 |
| 3044F |
|
660 |
632 |
$0.00 |
| 1101F |
|
330 |
329 |
$0.00 |
| 3049F |
|
284 |
277 |
$0.00 |
| 90732 |
|
19 |
19 |
$0.00 |
| 1000F |
|
186 |
185 |
$0.00 |
| 90673 |
|
55 |
54 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| 4010F |
|
18 |
17 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
14 |
13 |
$0.00 |
| 2023F |
|
66 |
65 |
$0.00 |
| 1036F |
|
254 |
253 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
17 |
17 |
$0.00 |
| 3061F |
|
126 |
124 |
$0.00 |
| 99072 |
|
154 |
121 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
512 |
412 |
$0.00 |
| 3016F |
|
258 |
257 |
$0.00 |
| 3288F |
|
321 |
319 |
$0.00 |
| 3050F |
|
114 |
113 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
211 |
205 |
$0.00 |
| 3725F |
|
362 |
359 |
$0.00 |
| 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) |
384 |
368 |
$0.00 |
| 99408 |
|
32 |
32 |
$0.00 |
| 3015F |
|
66 |
66 |
$0.00 |
| 4013F |
|
43 |
41 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
20 |
20 |
$0.00 |
| 3051F |
|
27 |
24 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
68 |
68 |
$0.00 |