| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,127 |
6,478 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,876 |
3,099 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,121 |
926 |
$29K |
| 99444 |
|
517 |
128 |
$29K |
| 99421 |
|
1,527 |
360 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,008 |
927 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
865 |
795 |
$10K |
| 99490 |
Ccm add 20min |
3,029 |
3,008 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
74 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
65 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
54 |
$4K |
| 90461 |
|
884 |
262 |
$3K |
| 99091 |
|
192 |
189 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
299 |
$2K |
| 99457 |
|
601 |
591 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
156 |
$1K |
| 81002 |
|
623 |
576 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 83037 |
|
496 |
457 |
$1K |
| 90686 |
|
434 |
392 |
$772.35 |
| 90658 |
|
65 |
61 |
$87.16 |
| 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 |
102 |
102 |
$49.45 |
| 82962 |
|
1,860 |
1,508 |
$8.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$6.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,811 |
2,097 |
$1.35 |
| 90688 |
|
108 |
103 |
$0.26 |
| 90670 |
|
102 |
93 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
108 |
91 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,145 |
3,071 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,961 |
1,429 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,079 |
893 |
$0.00 |
| 4040F |
|
294 |
241 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,063 |
889 |
$0.00 |
| 90648 |
|
138 |
130 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
387 |
296 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
370 |
296 |
$0.00 |
| 90662 |
|
16 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
10,585 |
8,112 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
409 |
317 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
84 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,120 |
866 |
$0.00 |
| 90723 |
|
29 |
28 |
$0.00 |
| 1036F |
|
1,484 |
1,069 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
48 |
48 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
38 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
13 |
12 |
$0.00 |