| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,293 |
18,176 |
$802K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,820 |
9,922 |
$375K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,873 |
1,811 |
$107K |
| 99215 |
Prolong outpt/office vis |
1,633 |
1,527 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
765 |
710 |
$58K |
| 20610 |
|
713 |
595 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
10,101 |
9,328 |
$13K |
| 81025 |
|
1,741 |
1,620 |
$12K |
| 20611 |
|
220 |
147 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
342 |
324 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
188 |
114 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
246 |
151 |
$8K |
| 59025 |
Fetal non-stress test |
272 |
207 |
$7K |
| 92567 |
|
380 |
370 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
158 |
141 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
201 |
94 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
130 |
62 |
$6K |
| 99205 |
Prolong outpt/office vis |
67 |
65 |
$5K |
| 94010 |
|
383 |
356 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
45 |
$4K |
| 81003 |
|
1,717 |
1,574 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
116 |
49 |
$3K |
| 76830 |
Ultrasound, transvaginal |
89 |
44 |
$3K |
| 82962 |
|
842 |
791 |
$2K |
| 99235 |
|
14 |
13 |
$2K |
| 90682 |
|
59 |
55 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
313 |
292 |
$2K |
| 76813 |
|
48 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
109 |
$2K |
| 95886 |
|
14 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
43 |
$1K |
| 90715 |
|
65 |
62 |
$1K |
| 94060 |
|
67 |
62 |
$1K |
| 81002 |
|
568 |
508 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
397 |
381 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
135 |
127 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
131 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
19 |
19 |
$1K |
| 94729 |
|
43 |
42 |
$402.16 |
| 85018 |
|
113 |
104 |
$298.72 |
| 73564 |
|
13 |
12 |
$280.97 |
| 90686 |
|
16 |
16 |
$248.17 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$158.50 |
| 94664 |
|
25 |
25 |
$152.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$95.84 |
| 94375 |
|
12 |
12 |
$81.51 |
| 51798 |
|
12 |
12 |
$80.46 |
| 82947 |
|
18 |
16 |
$75.49 |
| 81005 |
|
51 |
50 |
$68.60 |
| 87210 |
|
14 |
14 |
$62.27 |
| 81000 |
|
14 |
13 |
$38.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
53 |
$15.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$11.08 |
| 0502F |
|
616 |
578 |
$0.14 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,353 |
16,666 |
$0.00 |
| 1007F |
|
99 |
93 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,363 |
2,143 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
7,702 |
6,878 |
$0.00 |
| 4004F |
|
382 |
341 |
$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) |
35 |
29 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
556 |
514 |
$0.00 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
579 |
547 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
270 |
254 |
$0.00 |
| 3023F |
|
672 |
628 |
$0.00 |
| 4040F |
|
445 |
416 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
204 |
168 |
$0.00 |
| G9225 |
Foot exam was not performed, reason not given |
82 |
80 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
30 |
27 |
$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) |
109 |
106 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
208 |
183 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
15 |
13 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
13 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
28 |
24 |
$0.00 |
| 2022F |
|
99 |
97 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
14 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
7,229 |
6,599 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
10,581 |
9,554 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
938 |
879 |
$0.00 |
| 1036F |
|
10,196 |
9,294 |
$0.00 |
| G8925 |
Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms |
25 |
25 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
14,513 |
13,030 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
400 |
376 |
$0.00 |
| 3017F |
|
3,273 |
3,010 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,057 |
1,884 |
$0.00 |
| 1123F |
|
350 |
329 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
108 |
100 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
90 |
82 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
60 |
53 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
134 |
123 |
$0.00 |
| 3048F |
|
34 |
32 |
$0.00 |
| 1101F |
|
198 |
184 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
204 |
187 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 4132F |
|
13 |
13 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
14 |
13 |
$0.00 |
| 4130F |
|
17 |
17 |
$0.00 |