| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,172 |
12,717 |
$1.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,330 |
7,091 |
$616K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,419 |
1,315 |
$171K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,335 |
1,259 |
$147K |
| 99215 |
Prolong outpt/office vis |
380 |
359 |
$52K |
| 99385 |
|
392 |
371 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
262 |
260 |
$39K |
| 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) |
2,231 |
1,725 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
216 |
203 |
$9K |
| 90662 |
|
227 |
222 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
59 |
$7K |
| 96127 |
|
1,117 |
1,022 |
$5K |
| 93000 |
|
267 |
253 |
$4K |
| 99496 |
|
16 |
16 |
$3K |
| 0011A |
|
40 |
40 |
$1K |
| 0012A |
|
37 |
37 |
$1K |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
758 |
701 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
184 |
158 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$972.36 |
| 92250 |
|
28 |
27 |
$908.50 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,308 |
1,210 |
$891.36 |
| 3017F |
|
203 |
161 |
$582.59 |
| 90658 |
|
41 |
41 |
$528.96 |
| 1126F |
|
12 |
12 |
$348.13 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
343 |
318 |
$294.24 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,745 |
1,559 |
$225.45 |
| 99407 |
|
12 |
12 |
$224.79 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,103 |
1,032 |
$210.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$200.98 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
124 |
99 |
$194.05 |
| 1125F |
|
45 |
25 |
$190.68 |
| 90657 |
|
34 |
27 |
$147.68 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
957 |
879 |
$83.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,328 |
1,190 |
$24.46 |
| 3044F |
|
13 |
13 |
$20.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
280 |
261 |
$0.00 |
| 1100F |
|
114 |
93 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
377 |
353 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
64 |
59 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
175 |
162 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
56 |
52 |
$0.00 |
| 3288F |
|
59 |
39 |
$0.00 |
| 99490 |
Ccm add 20min |
472 |
446 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
52 |
49 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
25 |
24 |
$0.00 |
| 3078F |
|
958 |
776 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
114 |
93 |
$0.00 |
| 3077F |
|
113 |
95 |
$0.00 |
| 2022F |
|
42 |
40 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
286 |
263 |
$0.00 |
| G9274 |
Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 |
73 |
70 |
$0.00 |
| 1111F |
|
254 |
236 |
$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) |
162 |
144 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
205 |
186 |
$0.00 |
| 3074F |
|
981 |
790 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
114 |
93 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
165 |
153 |
$0.00 |
| 1170F |
|
87 |
66 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
67 |
59 |
$0.00 |
| 3075F |
|
181 |
154 |
$0.00 |
| 3079F |
|
237 |
202 |
$0.00 |
| 3080F |
|
47 |
39 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |