| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,395 |
12,559 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,036 |
5,640 |
$540K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,028 |
2,026 |
$181K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
741 |
740 |
$63K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
295 |
295 |
$57K |
| 94010 |
|
1,528 |
1,523 |
$37K |
| 93000 |
|
2,834 |
2,824 |
$35K |
| 99443 |
|
417 |
389 |
$30K |
| 99441 |
|
916 |
872 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,210 |
2,115 |
$22K |
| 97802 |
|
2,917 |
2,854 |
$13K |
| 93040 |
|
1,715 |
1,704 |
$10K |
| 90688 |
|
441 |
440 |
$8K |
| 99442 |
|
148 |
142 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
588 |
576 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
6,648 |
6,412 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
358 |
330 |
$5K |
| 3074F |
|
3,863 |
3,487 |
$3K |
| 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) |
331 |
284 |
$2K |
| 3078F |
|
3,043 |
2,776 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
175 |
171 |
$2K |
| 99406 |
|
323 |
311 |
$2K |
| 93925 |
|
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$1K |
| 99385 |
|
13 |
13 |
$985.36 |
| 3079F |
|
1,529 |
1,409 |
$977.50 |
| 99497 |
|
65 |
64 |
$890.44 |
| 99401 |
|
221 |
219 |
$461.25 |
| 82607 |
|
37 |
28 |
$324.29 |
| 3075F |
|
406 |
384 |
$277.50 |
| 99490 |
Ccm add 20min |
42 |
42 |
$217.63 |
| 3077F |
|
196 |
180 |
$152.50 |
| 99439 |
|
42 |
42 |
$136.99 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$81.33 |
| 3080F |
|
79 |
71 |
$47.50 |
| 93242 |
|
12 |
12 |
$30.92 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
722 |
630 |
$0.00 |
| 4551F |
|
987 |
972 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
444 |
411 |
$0.00 |
| 2028F |
|
165 |
153 |
$0.00 |
| 3725F |
|
434 |
425 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 1100F |
|
14 |
14 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 99072 |
|
69 |
66 |
$0.00 |
| 1032F |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,058 |
892 |
$0.00 |
| 1036F |
|
352 |
343 |
$0.00 |
| 3048F |
|
49 |
46 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
724 |
630 |
$0.00 |
| 1000F |
|
665 |
644 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,363 |
1,339 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,489 |
1,464 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| 99000 |
|
80 |
78 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
325 |
267 |
$0.00 |
| 3061F |
|
17 |
15 |
$0.00 |
| 3044F |
|
299 |
287 |
$0.00 |
| 3072F |
|
49 |
44 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| 3066F |
|
45 |
40 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
12 |
12 |
$0.00 |
| 94760 |
|
15 |
15 |
$0.00 |