| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,431 |
11,787 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,742 |
3,575 |
$388K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,018 |
2,003 |
$157K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,958 |
1,947 |
$142K |
| 99401 |
|
4,715 |
4,661 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
769 |
768 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,462 |
2,388 |
$39K |
| 90688 |
|
1,326 |
1,321 |
$24K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
423 |
403 |
$19K |
| 99385 |
|
225 |
225 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,825 |
3,784 |
$16K |
| H0001 |
Alcohol and/or drug assessment |
1,664 |
1,647 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,518 |
1,496 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
996 |
962 |
$10K |
| 99407 |
|
489 |
477 |
$10K |
| 90674 |
|
246 |
245 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
711 |
697 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
267 |
146 |
$6K |
| 0013A |
|
156 |
156 |
$6K |
| H0049 |
Alcohol and/or drug screening |
1,155 |
1,141 |
$5K |
| 3078F |
|
4,160 |
3,551 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
98 |
$4K |
| 3074F |
|
5,512 |
4,859 |
$4K |
| 90658 |
|
204 |
203 |
$4K |
| 90686 |
|
164 |
162 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
119 |
112 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,852 |
1,785 |
$3K |
| 0011A |
|
55 |
52 |
$2K |
| 0012A |
|
48 |
48 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
361 |
346 |
$2K |
| 99397 |
|
24 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,998 |
2,938 |
$2K |
| 90715 |
|
39 |
39 |
$2K |
| G0102 |
Prostate cancer screening; digital rectal examination |
108 |
104 |
$1K |
| 99406 |
|
85 |
82 |
$975.49 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$923.60 |
| 3075F |
|
698 |
635 |
$907.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,849 |
2,510 |
$860.29 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
43 |
43 |
$819.07 |
| S9470 |
Nutritional counseling, dietitian visit |
936 |
902 |
$784.80 |
| 93000 |
|
74 |
74 |
$749.44 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
23 |
21 |
$580.23 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
536 |
500 |
$469.82 |
| 3079F |
|
435 |
406 |
$372.50 |
| 3044F |
|
3,128 |
2,949 |
$320.00 |
| 82270 |
|
90 |
86 |
$259.28 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$245.00 |
| 99072 |
|
101 |
95 |
$175.00 |
| 3066F |
|
328 |
326 |
$120.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
517 |
509 |
$108.92 |
| 90687 |
|
22 |
22 |
$103.51 |
| 2023F |
|
291 |
279 |
$100.00 |
| 3051F |
|
132 |
122 |
$80.00 |
| 96127 |
|
34 |
34 |
$72.74 |
| 3077F |
|
107 |
101 |
$65.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,512 |
1,497 |
$56.00 |
| G9276 |
Documentation that patient is a current tobacco user |
426 |
369 |
$28.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
226 |
224 |
$26.04 |
| 82570 |
|
402 |
390 |
$25.24 |
| 82043 |
|
84 |
83 |
$15.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
353 |
344 |
$14.78 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
82 |
79 |
$10.00 |
| 94760 |
|
12 |
12 |
$2.60 |
| 91301 |
|
57 |
56 |
$0.75 |
| 3061F |
|
1,488 |
1,460 |
$0.00 |
| 3008F |
|
4,809 |
4,270 |
$0.00 |
| 3017F |
|
665 |
546 |
$0.00 |
| 1000F |
|
1,197 |
1,177 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,857 |
1,659 |
$0.00 |
| 3011F |
|
609 |
596 |
$0.00 |
| 1126F |
|
731 |
720 |
$0.00 |
| 1170F |
|
56 |
56 |
$0.00 |
| 3048F |
|
1,131 |
1,069 |
$0.00 |
| 1125F |
|
146 |
141 |
$0.00 |
| 1036F |
|
334 |
329 |
$0.00 |
| 4000F |
|
157 |
152 |
$0.00 |
| 99000 |
|
122 |
118 |
$0.00 |
| 3049F |
|
120 |
118 |
$0.00 |
| 3341F |
|
42 |
40 |
$0.00 |
| 3014F |
|
33 |
26 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
118 |
107 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
49 |
48 |
$0.00 |
| 4010F |
|
16 |
15 |
$0.00 |
| 3052F |
|
14 |
13 |
$0.00 |
| 0513F |
|
12 |
12 |
$0.00 |
| 3725F |
|
2,623 |
2,577 |
$0.00 |
| 3015F |
|
448 |
371 |
$0.00 |
| 1160F |
|
1,039 |
1,019 |
$0.00 |
| 2028F |
|
922 |
910 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
512 |
499 |
$0.00 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
200 |
191 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
856 |
708 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,491 |
1,251 |
$0.00 |
| 3016F |
|
929 |
916 |
$0.00 |
| 1159F |
|
47 |
46 |
$0.00 |
| 2022F |
|
463 |
445 |
$0.00 |
| S9529 |
Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient |
42 |
42 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 3050F |
|
41 |
41 |
$0.00 |
| 4013F |
|
88 |
81 |
$0.00 |
| 1032F |
|
46 |
45 |
$0.00 |
| 2014F |
|
22 |
21 |
$0.00 |
| 3046F |
|
30 |
28 |
$0.00 |
| 3085F |
|
14 |
14 |
$0.00 |