| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,262 |
6,676 |
$155K |
| 99443 |
|
2,766 |
2,330 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,995 |
1,686 |
$15K |
| 99490 |
Ccm add 20min |
6,690 |
6,690 |
$9K |
| 99497 |
|
848 |
835 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
471 |
419 |
$2K |
| 99442 |
|
294 |
274 |
$2K |
| 90756 |
|
422 |
419 |
$1K |
| 93922 |
|
67 |
66 |
$808.64 |
| 99454 |
|
113 |
110 |
$618.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
197 |
$610.68 |
| 82044 |
|
572 |
566 |
$285.59 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$248.28 |
| 82570 |
|
571 |
565 |
$240.47 |
| 93000 |
|
62 |
62 |
$228.86 |
| 90656 |
|
35 |
35 |
$209.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
371 |
368 |
$203.54 |
| 99457 |
|
124 |
117 |
$147.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
741 |
728 |
$135.74 |
| 92250 |
|
12 |
12 |
$133.20 |
| 99072 |
|
91 |
89 |
$70.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
84 |
84 |
$62.08 |
| 81003 |
|
84 |
81 |
$34.52 |
| 99091 |
|
31 |
31 |
$33.15 |
| 90674 |
|
108 |
108 |
$22.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
84 |
$13.81 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
568 |
526 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,834 |
3,217 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
492 |
379 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,373 |
3,660 |
$0.00 |
| 3017F |
|
400 |
336 |
$0.00 |
| 1036F |
|
7,249 |
5,801 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
386 |
337 |
$0.00 |
| 1101F |
|
1,667 |
1,452 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
368 |
358 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
13 |
13 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
254 |
240 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
469 |
346 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
327 |
298 |
$0.00 |
| 1123F |
|
216 |
166 |
$0.00 |
| 3074F |
|
32 |
28 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
76 |
76 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
17 |
17 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 4040F |
|
2,690 |
2,169 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
799 |
658 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,784 |
1,589 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,820 |
2,473 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
560 |
514 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,350 |
4,726 |
$0.00 |
| 1100F |
|
341 |
274 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,639 |
1,341 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
64 |
51 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
997 |
975 |
$0.00 |
| 4004F |
|
247 |
234 |
$0.00 |
| 3288F |
|
3,263 |
2,623 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
847 |
784 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,416 |
1,995 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
335 |
310 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
130 |
107 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
418 |
326 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
16 |
16 |
$0.00 |
| 90670 |
|
104 |
104 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
114 |
114 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
178 |
168 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
241 |
191 |
$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) |
90 |
80 |
$0.00 |
| 90662 |
|
82 |
81 |
$0.00 |
| 3078F |
|
44 |
41 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
78 |
77 |
$0.00 |
| 1159F |
|
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$0.00 |