| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,073 |
23,851 |
$2.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,137 |
19,033 |
$1.39M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,792 |
1,374 |
$333K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,361 |
2,322 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,506 |
1,463 |
$198K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,363 |
2,259 |
$108K |
| 99215 |
Prolong outpt/office vis |
992 |
914 |
$103K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,377 |
1,338 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,422 |
2,374 |
$47K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,754 |
739 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
9,048 |
8,584 |
$40K |
| 82948 |
|
10,248 |
8,931 |
$39K |
| 90686 |
|
2,355 |
2,281 |
$35K |
| 99205 |
Prolong outpt/office vis |
170 |
168 |
$30K |
| 99173 |
|
878 |
864 |
$29K |
| 81005 |
|
11,271 |
10,372 |
$22K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
689 |
259 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
229 |
221 |
$19K |
| 99072 |
|
711 |
611 |
$19K |
| Q3014 |
Telehealth originating site facility fee |
608 |
551 |
$18K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
838 |
724 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
701 |
685 |
$16K |
| 0012A |
|
367 |
357 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
406 |
402 |
$14K |
| 0011A |
|
394 |
388 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
105 |
$11K |
| 86580 |
|
1,329 |
1,290 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,239 |
1,172 |
$9K |
| 92551 |
|
750 |
740 |
$8K |
| 90674 |
|
380 |
358 |
$8K |
| 90461 |
|
188 |
184 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 0013A |
|
156 |
153 |
$6K |
| 97164 |
|
267 |
245 |
$5K |
| 0002A |
|
134 |
133 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
369 |
346 |
$5K |
| 0001A |
|
110 |
110 |
$4K |
| 99051 |
|
125 |
112 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
228 |
211 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$3K |
| 99384 |
|
15 |
15 |
$3K |
| 99406 |
|
246 |
234 |
$3K |
| 97161 |
|
73 |
72 |
$3K |
| 97014 |
|
240 |
128 |
$2K |
| 0003A |
|
62 |
62 |
$2K |
| 36416 |
|
4,598 |
3,856 |
$2K |
| 93000 |
|
140 |
138 |
$2K |
| 81025 |
|
229 |
222 |
$2K |
| 82044 |
|
224 |
217 |
$1K |
| 85018 |
|
539 |
527 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
83 |
$1K |
| 82570 |
|
211 |
207 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
40 |
$1K |
| 99058 |
|
31 |
31 |
$1K |
| 97162 |
|
15 |
15 |
$659.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38,773 |
32,247 |
$369.32 |
| 90651 |
|
58 |
58 |
$189.32 |
| 82962 |
|
18 |
16 |
$42.46 |
| 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) |
5,044 |
4,314 |
$30.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$24.95 |
| G0008 |
Administration of influenza virus vaccine |
102 |
80 |
$13.34 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
23,584 |
20,658 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,909 |
11,798 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
1,564 |
1,349 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
3,488 |
3,107 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
1,145 |
1,056 |
$0.00 |
| 4040F |
|
1,897 |
1,390 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
1,189 |
1,075 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,837 |
2,451 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
9,661 |
8,038 |
$0.00 |
| 4004F |
|
4,683 |
3,953 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
2,306 |
2,043 |
$0.00 |
| 3051F |
|
28 |
24 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |
| 3046F |
|
467 |
437 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
90 |
58 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
139 |
85 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
17 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24,169 |
21,065 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
24,471 |
20,454 |
$0.00 |
| 3017F |
|
13,322 |
10,690 |
$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) |
3,618 |
3,025 |
$0.00 |
| 1036F |
|
27,415 |
23,004 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
4,351 |
3,648 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
994 |
828 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,600 |
7,291 |
$0.00 |
| 1123F |
|
597 |
447 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
948 |
892 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
2,873 |
2,630 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,452 |
2,988 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
627 |
610 |
$0.00 |
| 3044F |
|
701 |
630 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
1,584 |
1,413 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,009 |
865 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
14 |
13 |
$0.00 |
| 91301 |
|
81 |
81 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
14 |
12 |
$0.00 |