| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,669 |
7,175 |
$597K |
| 99215 |
Prolong outpt/office vis |
1,537 |
1,415 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,784 |
2,704 |
$155K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
138 |
136 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,079 |
835 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
73 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
48 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,868 |
1,817 |
$5K |
| 90756 |
|
137 |
136 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
78 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
179 |
$1K |
| 80053 |
Comprehensive metabolic panel |
136 |
129 |
$723.53 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
46 |
46 |
$683.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
133 |
125 |
$614.95 |
| 96160 |
|
89 |
88 |
$567.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
148 |
133 |
$219.26 |
| 81003 |
|
129 |
126 |
$214.34 |
| 96127 |
|
51 |
50 |
$153.22 |
| 99000 |
|
12 |
12 |
$141.68 |
| 99406 |
|
12 |
12 |
$108.35 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$54.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$43.98 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,482 |
2,294 |
$0.00 |
| 1036F |
|
3,508 |
3,178 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,763 |
1,663 |
$0.00 |
| 3075F |
|
76 |
74 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
740 |
703 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,170 |
1,099 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
2,472 |
2,287 |
$0.00 |
| 3074F |
|
563 |
540 |
$0.00 |
| 1125F |
|
241 |
232 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
3,247 |
3,013 |
$0.00 |
| 3079F |
|
230 |
223 |
$0.00 |
| 1126F |
|
42 |
42 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3080F |
|
19 |
17 |
$0.00 |
| 4004F |
|
4,175 |
3,805 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,389 |
10,360 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,411 |
5,920 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,318 |
1,256 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
4,094 |
3,681 |
$0.00 |
| 3078F |
|
470 |
456 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,920 |
2,756 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
106 |
101 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
561 |
532 |
$0.00 |
| 3077F |
|
92 |
91 |
$0.00 |
| 1160F |
|
208 |
201 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
15 |
14 |
$0.00 |