| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,042 |
18,111 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,147 |
10,882 |
$942K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,008 |
2,000 |
$225K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,428 |
1,420 |
$156K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,975 |
968 |
$145K |
| 99233 |
Prolong inpt eval add15 m |
2,576 |
805 |
$131K |
| 99441 |
|
2,025 |
1,791 |
$85K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,572 |
780 |
$79K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
318 |
318 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
734 |
685 |
$65K |
| J1756 |
Injection, iron sucrose, 1 mg |
859 |
302 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
500 |
496 |
$47K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,356 |
3,329 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
527 |
522 |
$41K |
| 93000 |
|
2,825 |
2,745 |
$35K |
| 80305 |
|
3,360 |
2,937 |
$29K |
| 99385 |
|
181 |
181 |
$22K |
| 99442 |
|
331 |
313 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
374 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
275 |
258 |
$16K |
| 99496 |
|
100 |
100 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,864 |
1,586 |
$14K |
| 94010 |
|
636 |
625 |
$14K |
| 99243 |
|
118 |
118 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
960 |
948 |
$11K |
| 90682 |
|
242 |
241 |
$11K |
| 99386 |
|
76 |
76 |
$10K |
| 90674 |
|
381 |
377 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,713 |
2,598 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
71 |
60 |
$4K |
| 93922 |
|
95 |
92 |
$3K |
| 99406 |
|
363 |
358 |
$3K |
| 36410 |
|
154 |
152 |
$3K |
| 90732 |
|
27 |
27 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$2K |
| 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) |
1,715 |
1,517 |
$2K |
| 90686 |
|
124 |
124 |
$2K |
| 99254 |
|
13 |
13 |
$2K |
| 90756 |
|
81 |
81 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
485 |
433 |
$977.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
56 |
53 |
$717.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
81 |
$619.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
19 |
$562.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$519.85 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,858 |
2,526 |
$1.00 |
| 3078F |
|
2,469 |
2,337 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,477 |
10,582 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
171 |
166 |
$0.00 |
| 3077F |
|
44 |
40 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 99072 |
|
532 |
482 |
$0.00 |
| 1160F |
|
42 |
42 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,294 |
3,052 |
$0.00 |
| 3017F |
|
57 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
127 |
123 |
$0.00 |
| 3075F |
|
409 |
397 |
$0.00 |
| 3079F |
|
2,442 |
2,318 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
178 |
173 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
43 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3074F |
|
4,306 |
3,989 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
78 |
72 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
31 |
30 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |