| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,030 |
26,957 |
$1.07M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,687 |
4,449 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,096 |
7,057 |
$265K |
| 93000 |
|
12,501 |
11,879 |
$137K |
| 99233 |
Prolong inpt eval add15 m |
10,281 |
2,268 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,102 |
1,100 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,469 |
1,394 |
$53K |
| 93015 |
|
763 |
722 |
$42K |
| 99205 |
Prolong outpt/office vis |
702 |
656 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
451 |
451 |
$23K |
| 93351 |
|
204 |
194 |
$22K |
| 99497 |
|
1,413 |
1,286 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
310 |
310 |
$16K |
| 93224 |
|
187 |
177 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
170 |
$13K |
| 90688 |
|
962 |
919 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
302 |
287 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
811 |
796 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,157 |
1,688 |
$8K |
| 96127 |
|
7,663 |
6,795 |
$7K |
| 99408 |
|
1,182 |
1,056 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
435 |
395 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
521 |
135 |
$4K |
| 99254 |
|
28 |
28 |
$3K |
| 99406 |
|
535 |
511 |
$2K |
| 93356 |
|
169 |
144 |
$2K |
| 93880 |
|
82 |
67 |
$2K |
| 99072 |
|
9,980 |
8,321 |
$2K |
| 94010 |
|
45 |
45 |
$781.08 |
| 99496 |
|
12 |
12 |
$777.06 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
50 |
42 |
$510.07 |
| 90662 |
|
130 |
119 |
$455.96 |
| 99423 |
|
16 |
16 |
$298.48 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
179 |
134 |
$260.01 |
| 93018 |
|
12 |
12 |
$250.05 |
| G0008 |
Administration of influenza virus vaccine |
367 |
327 |
$193.80 |
| 90658 |
|
14 |
14 |
$190.22 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
330 |
277 |
$184.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
334 |
259 |
$178.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
528 |
433 |
$168.04 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
528 |
436 |
$160.52 |
| 99422 |
|
20 |
20 |
$97.21 |
| 93308 |
|
12 |
12 |
$95.99 |
| 86580 |
|
34 |
31 |
$91.76 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
355 |
279 |
$79.62 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
14 |
$18.37 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,370 |
11,525 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,938 |
1,663 |
$0.00 |
| 1124F |
|
602 |
587 |
$0.00 |
| 3077F |
|
265 |
255 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
698 |
666 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
424 |
389 |
$0.00 |
| 3078F |
|
7,882 |
7,085 |
$0.00 |
| 4040F |
|
484 |
449 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
284 |
269 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
607 |
559 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
165 |
155 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,446 |
2,179 |
$0.00 |
| M1055 |
Aspirin or another antiplatelet therapy used |
25 |
25 |
$0.00 |
| 3046F |
|
796 |
675 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
94 |
87 |
$0.00 |
| G2089 |
Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% |
33 |
32 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
123 |
114 |
$0.00 |
| 3288F |
|
467 |
402 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
731 |
582 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
18 |
18 |
$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) |
13 |
12 |
$0.00 |
| 3051F |
|
23 |
19 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
15 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
19 |
15 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
859 |
724 |
$0.00 |
| 1036F |
|
1,665 |
1,527 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
11,291 |
9,827 |
$0.00 |
| 3074F |
|
6,718 |
6,055 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
2,510 |
2,168 |
$0.00 |
| 3008F |
|
6,176 |
5,988 |
$0.00 |
| 3079F |
|
3,782 |
3,468 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,331 |
4,997 |
$0.00 |
| 4086F |
|
5,569 |
4,885 |
$0.00 |
| 3044F |
|
1,408 |
1,125 |
$0.00 |
| 3075F |
|
4,103 |
3,783 |
$0.00 |
| 3017F |
|
362 |
328 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,323 |
1,227 |
$0.00 |
| 4008F |
|
4,606 |
4,160 |
$0.00 |
| 1000F |
|
1,973 |
1,869 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,047 |
1,755 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
990 |
805 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,105 |
952 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
557 |
521 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
324 |
292 |
$0.00 |
| 1111F |
|
673 |
626 |
$0.00 |
| 4010F |
|
806 |
761 |
$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) |
80 |
62 |
$0.00 |
| 4210F |
|
64 |
62 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
65 |
65 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
108 |
88 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |
| M1200 |
Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period |
17 |
16 |
$0.00 |
| G8475 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given |
119 |
100 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
16 |
13 |
$0.00 |