| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,508 |
8,274 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,384 |
9,939 |
$299K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
923 |
916 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
996 |
988 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
790 |
771 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,700 |
2,425 |
$49K |
| 99490 |
Ccm add 20min |
8,050 |
8,049 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
254 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
217 |
201 |
$14K |
| 90461 |
|
732 |
621 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
402 |
195 |
$5K |
| 93000 |
|
1,286 |
1,175 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
223 |
$3K |
| 0003A |
|
64 |
63 |
$1K |
| 81003 |
|
1,781 |
1,640 |
$1K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
971 |
971 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$834.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
48 |
$563.67 |
| 90674 |
|
253 |
249 |
$493.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
38 |
$297.65 |
| 90688 |
|
137 |
135 |
$296.93 |
| 90651 |
|
209 |
207 |
$272.31 |
| 90686 |
|
253 |
249 |
$138.92 |
| 86580 |
|
14 |
13 |
$105.43 |
| 96127 |
|
1,167 |
1,038 |
$83.75 |
| 90656 |
|
119 |
115 |
$54.97 |
| 0134A |
|
22 |
19 |
$40.00 |
| 82570 |
|
80 |
74 |
$30.45 |
| 90480 |
|
18 |
18 |
$30.00 |
| 0031A |
|
13 |
13 |
$20.00 |
| 94760 |
|
18 |
15 |
$2.57 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
465 |
394 |
$0.05 |
| 90621 |
|
56 |
55 |
$0.03 |
| 1036F |
|
2,886 |
2,572 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
616 |
571 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
323 |
283 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
82 |
77 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,523 |
3,970 |
$0.00 |
| 1126F |
|
1,145 |
1,028 |
$0.00 |
| 3017F |
|
602 |
543 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
1,001 |
895 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,235 |
1,988 |
$0.00 |
| 82962 |
|
2,215 |
2,025 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
437 |
381 |
$0.00 |
| 1125F |
|
185 |
169 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
674 |
588 |
$0.00 |
| 3044F |
|
1,189 |
1,072 |
$0.00 |
| 1101F |
|
1,354 |
1,190 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
201 |
196 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,244 |
1,076 |
$0.00 |
| 91307 |
|
60 |
57 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,662 |
1,457 |
$0.00 |
| 1111F |
|
212 |
192 |
$0.00 |
| 90694 |
|
60 |
56 |
$0.00 |
| 90657 |
|
74 |
72 |
$0.00 |
| 1170F |
|
1,404 |
1,219 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
223 |
194 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
291 |
228 |
$0.00 |
| 90680 |
|
28 |
27 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 99496 |
|
15 |
13 |
$0.00 |
| 99457 |
|
51 |
51 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
27 |
27 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,126 |
1,895 |
$0.00 |
| 4040F |
|
957 |
878 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,284 |
4,589 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,238 |
1,109 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
260 |
238 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
571 |
514 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
1,209 |
1,102 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,049 |
1,824 |
$0.00 |
| 1159F |
|
184 |
172 |
$0.00 |
| 3288F |
|
1,366 |
1,047 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,225 |
2,874 |
$0.00 |
| 90648 |
|
68 |
66 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,193 |
1,064 |
$0.00 |
| 90653 |
|
69 |
69 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
416 |
364 |
$0.00 |
| 90670 |
|
256 |
254 |
$0.00 |
| 99072 |
|
1,262 |
1,149 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
148 |
128 |
$0.00 |
| 1090F |
|
542 |
496 |
$0.00 |
| 91300 |
|
145 |
143 |
$0.00 |
| 90734 |
|
179 |
177 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
69 |
68 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
496 |
430 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
554 |
504 |
$0.00 |
| 2022F |
|
39 |
37 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
68 |
66 |
$0.00 |
| 3045F |
|
56 |
50 |
$0.00 |
| 90633 |
|
64 |
64 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 1158F |
|
24 |
21 |
$0.00 |
| 91313 |
|
24 |
21 |
$0.00 |
| 91320 |
|
18 |
18 |
$0.00 |