| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,049 |
7,768 |
$267K |
| 99444 |
|
2,515 |
817 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,719 |
2,433 |
$43K |
| 99423 |
|
664 |
234 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
495 |
435 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
312 |
289 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
455 |
404 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$2K |
| 99422 |
|
72 |
33 |
$2K |
| 99490 |
Ccm add 20min |
771 |
770 |
$1K |
| 95923 |
|
92 |
82 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$807.84 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$745.50 |
| 90674 |
|
45 |
44 |
$601.68 |
| 90656 |
|
34 |
34 |
$351.93 |
| 90461 |
|
86 |
37 |
$322.04 |
| 90688 |
|
119 |
119 |
$308.57 |
| 92250 |
|
22 |
20 |
$234.60 |
| 90756 |
|
55 |
53 |
$218.96 |
| 90686 |
|
47 |
47 |
$195.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
406 |
364 |
$88.90 |
| 99497 |
|
28 |
28 |
$79.77 |
| 93922 |
|
16 |
14 |
$51.80 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
237 |
233 |
$18.69 |
| 36415 |
Collection of venous blood by venipuncture |
681 |
623 |
$2.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
50 |
$0.09 |
| G8482 |
Influenza immunization administered or previously received |
302 |
252 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
581 |
510 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,011 |
1,723 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
206 |
192 |
$0.00 |
| 3288F |
|
463 |
406 |
$0.00 |
| 1159F |
|
194 |
180 |
$0.00 |
| 3078F |
|
60 |
58 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 1160F |
|
195 |
180 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
153 |
128 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
64 |
59 |
$0.00 |
| 4019F |
|
27 |
25 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
69 |
50 |
$0.00 |
| 4040F |
|
28 |
23 |
$0.00 |
| 98966 |
|
14 |
14 |
$0.00 |
| 99406 |
|
292 |
267 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
203 |
196 |
$0.00 |
| 1101F |
|
222 |
188 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,115 |
1,805 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
80 |
78 |
$0.00 |
| 3074F |
|
60 |
57 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
134 |
128 |
$0.00 |
| 96150 |
|
224 |
221 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
143 |
117 |
$0.00 |
| 1126F |
|
65 |
60 |
$0.00 |
| 1036F |
|
273 |
237 |
$0.00 |
| 1125F |
|
136 |
126 |
$0.00 |
| 1111F |
|
101 |
84 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
205 |
178 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
206 |
138 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 1170F |
|
254 |
233 |
$0.00 |
| 1123F |
|
18 |
18 |
$0.00 |
| 3044F |
|
23 |
20 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |