| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,073 |
28,123 |
$1.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,073 |
8,358 |
$733K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,511 |
6,388 |
$199K |
| 99441 |
|
8,466 |
7,409 |
$147K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,130 |
8,404 |
$127K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,252 |
1,183 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
942 |
891 |
$94K |
| 93923 |
|
1,169 |
964 |
$61K |
| 99442 |
|
1,150 |
1,015 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
485 |
449 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
563 |
527 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
561 |
178 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
15,442 |
14,073 |
$25K |
| 90674 |
|
1,239 |
1,124 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
511 |
196 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
173 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,098 |
1,606 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
154 |
153 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,692 |
1,552 |
$17K |
| 93000 |
|
1,587 |
1,449 |
$16K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,395 |
1,239 |
$14K |
| 95912 |
|
71 |
70 |
$10K |
| 96132 |
|
199 |
180 |
$10K |
| 92546 |
|
198 |
88 |
$9K |
| 99490 |
Ccm add 20min |
4,098 |
3,786 |
$7K |
| 93040 |
|
789 |
745 |
$7K |
| 95923 |
|
112 |
100 |
$7K |
| 95911 |
|
42 |
37 |
$6K |
| 95921 |
|
112 |
100 |
$5K |
| 90756 |
|
237 |
237 |
$5K |
| 93922 |
|
109 |
98 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
182 |
182 |
$3K |
| 99483 |
Prolong outpt/office vis |
52 |
38 |
$3K |
| 99401 |
|
99 |
97 |
$3K |
| 96138 |
|
198 |
180 |
$3K |
| 94760 |
|
10,217 |
9,206 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,027 |
4,431 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
47 |
$2K |
| 92540 |
|
32 |
31 |
$1K |
| 99397 |
|
33 |
28 |
$1K |
| 3074F |
|
17,534 |
13,705 |
$924.80 |
| 3078F |
|
16,316 |
12,861 |
$839.76 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
229 |
166 |
$835.20 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
80 |
66 |
$725.09 |
| 94010 |
|
34 |
31 |
$613.25 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
309 |
242 |
$555.45 |
| 81002 |
|
163 |
163 |
$350.68 |
| 92547 |
|
96 |
84 |
$350.44 |
| 99497 |
|
70 |
55 |
$279.81 |
| 3079F |
|
2,583 |
2,175 |
$181.08 |
| 36410 |
|
12 |
12 |
$167.40 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
42 |
42 |
$144.62 |
| 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) |
272 |
230 |
$131.24 |
| 3044F |
|
2,354 |
2,104 |
$109.12 |
| 1126F |
|
1,236 |
1,016 |
$58.09 |
| 3075F |
|
805 |
684 |
$53.05 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
73 |
61 |
$51.60 |
| 3008F |
|
971 |
770 |
$46.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
17 |
$34.43 |
| 1160F |
|
5,530 |
4,424 |
$31.12 |
| 1159F |
|
5,542 |
4,427 |
$30.12 |
| 99318 |
|
16 |
16 |
$22.51 |
| 3061F |
|
411 |
375 |
$12.00 |
| 1125F |
|
96 |
76 |
$7.00 |
| 4004F |
|
68 |
38 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,562 |
1,381 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
141 |
141 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
413 |
375 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
16 |
$0.00 |
| 3288F |
|
73 |
41 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
75 |
54 |
$0.00 |
| 4013F |
|
173 |
136 |
$0.00 |
| 3023F |
|
22 |
17 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
68 |
53 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
27 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
743 |
626 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,447 |
3,051 |
$0.00 |
| 1036F |
|
1,345 |
1,087 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
25 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
24 |
$0.00 |
| 99406 |
|
25 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
26 |
26 |
$0.00 |
| 1101F |
|
32 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
17 |
$0.00 |
| 0509F |
|
34 |
17 |
$0.00 |