| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,080 |
39,626 |
$3.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,631 |
35,256 |
$2.36M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
979 |
978 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
907 |
907 |
$96K |
| 80305 |
|
7,949 |
7,334 |
$61K |
| 99406 |
|
3,902 |
3,842 |
$48K |
| 96160 |
|
6,642 |
6,636 |
$13K |
| 90682 |
|
232 |
232 |
$12K |
| 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) |
922 |
897 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,419 |
1,415 |
$8K |
| 90688 |
|
498 |
498 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
128 |
55 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
127 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
310 |
304 |
$3K |
| 99490 |
Ccm add 20min |
161 |
161 |
$3K |
| 99442 |
|
70 |
69 |
$3K |
| 87428 |
|
87 |
86 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 93000 |
|
115 |
114 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
281 |
147 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
87 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
39 |
$910.94 |
| 0012A |
|
26 |
26 |
$775.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$460.84 |
| 0031A |
|
13 |
13 |
$390.00 |
| 0011A |
|
12 |
12 |
$360.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$312.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
80 |
$271.61 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
84 |
55 |
$193.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
18 |
$161.80 |
| H0049 |
Alcohol and/or drug screening |
37 |
37 |
$91.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$91.16 |
| 99050 |
|
13 |
12 |
$86.08 |
| 81002 |
|
39 |
39 |
$67.12 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$9.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
166 |
156 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
70 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
13 |
$0.00 |
| 1036F |
|
56 |
53 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
56 |
53 |
$0.00 |