| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,462 |
12,392 |
$934K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,403 |
1,391 |
$117K |
| 93975 |
|
277 |
277 |
$72K |
| 99385 |
|
736 |
734 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
1,033 |
$69K |
| 76830 |
Ultrasound, transvaginal |
378 |
377 |
$42K |
| 99401 |
|
2,086 |
1,882 |
$38K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,257 |
2,232 |
$30K |
| 99487 |
Ccm add 20min |
282 |
282 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
258 |
256 |
$18K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,817 |
1,770 |
$18K |
| 99489 |
Ccm add 20min |
124 |
124 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,012 |
3,309 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
217 |
217 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,101 |
986 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
335 |
334 |
$12K |
| 99490 |
Ccm add 20min |
236 |
236 |
$10K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
455 |
424 |
$8K |
| 99439 |
|
175 |
175 |
$8K |
| 3074F |
|
4,802 |
4,229 |
$6K |
| 94060 |
|
158 |
158 |
$5K |
| 3078F |
|
4,327 |
3,846 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
345 |
343 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
161 |
$3K |
| 94760 |
|
5,770 |
4,949 |
$3K |
| 90674 |
|
180 |
180 |
$3K |
| 93000 |
|
190 |
185 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
59 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
246 |
$2K |
| 3079F |
|
1,124 |
1,046 |
$2K |
| 99072 |
|
1,240 |
1,086 |
$852.50 |
| H0001 |
Alcohol and/or drug assessment |
43 |
43 |
$839.22 |
| 3075F |
|
490 |
461 |
$837.50 |
| 1159F |
|
11,992 |
8,730 |
$785.11 |
| 96127 |
|
411 |
389 |
$690.84 |
| 1160F |
|
11,985 |
8,729 |
$682.00 |
| 99051 |
|
252 |
226 |
$385.35 |
| 82962 |
|
1,084 |
923 |
$326.07 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,037 |
4,425 |
$289.51 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,541 |
2,104 |
$250.00 |
| 90686 |
|
12 |
12 |
$204.69 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
77 |
73 |
$129.80 |
| 96160 |
|
37 |
35 |
$103.23 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
143 |
142 |
$85.70 |
| 1126F |
|
2,419 |
2,168 |
$85.00 |
| 3077F |
|
15 |
15 |
$80.00 |
| 81025 |
|
12 |
12 |
$68.20 |
| 3044F |
|
152 |
141 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
306 |
$51.83 |
| 1125F |
|
781 |
728 |
$20.00 |
| 3008F |
|
3,457 |
3,154 |
$0.09 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,530 |
2,285 |
$0.09 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
984 |
917 |
$0.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
913 |
855 |
$0.01 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
389 |
356 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
127 |
103 |
$0.00 |
| 1036F |
|
644 |
606 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,464 |
1,316 |
$0.00 |
| 1000F |
|
165 |
158 |
$0.00 |
| 3017F |
|
141 |
118 |
$0.00 |
| 99070 |
|
76 |
69 |
$0.00 |
| 2010F |
|
713 |
673 |
$0.00 |
| 3048F |
|
29 |
25 |
$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) |
126 |
103 |
$0.00 |
| 99000 |
|
284 |
241 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
15 |
15 |
$0.00 |
| 36410 |
|
29 |
26 |
$0.00 |
| 3049F |
|
13 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
61 |
60 |
$0.00 |
| 3061F |
|
75 |
71 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,169 |
1,062 |
$0.00 |
| 3725F |
|
406 |
277 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
171 |
159 |
$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) |
162 |
157 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
88 |
74 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
175 |
165 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
85 |
70 |
$0.00 |
| 3023F |
|
29 |
29 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
15 |
12 |
$0.00 |