| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,042 |
6,939 |
$551K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,022 |
3,520 |
$348K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
63 |
62 |
$85K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
358 |
357 |
$32K |
| 80305 |
|
1,668 |
1,454 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,392 |
1,276 |
$11K |
| 90682 |
|
123 |
117 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
545 |
529 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
188 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
80 |
$7K |
| 99215 |
Prolong outpt/office vis |
46 |
46 |
$5K |
| 90686 |
|
212 |
212 |
$5K |
| 96127 |
|
1,232 |
1,212 |
$5K |
| 0002A |
|
92 |
92 |
$3K |
| 0001A |
|
86 |
86 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
384 |
375 |
$3K |
| 82962 |
|
860 |
802 |
$2K |
| 90746 |
|
25 |
25 |
$2K |
| 90688 |
|
86 |
86 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99407 |
|
108 |
106 |
$1K |
| 99406 |
|
164 |
163 |
$1K |
| 96160 |
|
412 |
401 |
$1K |
| 93000 |
|
125 |
125 |
$1K |
| 81003 |
|
627 |
609 |
$1K |
| 90658 |
|
70 |
69 |
$989.84 |
| 94010 |
|
58 |
58 |
$922.52 |
| 90632 |
|
12 |
12 |
$880.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
742 |
705 |
$655.66 |
| 0011A |
|
15 |
15 |
$576.84 |
| 0012A |
|
14 |
14 |
$535.96 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
151 |
$523.67 |
| G0008 |
Administration of influenza virus vaccine |
79 |
78 |
$509.81 |
| 90715 |
|
12 |
12 |
$493.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$433.73 |
| 92250 |
|
17 |
17 |
$379.99 |
| 82043 |
|
57 |
56 |
$219.81 |
| 82570 |
|
57 |
56 |
$196.84 |
| 99000 |
|
134 |
131 |
$55.17 |
| 36416 |
|
198 |
191 |
$15.00 |
| 3074F |
|
5,024 |
4,329 |
$2.30 |
| 3078F |
|
3,836 |
3,401 |
$1.39 |
| 3079F |
|
2,843 |
2,566 |
$1.32 |
| 3075F |
|
1,583 |
1,462 |
$0.45 |
| 3080F |
|
842 |
783 |
$0.20 |
| 3077F |
|
900 |
832 |
$0.16 |
| 3048F |
|
33 |
31 |
$0.08 |
| H0049 |
Alcohol and/or drug screening |
1,250 |
1,069 |
$0.04 |
| 3044F |
|
164 |
159 |
$0.02 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,135 |
998 |
$0.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
888 |
828 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
841 |
771 |
$0.00 |
| 4004F |
|
81 |
78 |
$0.00 |
| 91300 |
|
70 |
60 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
411 |
394 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
452 |
435 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
148 |
133 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
166 |
150 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
20 |
18 |
$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) |
50 |
48 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
66 |
60 |
$0.00 |
| 3288F |
|
29 |
29 |
$0.00 |
| 4013F |
|
14 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
48 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
443 |
427 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
63 |
$0.00 |
| 3017F |
|
447 |
404 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
55 |
55 |
$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 |
83 |
82 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |