| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,328 |
21,854 |
$1.37M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,060 |
1,059 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,997 |
2,738 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
577 |
575 |
$51K |
| 99490 |
Ccm add 20min |
2,695 |
2,692 |
$50K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
697 |
420 |
$42K |
| 90674 |
|
1,599 |
1,592 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,172 |
2,121 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
338 |
198 |
$20K |
| 99442 |
|
300 |
263 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,751 |
2,095 |
$17K |
| 99497 |
|
525 |
513 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
695 |
639 |
$14K |
| 0012A |
|
293 |
293 |
$11K |
| 0011A |
|
262 |
262 |
$9K |
| 93000 |
|
737 |
730 |
$8K |
| 99439 |
|
402 |
400 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,251 |
6,027 |
$4K |
| 99051 |
|
1,937 |
1,676 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
420 |
417 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
171 |
170 |
$3K |
| 96127 |
|
645 |
639 |
$2K |
| 99397 |
|
338 |
338 |
$2K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,599 |
2,349 |
$979.05 |
| 90653 |
|
15 |
15 |
$468.59 |
| 99401 |
|
33 |
33 |
$387.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$351.44 |
| 99441 |
|
16 |
14 |
$338.15 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
193 |
192 |
$327.21 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
94 |
56 |
$264.40 |
| 90694 |
|
270 |
270 |
$254.05 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
602 |
588 |
$207.61 |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
259 |
180 |
$180.33 |
| 3074F |
|
4,601 |
3,830 |
$154.50 |
| 3078F |
|
6,470 |
5,239 |
$143.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
600 |
346 |
$137.97 |
| 3079F |
|
2,042 |
1,876 |
$83.50 |
| 3077F |
|
2,608 |
2,281 |
$58.20 |
| 3075F |
|
1,939 |
1,802 |
$43.00 |
| 3080F |
|
401 |
374 |
$19.20 |
| 3051F |
|
70 |
64 |
$18.20 |
| 81005 |
|
12 |
12 |
$15.74 |
| G0008 |
Administration of influenza virus vaccine |
619 |
618 |
$15.49 |
| 1170F |
|
80 |
76 |
$14.00 |
| 1126F |
|
15 |
15 |
$9.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,664 |
1,417 |
$6.00 |
| 1159F |
|
2,109 |
1,784 |
$5.00 |
| 1160F |
|
1,048 |
937 |
$5.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,075 |
1,750 |
$5.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
398 |
361 |
$1.00 |
| 90750 |
|
12 |
12 |
$0.11 |
| 3008F |
|
6,660 |
5,623 |
$0.01 |
| 90662 |
|
168 |
167 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
856 |
764 |
$0.00 |
| 3725F |
|
95 |
94 |
$0.00 |
| 4013F |
|
29 |
26 |
$0.00 |
| 99072 |
|
322 |
279 |
$0.00 |
| 3016F |
|
169 |
169 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
117 |
117 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
49 |
48 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| 3288F |
|
50 |
50 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
948 |
836 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
119 |
119 |
$0.00 |
| 1036F |
|
158 |
157 |
$0.00 |
| 2000F |
|
5,425 |
4,253 |
$0.00 |
| 1000F |
|
239 |
235 |
$0.00 |
| 3044F |
|
289 |
271 |
$0.00 |
| 1101F |
|
49 |
49 |
$0.00 |
| 4037F |
|
454 |
453 |
$0.00 |
| 4010F |
|
37 |
37 |
$0.00 |
| 99429 |
|
13 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
51 |
51 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 1157F |
|
15 |
15 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
31 |
30 |
$0.00 |