| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,747 |
43,496 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,000 |
19,125 |
$698K |
| 99490 |
Ccm add 20min |
19,788 |
19,784 |
$237K |
| 99497 |
|
5,645 |
5,574 |
$111K |
| 93923 |
|
1,594 |
1,548 |
$54K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
2,884 |
2,863 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,344 |
2,196 |
$31K |
| 94010 |
|
3,201 |
3,170 |
$28K |
| 93000 |
|
4,390 |
4,324 |
$25K |
| 93970 |
|
576 |
573 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
364 |
358 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,827 |
2,450 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,589 |
2,543 |
$9K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,919 |
1,910 |
$9K |
| 96127 |
|
2,456 |
2,409 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,584 |
1,555 |
$7K |
| 96136 |
|
619 |
587 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
898 |
893 |
$5K |
| 99443 |
|
214 |
205 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
123 |
$4K |
| 99442 |
|
378 |
364 |
$3K |
| 0011A |
|
76 |
76 |
$3K |
| 99397 |
|
821 |
815 |
$3K |
| 3078F |
|
11,956 |
10,765 |
$3K |
| 3074F |
|
10,646 |
9,659 |
$3K |
| 0013A |
|
139 |
139 |
$3K |
| 0012A |
|
68 |
68 |
$3K |
| 90688 |
|
1,049 |
1,046 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,207 |
4,104 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
194 |
172 |
$2K |
| 36410 |
|
2,130 |
2,106 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
190 |
168 |
$1K |
| 90715 |
|
227 |
220 |
$610.43 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
514 |
514 |
$539.23 |
| 90756 |
|
476 |
475 |
$519.18 |
| 99051 |
|
2,526 |
2,373 |
$510.19 |
| 0031A |
|
15 |
15 |
$485.26 |
| 92250 |
|
86 |
86 |
$423.67 |
| 3079F |
|
2,076 |
1,999 |
$372.50 |
| 99406 |
|
39 |
39 |
$360.77 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$322.97 |
| 3075F |
|
2,923 |
2,784 |
$307.50 |
| 95250 |
|
12 |
12 |
$217.48 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
287 |
286 |
$193.31 |
| 3077F |
|
493 |
476 |
$180.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,227 |
1,145 |
$150.32 |
| 1170F |
|
1,534 |
1,516 |
$120.00 |
| 1159F |
|
3,559 |
3,285 |
$120.00 |
| 1160F |
|
3,393 |
3,165 |
$120.00 |
| 0064A |
|
38 |
38 |
$113.58 |
| 96160 |
|
87 |
85 |
$93.21 |
| 1126F |
|
898 |
890 |
$90.00 |
| 0134A |
|
202 |
201 |
$88.29 |
| 90658 |
|
348 |
346 |
$87.44 |
| 99408 |
|
523 |
523 |
$59.96 |
| 90480 |
|
454 |
448 |
$40.00 |
| 81002 |
|
109 |
105 |
$27.85 |
| 99401 |
|
564 |
544 |
$27.39 |
| 1125F |
|
394 |
386 |
$25.00 |
| G0008 |
Administration of influenza virus vaccine |
1,759 |
1,752 |
$18.62 |
| 77080 |
|
117 |
117 |
$4.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
899 |
898 |
$4.28 |
| 82947 |
|
912 |
911 |
$1.72 |
| 91301 |
|
283 |
283 |
$0.03 |
| 90750 |
|
156 |
155 |
$0.02 |
| 91313 |
|
195 |
194 |
$0.01 |
| 99429 |
|
1,894 |
1,642 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,399 |
1,381 |
$0.00 |
| 3008F |
|
8,371 |
7,993 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,043 |
3,907 |
$0.00 |
| 3044F |
|
3,558 |
3,452 |
$0.00 |
| 4010F |
|
301 |
298 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,036 |
1,009 |
$0.00 |
| 1000F |
|
902 |
895 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,699 |
2,474 |
$0.00 |
| 90732 |
|
257 |
256 |
$0.00 |
| 1101F |
|
429 |
420 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
598 |
595 |
$0.00 |
| 1036F |
|
876 |
865 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
449 |
446 |
$0.00 |
| 3014F |
|
222 |
218 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
28 |
27 |
$0.00 |
| 82270 |
|
77 |
77 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
594 |
584 |
$0.00 |
| 1157F |
|
1,190 |
1,179 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
109 |
108 |
$0.00 |
| 90656 |
|
68 |
67 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
619 |
616 |
$0.00 |
| 3017F |
|
418 |
410 |
$0.00 |
| 2000F |
|
1,248 |
1,162 |
$0.00 |
| 4037F |
|
296 |
296 |
$0.00 |
| 3061F |
|
132 |
131 |
$0.00 |
| 3048F |
|
37 |
36 |
$0.00 |
| 3049F |
|
14 |
14 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
192 |
187 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| 3725F |
|
1,230 |
1,216 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,591 |
2,375 |
$0.00 |
| 1158F |
|
1,379 |
1,351 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
853 |
842 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,225 |
2,071 |
$0.00 |
| 90662 |
|
304 |
303 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
623 |
609 |
$0.00 |
| 3016F |
|
802 |
796 |
$0.00 |
| 3288F |
|
441 |
432 |
$0.00 |
| 91322 |
|
453 |
447 |
$0.00 |
| 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) |
97 |
97 |
$0.00 |
| 0521F |
|
646 |
645 |
$0.00 |
| 2022F |
|
127 |
123 |
$0.00 |
| 3051F |
|
137 |
131 |
$0.00 |
| 3045F |
|
29 |
28 |
$0.00 |
| 1032F |
|
33 |
33 |
$0.00 |
| 4005F |
|
64 |
62 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
47 |
47 |
$0.00 |
| 82274 |
|
108 |
107 |
$0.00 |
| 4040F |
|
55 |
55 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
33 |
33 |
$0.00 |
| 1124F |
|
23 |
23 |
$0.00 |
| 4004F |
|
30 |
30 |
$0.00 |
| 90682 |
|
46 |
46 |
$0.00 |