| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75,458 |
70,361 |
$5.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,887 |
35,764 |
$2.37M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,877 |
2,747 |
$355K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,312 |
2,264 |
$195K |
| 99215 |
Prolong outpt/office vis |
1,468 |
1,411 |
$140K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,083 |
1,082 |
$112K |
| 80305 |
|
10,817 |
10,279 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
911 |
903 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,825 |
1,164 |
$69K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
620 |
587 |
$67K |
| 76536 |
|
944 |
933 |
$66K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,594 |
7,471 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
687 |
654 |
$55K |
| 95251 |
|
2,323 |
2,135 |
$51K |
| 99205 |
Prolong outpt/office vis |
414 |
414 |
$46K |
| 97802 |
|
630 |
630 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,119 |
1,015 |
$42K |
| 97803 |
|
856 |
848 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,629 |
1,604 |
$24K |
| 90686 |
|
1,245 |
1,238 |
$23K |
| 82947 |
|
6,531 |
6,220 |
$23K |
| 93000 |
|
1,561 |
1,510 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,933 |
1,638 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,153 |
1,149 |
$13K |
| 99443 |
|
247 |
237 |
$11K |
| 90682 |
|
251 |
251 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
509 |
468 |
$8K |
| 96127 |
|
1,881 |
1,794 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
38 |
38 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
73 |
$2K |
| 0004A |
|
57 |
57 |
$2K |
| 92250 |
|
44 |
40 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
15 |
$2K |
| 90662 |
|
273 |
265 |
$1K |
| 99243 |
|
14 |
14 |
$1K |
| 10022 |
|
12 |
12 |
$939.09 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
27 |
$880.10 |
| 82962 |
|
580 |
548 |
$813.44 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$781.88 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
92 |
92 |
$668.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$608.01 |
| 96116 |
|
16 |
12 |
$502.45 |
| 76942 |
|
12 |
12 |
$467.53 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
365 |
352 |
$437.96 |
| 92020 |
|
26 |
24 |
$337.86 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
177 |
130 |
$267.18 |
| G0008 |
Administration of influenza virus vaccine |
363 |
352 |
$237.34 |
| 99442 |
|
12 |
12 |
$222.38 |
| 82948 |
|
91 |
79 |
$112.68 |
| 93320 |
|
97 |
95 |
$95.99 |
| 87070 |
|
26 |
24 |
$64.18 |
| 80299 |
|
26 |
26 |
$57.79 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
1,039 |
932 |
$30.60 |
| 91300 |
|
66 |
65 |
$28.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
424 |
239 |
$26.70 |
| 1125F |
|
1,203 |
1,037 |
$1.00 |
| 1159F |
|
4,399 |
4,001 |
$1.00 |
| 3078F |
|
250 |
237 |
$0.03 |
| 3074F |
|
295 |
280 |
$0.01 |
| 3017F |
|
28,354 |
25,932 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
9,308 |
8,468 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
26,296 |
24,283 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
7,896 |
7,196 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43,152 |
38,764 |
$0.00 |
| 3008F |
|
4,500 |
3,524 |
$0.00 |
| 1126F |
|
3,017 |
2,733 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,453 |
2,167 |
$0.00 |
| 1123F |
|
4,654 |
4,140 |
$0.00 |
| 1170F |
|
3,544 |
3,129 |
$0.00 |
| 3061F |
|
8,819 |
8,241 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20,791 |
18,980 |
$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) |
1,078 |
967 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
4,236 |
3,920 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,982 |
6,399 |
$0.00 |
| 1036F |
|
4,697 |
4,417 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
2,771 |
2,641 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
8,082 |
7,614 |
$0.00 |
| 3044F |
|
322 |
316 |
$0.00 |
| 3060F |
|
188 |
178 |
$0.00 |
| 3079F |
|
105 |
97 |
$0.00 |
| G9907 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) |
38 |
38 |
$0.00 |
| 3072F |
|
215 |
202 |
$0.00 |
| G9460 |
Tobacco assessment or tobacco cessation intervention not performed, reason not given |
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
218 |
193 |
$0.00 |
| 3075F |
|
59 |
56 |
$0.00 |
| 1157F |
|
53 |
42 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
138 |
122 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
56 |
46 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
16 |
13 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
5,690 |
5,046 |
$0.00 |
| G8865 |
Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction) |
3,790 |
3,541 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
41,678 |
38,200 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
6,343 |
5,950 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,600 |
1,416 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
5,765 |
5,208 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
1,980 |
1,835 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
9,319 |
8,767 |
$0.00 |
| G9807 |
Patients who did not receive cervical cytology or an hpv test |
17,731 |
16,351 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12,037 |
10,717 |
$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) |
320 |
287 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14,408 |
13,504 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,521 |
3,165 |
$0.00 |
| 3046F |
|
509 |
481 |
$0.00 |
| 2022F |
|
10,546 |
9,859 |
$0.00 |
| 2026F |
|
390 |
356 |
$0.00 |
| 1160F |
|
2,667 |
2,371 |
$0.00 |
| 4040F |
|
554 |
503 |
$0.00 |
| 1158F |
|
205 |
173 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
307 |
296 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
1,506 |
1,247 |
$0.00 |
| 3045F |
|
162 |
160 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
630 |
573 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
177 |
156 |
$0.00 |
| 4004F |
|
1,217 |
1,154 |
$0.00 |
| 1124F |
|
160 |
108 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
74 |
71 |
$0.00 |
| 93325 |
|
30 |
29 |
$0.00 |