| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,686 |
13,713 |
$141K |
| 36415 |
Collection of venous blood by venipuncture |
15,436 |
13,002 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,810 |
7,912 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,355 |
1,088 |
$12K |
| 0031A |
|
2,852 |
2,768 |
$6K |
| 99442 |
|
1,281 |
1,083 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
811 |
605 |
$5K |
| 99215 |
Prolong outpt/office vis |
136 |
122 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
459 |
366 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
287 |
$4K |
| 1159F |
|
33,087 |
27,273 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
649 |
409 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
1,955 |
1,557 |
$2K |
| 93000 |
|
902 |
755 |
$2K |
| 99441 |
|
232 |
200 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
104 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
117 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
178 |
$1K |
| 2010F |
|
1,904 |
1,494 |
$1K |
| 99000 |
|
239 |
214 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
610 |
483 |
$863.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
102 |
$683.02 |
| 3008F |
|
25,244 |
20,836 |
$543.46 |
| 93922 |
|
291 |
237 |
$490.08 |
| 1160F |
|
29,476 |
24,690 |
$466.92 |
| 99443 |
|
63 |
56 |
$409.54 |
| 1126F |
|
15,403 |
12,635 |
$226.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$198.52 |
| 90674 |
|
278 |
221 |
$195.26 |
| 0002A |
|
96 |
89 |
$119.49 |
| 99001 |
|
18 |
16 |
$113.36 |
| 99397 |
|
41 |
26 |
$109.44 |
| 99385 |
|
81 |
51 |
$107.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
626 |
407 |
$105.59 |
| 90694 |
|
76 |
71 |
$99.19 |
| 0012A |
|
17 |
16 |
$86.40 |
| 90651 |
|
13 |
12 |
$85.08 |
| 3016F |
|
12,958 |
10,975 |
$85.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
313 |
253 |
$85.02 |
| 72100 |
|
182 |
158 |
$78.29 |
| 3028F |
|
287 |
207 |
$64.80 |
| 3074F |
|
12,747 |
10,365 |
$56.68 |
| 94760 |
|
285 |
226 |
$56.68 |
| G0008 |
Administration of influenza virus vaccine |
59 |
53 |
$49.20 |
| 0001A |
|
68 |
64 |
$33.88 |
| 0034A |
|
17 |
17 |
$28.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
514 |
411 |
$28.34 |
| 3077F |
|
959 |
700 |
$28.34 |
| 1220F |
|
5,518 |
4,530 |
$28.34 |
| 96127 |
|
784 |
640 |
$25.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
226 |
223 |
$16.00 |
| 72040 |
|
46 |
39 |
$14.31 |
| 3078F |
|
12,311 |
9,983 |
$14.17 |
| 1003F |
|
170 |
144 |
$14.17 |
| 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) |
71 |
69 |
$14.17 |
| 3725F |
|
14 |
14 |
$14.17 |
| 3044F |
|
489 |
409 |
$14.17 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
629 |
524 |
$14.17 |
| 1000F |
|
978 |
867 |
$14.17 |
| 1036F |
|
1,682 |
1,429 |
$12.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
26 |
$1.96 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,465 |
1,177 |
$0.00 |
| 1494F |
|
722 |
561 |
$0.00 |
| 3288F |
|
268 |
230 |
$0.00 |
| 90461 |
|
45 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,874 |
1,531 |
$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) |
777 |
722 |
$0.00 |
| 4013F |
|
459 |
424 |
$0.00 |
| 1158F |
|
482 |
444 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
121 |
104 |
$0.00 |
| 99499 |
|
19 |
15 |
$0.00 |
| 3046F |
|
32 |
23 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
54 |
49 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
52 |
$0.00 |
| 1124F |
|
66 |
60 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
28 |
$0.00 |
| 96160 |
|
99 |
90 |
$0.00 |
| 81003 |
|
20 |
13 |
$0.00 |
| 90653 |
|
33 |
31 |
$0.00 |
| 3051F |
|
26 |
24 |
$0.00 |
| 4025F |
|
16 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,825 |
1,456 |
$0.00 |
| 3079F |
|
4,088 |
3,251 |
$0.00 |
| 1125F |
|
4,649 |
3,662 |
$0.00 |
| 3075F |
|
2,377 |
1,868 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
432 |
386 |
$0.00 |
| 4010F |
|
509 |
473 |
$0.00 |
| 3066F |
|
232 |
180 |
$0.00 |
| 1170F |
|
1,861 |
1,582 |
$0.00 |
| 3080F |
|
247 |
174 |
$0.00 |
| 82962 |
|
274 |
201 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
43 |
35 |
$0.00 |
| 87081 |
|
16 |
13 |
$0.00 |
| 4008F |
|
84 |
83 |
$0.00 |
| 1101F |
|
170 |
142 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
153 |
120 |
$0.00 |
| 99495 |
|
12 |
12 |
$0.00 |
| 1111F |
|
190 |
145 |
$0.00 |
| 1034F |
|
18 |
14 |
$0.00 |
| 1015F |
|
13 |
13 |
$0.00 |
| 0011A |
|
15 |
14 |
$0.00 |
| 90686 |
|
18 |
17 |
$0.00 |
| 3011F |
|
12 |
12 |
$0.00 |
| 3061F |
|
17 |
12 |
$0.00 |
| 4037F |
|
28 |
27 |
$0.00 |
| 2000F |
|
13 |
12 |
$0.00 |
| 1157F |
|
33 |
32 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |