| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,297 |
29,394 |
$2.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,571 |
13,140 |
$659K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,071 |
2,474 |
$208K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,040 |
1,820 |
$158K |
| 99442 |
|
1,801 |
1,632 |
$115K |
| 99443 |
|
1,098 |
997 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,067 |
944 |
$83K |
| 99215 |
Prolong outpt/office vis |
947 |
880 |
$74K |
| 99401 |
|
3,806 |
2,908 |
$73K |
| H0031 |
Mental health assessment, by non-physician |
793 |
720 |
$70K |
| T1016 |
Case management, each 15 minutes |
4,287 |
2,765 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
321 |
$20K |
| 93922 |
|
388 |
358 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,099 |
900 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,346 |
1,145 |
$16K |
| 90674 |
|
1,109 |
799 |
$15K |
| 94664 |
|
1,584 |
1,245 |
$15K |
| 99457 |
|
385 |
385 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
361 |
222 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
31 |
31 |
$11K |
| 96160 |
|
5,496 |
4,520 |
$11K |
| 99385 |
|
115 |
104 |
$10K |
| 99490 |
Ccm add 20min |
1,969 |
1,859 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,887 |
4,226 |
$9K |
| 99454 |
|
214 |
214 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
162 |
157 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
353 |
217 |
$8K |
| 99423 |
|
180 |
166 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
361 |
222 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
254 |
$7K |
| 0012A |
|
167 |
165 |
$6K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,252 |
935 |
$6K |
| 82962 |
|
7,247 |
5,083 |
$6K |
| 96127 |
|
3,367 |
2,581 |
$5K |
| 0011A |
|
161 |
153 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,333 |
988 |
$5K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
270 |
222 |
$4K |
| 99397 |
|
107 |
93 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
259 |
203 |
$4K |
| A4617 |
Mouth piece |
2,749 |
2,000 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
64 |
$3K |
| 99458 |
|
104 |
104 |
$3K |
| 0064A |
|
91 |
90 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
823 |
517 |
$3K |
| 93000 |
|
281 |
247 |
$3K |
| 90756 |
|
174 |
102 |
$3K |
| 20553 |
|
61 |
59 |
$3K |
| 99386 |
|
28 |
24 |
$2K |
| 99497 |
|
220 |
153 |
$2K |
| 76942 |
|
63 |
60 |
$2K |
| 80061 |
Lipid panel |
253 |
179 |
$2K |
| 99493 |
|
25 |
24 |
$2K |
| 99173 |
|
799 |
761 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
94 |
72 |
$2K |
| 99350 |
Prolong home eval add 15m |
15 |
12 |
$2K |
| 96161 |
|
511 |
437 |
$1K |
| 97161 |
|
29 |
26 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99484 |
|
44 |
44 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
76 |
$1K |
| 92250 |
|
59 |
57 |
$871.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$829.40 |
| 99441 |
|
18 |
18 |
$807.82 |
| 90688 |
|
55 |
53 |
$798.48 |
| 90658 |
|
140 |
100 |
$771.93 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
792 |
506 |
$531.73 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
322 |
264 |
$500.39 |
| 81002 |
|
232 |
171 |
$487.12 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$464.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
26 |
$413.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
194 |
124 |
$402.79 |
| 90686 |
|
225 |
148 |
$394.70 |
| 97164 |
|
16 |
13 |
$380.27 |
| 94010 |
|
13 |
13 |
$279.08 |
| 99453 |
|
14 |
14 |
$187.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
350 |
223 |
$126.15 |
| 81003 |
|
290 |
201 |
$123.32 |
| 99000 |
|
75 |
62 |
$86.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
103 |
97 |
$75.42 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
56 |
33 |
$72.00 |
| 94150 |
|
2,939 |
2,020 |
$63.21 |
| 99406 |
|
346 |
227 |
$40.76 |
| 99408 |
|
1,461 |
974 |
$33.92 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
40 |
31 |
$30.36 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
32 |
26 |
$26.23 |
| G0008 |
Administration of influenza virus vaccine |
43 |
27 |
$8.26 |
| 3079F |
|
2,516 |
1,928 |
$0.00 |
| 2010F |
|
2,049 |
1,433 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
289 |
235 |
$0.00 |
| 1036F |
|
2,159 |
1,637 |
$0.00 |
| 3074F |
|
7,389 |
5,772 |
$0.00 |
| 1111F |
|
1,001 |
743 |
$0.00 |
| 3008F |
|
4,860 |
4,055 |
$0.00 |
| 1126F |
|
73 |
67 |
$0.00 |
| 1170F |
|
245 |
201 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
380 |
285 |
$0.00 |
| 1123F |
|
134 |
124 |
$0.00 |
| 1034F |
|
594 |
416 |
$0.00 |
| 4037F |
|
130 |
115 |
$0.00 |
| 3075F |
|
612 |
494 |
$0.00 |
| 94760 |
|
19 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,002 |
748 |
$0.00 |
| 97010 |
|
163 |
94 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
942 |
702 |
$0.00 |
| 3080F |
|
17 |
14 |
$0.00 |
| 3014F |
|
47 |
32 |
$0.00 |
| 3044F |
|
133 |
120 |
$0.00 |
| 4000F |
|
231 |
153 |
$0.00 |
| 91301 |
|
70 |
63 |
$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) |
88 |
58 |
$0.00 |
| 1101F |
|
51 |
39 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
64 |
53 |
$0.00 |
| 1125F |
|
43 |
32 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
205 |
128 |
$0.00 |
| 3072F |
|
31 |
21 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
25 |
18 |
$0.00 |
| 3016F |
|
4,487 |
3,592 |
$0.00 |
| 3725F |
|
3,663 |
2,951 |
$0.00 |
| 4004F |
|
1,308 |
971 |
$0.00 |
| 3015F |
|
72 |
57 |
$0.00 |
| 4035F |
|
2,146 |
1,557 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
293 |
147 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
944 |
714 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
967 |
715 |
$0.00 |
| 1160F |
|
1,155 |
868 |
$0.00 |
| 1159F |
|
5,693 |
4,024 |
$0.00 |
| 3077F |
|
161 |
122 |
$0.00 |
| 3046F |
|
31 |
27 |
$0.00 |
| 1124F |
|
103 |
99 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,016 |
744 |
$0.00 |
| 3078F |
|
6,214 |
4,948 |
$0.00 |
| 1090F |
|
1,134 |
826 |
$0.00 |
| 2028F |
|
455 |
253 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
534 |
385 |
$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) |
1,329 |
979 |
$0.00 |
| 3288F |
|
104 |
78 |
$0.00 |
| 97803 |
|
152 |
117 |
$0.00 |
| 96136 |
|
21 |
21 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
159 |
79 |
$0.00 |
| 2022F |
|
21 |
12 |
$0.00 |