| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,592 |
3,874 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,083 |
1,001 |
$26K |
| 99442 |
|
143 |
138 |
$8K |
| 99497 |
|
413 |
403 |
$7K |
| 0012A |
|
139 |
139 |
$5K |
| 90678 |
|
147 |
139 |
$4K |
| 0011A |
|
88 |
88 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
529 |
513 |
$2K |
| 96127 |
|
249 |
248 |
$922.35 |
| 90756 |
|
38 |
38 |
$578.87 |
| 93000 |
|
75 |
74 |
$560.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
44 |
$400.88 |
| 36415 |
Collection of venous blood by venipuncture |
1,344 |
1,289 |
$364.80 |
| 90679 |
|
13 |
13 |
$290.00 |
| 90682 |
|
15 |
15 |
$170.15 |
| 90653 |
|
180 |
178 |
$163.90 |
| 99397 |
|
108 |
108 |
$117.92 |
| 99401 |
|
199 |
197 |
$105.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$71.68 |
| 0134A |
|
34 |
32 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
470 |
468 |
$33.48 |
| 99051 |
|
403 |
366 |
$27.16 |
| 3074F |
|
1,948 |
1,721 |
$26.70 |
| 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 |
15 |
15 |
$20.76 |
| 3078F |
|
2,616 |
2,277 |
$14.20 |
| 3079F |
|
743 |
700 |
$12.50 |
| 90694 |
|
237 |
237 |
$10.97 |
| 3077F |
|
743 |
696 |
$10.00 |
| G9920 |
Screening performed and negative |
100 |
97 |
$3.00 |
| 3075F |
|
690 |
650 |
$2.50 |
| 90715 |
|
40 |
39 |
$0.04 |
| 1160F |
|
540 |
509 |
$0.00 |
| 3051F |
|
13 |
12 |
$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) |
259 |
250 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
438 |
395 |
$0.00 |
| 1159F |
|
1,656 |
1,414 |
$0.00 |
| 99072 |
|
106 |
100 |
$0.00 |
| 1158F |
|
253 |
251 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
286 |
264 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 4013F |
|
44 |
44 |
$0.00 |
| 91322 |
|
48 |
47 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
83 |
82 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
74 |
72 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
60 |
60 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
29 |
27 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
13 |
$0.00 |
| 4005F |
|
19 |
17 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| S5000 |
Prescription drug, generic |
13 |
13 |
$0.00 |
| 3016F |
|
28 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
522 |
494 |
$0.00 |
| 2000F |
|
2,258 |
1,960 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
538 |
484 |
$0.00 |
| 3008F |
|
2,312 |
2,176 |
$0.00 |
| 90480 |
|
48 |
47 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
34 |
33 |
$0.00 |
| 1157F |
|
57 |
56 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 3048F |
|
409 |
373 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 4037F |
|
321 |
321 |
$0.00 |
| 4010F |
|
45 |
42 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
94 |
92 |
$0.00 |
| 3044F |
|
137 |
126 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
185 |
179 |
$0.00 |