| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,447 |
42,115 |
$2.51M |
| 99490 |
Ccm add 20min |
29,289 |
29,210 |
$443K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,113 |
3,105 |
$394K |
| 99439 |
|
20,833 |
20,787 |
$304K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,256 |
2,194 |
$114K |
| 93000 |
|
9,512 |
9,434 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,050 |
4,942 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
497 |
495 |
$59K |
| 90686 |
|
2,547 |
2,540 |
$39K |
| 90750 |
|
811 |
806 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,516 |
1,373 |
$28K |
| 99397 |
|
2,131 |
2,120 |
$27K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,778 |
4,733 |
$19K |
| 90746 |
|
419 |
419 |
$17K |
| 90651 |
|
74 |
73 |
$17K |
| 99454 |
|
1,296 |
1,294 |
$16K |
| 99457 |
|
1,631 |
1,630 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,054 |
5,855 |
$14K |
| 99442 |
|
127 |
125 |
$11K |
| 99458 |
|
1,471 |
1,470 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
10,183 |
9,900 |
$10K |
| 90670 |
|
360 |
353 |
$10K |
| 83013 |
|
167 |
166 |
$9K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
3,016 |
3,005 |
$8K |
| 99407 |
|
460 |
451 |
$7K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
3,077 |
3,051 |
$7K |
| 90662 |
|
2,494 |
2,487 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
852 |
803 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
1,038 |
1,001 |
$4K |
| 95250 |
|
35 |
35 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
183 |
$3K |
| 90656 |
|
408 |
408 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
189 |
187 |
$2K |
| 94664 |
|
192 |
191 |
$2K |
| 0011A |
|
38 |
38 |
$1K |
| 0013A |
|
267 |
267 |
$1K |
| 3074F |
|
4,164 |
3,799 |
$1K |
| 90715 |
|
40 |
40 |
$1K |
| 0031A |
|
32 |
32 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,993 |
7,987 |
$1K |
| 83014 |
|
167 |
166 |
$982.26 |
| 95251 |
|
45 |
44 |
$860.50 |
| 3078F |
|
4,424 |
3,883 |
$842.50 |
| 0012A |
|
20 |
20 |
$760.49 |
| 3075F |
|
2,682 |
2,518 |
$556.00 |
| 76775 |
|
16 |
16 |
$503.34 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
1,057 |
973 |
$473.00 |
| 3079F |
|
1,368 |
1,288 |
$465.00 |
| 90688 |
|
29 |
29 |
$451.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,479 |
2,465 |
$381.17 |
| 99496 |
|
13 |
12 |
$243.95 |
| 99497 |
|
15 |
14 |
$241.71 |
| G0008 |
Administration of influenza virus vaccine |
3,693 |
3,678 |
$241.67 |
| 3077F |
|
593 |
567 |
$197.50 |
| 3080F |
|
184 |
177 |
$175.00 |
| 51798 |
|
18 |
18 |
$149.69 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
104 |
97 |
$148.95 |
| G0009 |
Administration of pneumococcal vaccine |
455 |
448 |
$135.69 |
| 90694 |
|
498 |
498 |
$65.68 |
| 1170F |
|
1,931 |
1,903 |
$64.43 |
| 1159F |
|
2,236 |
2,205 |
$62.03 |
| 1160F |
|
2,240 |
2,209 |
$51.61 |
| 1125F |
|
1,543 |
1,521 |
$49.79 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,103 |
1,044 |
$40.00 |
| 3051F |
|
462 |
446 |
$28.88 |
| 3045F |
|
108 |
99 |
$20.01 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$19.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
966 |
924 |
$16.00 |
| 96160 |
|
13 |
13 |
$12.88 |
| 1126F |
|
366 |
364 |
$12.70 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,690 |
4,108 |
$10.00 |
| 1158F |
|
978 |
973 |
$9.00 |
| 1157F |
|
966 |
940 |
$9.00 |
| 3061F |
|
148 |
141 |
$9.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,058 |
4,414 |
$6.00 |
| 3052F |
|
28 |
27 |
$4.44 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
109 |
104 |
$4.05 |
| 3008F |
|
1,721 |
1,566 |
$0.04 |
| 3015F |
|
432 |
432 |
$0.00 |
| 3288F |
|
1,673 |
1,642 |
$0.00 |
| 3725F |
|
1,252 |
1,208 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
61 |
60 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
725 |
722 |
$0.00 |
| 1100F |
|
34 |
33 |
$0.00 |
| 99072 |
|
75 |
71 |
$0.00 |
| 3016F |
|
715 |
685 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
139 |
132 |
$0.00 |
| 90678 |
|
93 |
93 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
49 |
49 |
$0.00 |
| 1032F |
|
12 |
12 |
$0.00 |
| 99605 |
|
33 |
33 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
16 |
16 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
65 |
64 |
$0.00 |
| 1101F |
|
1,408 |
1,383 |
$0.00 |
| 1036F |
|
858 |
816 |
$0.00 |
| 3017F |
|
2,927 |
2,923 |
$0.00 |
| 3044F |
|
1,416 |
1,375 |
$0.00 |
| 1000F |
|
795 |
760 |
$0.00 |
| 3014F |
|
1,489 |
1,489 |
$0.00 |
| 1111F |
|
58 |
56 |
$0.00 |
| 3048F |
|
33 |
32 |
$0.00 |
| 3072F |
|
62 |
56 |
$0.00 |
| 3060F |
|
40 |
40 |
$0.00 |
| 1034F |
|
29 |
29 |
$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 |
108 |
107 |
$0.00 |
| 99429 |
|
27 |
26 |
$0.00 |
| 91303 |
|
24 |
24 |
$0.00 |