| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
2,216 |
$45K |
| 99454 |
|
1,150 |
1,146 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
299 |
$8K |
| 99490 |
Ccm add 20min |
1,377 |
1,377 |
$7K |
| 95923 |
|
358 |
309 |
$4K |
| 99457 |
|
1,420 |
1,415 |
$4K |
| 99458 |
|
897 |
897 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99491 |
Ccm add 20min |
61 |
61 |
$692.72 |
| 99487 |
Ccm add 20min |
35 |
35 |
$593.26 |
| 93923 |
|
369 |
252 |
$469.49 |
| 93701 |
|
47 |
44 |
$336.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,364 |
1,238 |
$252.00 |
| 93000 |
|
90 |
80 |
$240.19 |
| 95924 |
|
329 |
284 |
$189.23 |
| 99497 |
|
145 |
110 |
$180.15 |
| 92548 |
|
296 |
258 |
$170.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$141.12 |
| 93922 |
|
267 |
234 |
$86.91 |
| 90461 |
|
14 |
14 |
$73.42 |
| 99489 |
Ccm add 20min |
35 |
35 |
$67.28 |
| 96127 |
|
12 |
12 |
$5.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,104 |
910 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
301 |
248 |
$0.00 |
| 81003 |
|
620 |
568 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
940 |
768 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
382 |
277 |
$0.00 |
| 82570 |
|
844 |
786 |
$0.00 |
| 1090F |
|
126 |
118 |
$0.00 |
| 3288F |
|
192 |
176 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
45 |
44 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
46 |
$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) |
16 |
15 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |
| 2026F |
|
12 |
12 |
$0.00 |
| 0003A |
|
12 |
12 |
$0.00 |
| 90662 |
|
38 |
36 |
$0.00 |
| 1111F |
|
216 |
190 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
955 |
782 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,681 |
1,361 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
150 |
134 |
$0.00 |
| 3060F |
|
103 |
98 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,212 |
986 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
158 |
145 |
$0.00 |
| 90686 |
|
109 |
98 |
$0.00 |
| 1170F |
|
237 |
222 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
94 |
86 |
$0.00 |
| 1036F |
|
131 |
121 |
$0.00 |
| 82044 |
|
58 |
58 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
127 |
119 |
$0.00 |
| 1101F |
|
26 |
24 |
$0.00 |
| 4010F |
|
110 |
104 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
73 |
62 |
$0.00 |
| 4008F |
|
14 |
13 |
$0.00 |
| 1126F |
|
25 |
25 |
$0.00 |
| 3044F |
|
32 |
31 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |