| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
4,835 |
1,148 |
$166K |
| 99223 |
Prolong inpt eval add15 m |
1,341 |
1,267 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,162 |
18,966 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,230 |
1,176 |
$35K |
| 99307 |
|
1,203 |
1,176 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,319 |
1,274 |
$10K |
| 90653 |
|
177 |
176 |
$10K |
| 90662 |
|
193 |
193 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,175 |
1,163 |
$6K |
| 99305 |
|
158 |
156 |
$5K |
| 90686 |
|
196 |
195 |
$3K |
| 90688 |
|
205 |
205 |
$3K |
| 99496 |
|
45 |
44 |
$694.91 |
| 93000 |
|
28 |
26 |
$577.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
40 |
$523.76 |
| 90756 |
|
28 |
28 |
$401.47 |
| 90658 |
|
22 |
22 |
$321.05 |
| 1126F |
|
1,380 |
1,364 |
$200.50 |
| G0008 |
Administration of influenza virus vaccine |
782 |
779 |
$78.92 |
| 3078F |
|
13,264 |
12,523 |
$3.08 |
| 3074F |
|
12,902 |
12,177 |
$2.96 |
| 99499 |
|
8,325 |
7,627 |
$2.63 |
| 1170F |
|
3,096 |
3,047 |
$1.68 |
| 1160F |
|
4,674 |
4,560 |
$1.53 |
| 1159F |
|
3,854 |
3,783 |
$1.53 |
| 1158F |
|
1,876 |
1,862 |
$1.52 |
| 0521F |
|
2,374 |
2,347 |
$1.52 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,560 |
1,556 |
$1.18 |
| 3008F |
|
5,958 |
5,780 |
$0.91 |
| 96156 |
|
735 |
734 |
$0.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,924 |
1,915 |
$0.78 |
| 1157F |
|
1,865 |
1,851 |
$0.76 |
| 3725F |
|
1,929 |
1,919 |
$0.73 |
| 3288F |
|
3,524 |
3,470 |
$0.72 |
| 1101F |
|
3,859 |
3,782 |
$0.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,255 |
1,234 |
$0.64 |
| 1036F |
|
4,509 |
4,431 |
$0.55 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
716 |
703 |
$0.44 |
| G9920 |
Screening performed and negative |
179 |
179 |
$0.30 |
| 96160 |
|
166 |
166 |
$0.30 |
| 3075F |
|
1,624 |
1,602 |
$0.27 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
557 |
553 |
$0.23 |
| 3079F |
|
1,458 |
1,452 |
$0.21 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
397 |
389 |
$0.21 |
| 1125F |
|
1,507 |
1,476 |
$0.18 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
784 |
781 |
$0.14 |
| G9919 |
Screening performed and positive and provision of recommendations |
58 |
58 |
$0.10 |
| 3044F |
|
28 |
28 |
$0.02 |
| 1111F |
|
31 |
30 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
360 |
349 |
$0.00 |
| 3080F |
|
47 |
47 |
$0.00 |
| 1034F |
|
632 |
622 |
$0.00 |
| 1035F |
|
126 |
123 |
$0.00 |
| 1123F |
|
51 |
49 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
13 |
12 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
145 |
144 |
$0.00 |
| 88141 |
|
76 |
75 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
57 |
55 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
277 |
272 |
$0.00 |
| 4004F |
|
154 |
150 |
$0.00 |
| 0518F |
|
185 |
182 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
563 |
544 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
64 |
64 |
$0.00 |
| 3077F |
|
269 |
265 |
$0.00 |
| 1100F |
|
156 |
154 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
403 |
395 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 1124F |
|
16 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
53 |
53 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
14 |
14 |
$0.00 |