| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,594 |
18,815 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,727 |
4,467 |
$217K |
| 99215 |
Prolong outpt/office vis |
556 |
507 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
273 |
266 |
$22K |
| 93000 |
|
1,412 |
1,399 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
5,440 |
5,150 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
184 |
183 |
$16K |
| 81002 |
|
4,724 |
4,477 |
$12K |
| 81025 |
|
1,579 |
1,518 |
$10K |
| 99051 |
|
1,299 |
1,141 |
$9K |
| 94760 |
|
13,289 |
11,396 |
$9K |
| 96160 |
|
2,351 |
2,259 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
115 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$7K |
| 99000 |
|
1,394 |
1,256 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
122 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
142 |
139 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
64 |
$808.08 |
| 0011A |
|
22 |
22 |
$795.94 |
| 0012A |
|
12 |
12 |
$441.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$386.03 |
| 1160F |
|
5,874 |
4,975 |
$313.95 |
| 86580 |
|
37 |
37 |
$277.64 |
| 3008F |
|
11,332 |
9,293 |
$151.78 |
| 2010F |
|
9,323 |
7,661 |
$69.17 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,310 |
3,696 |
$68.96 |
| 2001F |
|
9,327 |
7,811 |
$68.85 |
| 82962 |
|
19 |
18 |
$33.56 |
| 96127 |
|
22 |
18 |
$31.33 |
| 2000F |
|
10,294 |
8,389 |
$0.43 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
6,159 |
5,176 |
$0.31 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,288 |
5,281 |
$0.31 |
| 1126F |
|
4,724 |
4,013 |
$0.30 |
| 3037F |
|
10,077 |
8,213 |
$0.16 |
| 3074F |
|
8,458 |
6,982 |
$0.14 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,481 |
3,840 |
$0.12 |
| 3078F |
|
7,385 |
6,139 |
$0.12 |
| 1159F |
|
6,268 |
5,290 |
$0.10 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,564 |
2,974 |
$0.07 |
| 3079F |
|
660 |
514 |
$0.03 |
| 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) |
1,937 |
1,615 |
$0.01 |
| 2014F |
|
102 |
68 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
97 |
82 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
30 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
99 |
72 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
679 |
600 |
$0.00 |
| 1036F |
|
1,835 |
1,493 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
81 |
61 |
$0.00 |
| 1125F |
|
163 |
155 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
29 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
17 |
17 |
$0.00 |
| 3120F |
|
14 |
13 |
$0.00 |
| 3035F |
|
13 |
12 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |