| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,139 |
17,070 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,888 |
6,742 |
$327K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
934 |
924 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,349 |
1,271 |
$137K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
608 |
603 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
914 |
867 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
732 |
719 |
$61K |
| 99243 |
|
436 |
432 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
703 |
691 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,188 |
1,439 |
$35K |
| 92060 |
|
457 |
454 |
$24K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
128 |
124 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
352 |
338 |
$22K |
| 99385 |
|
237 |
231 |
$18K |
| 93000 |
|
1,054 |
1,045 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
130 |
130 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
171 |
159 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,070 |
1,992 |
$10K |
| 99406 |
|
1,213 |
975 |
$10K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,887 |
1,806 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
514 |
502 |
$8K |
| 92285 |
|
516 |
496 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
90 |
$7K |
| 92015 |
Determination of refractive state |
931 |
928 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
77 |
$6K |
| 80305 |
|
812 |
731 |
$6K |
| 93320 |
|
130 |
125 |
$6K |
| 99386 |
|
24 |
24 |
$4K |
| 93325 |
|
164 |
157 |
$3K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
157 |
132 |
$2K |
| 99490 |
Ccm add 20min |
870 |
869 |
$2K |
| 90461 |
|
497 |
390 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
14 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 92201 |
|
72 |
35 |
$1K |
| 3044F |
|
2,339 |
2,137 |
$880.00 |
| 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) |
103 |
96 |
$872.61 |
| 90688 |
|
44 |
44 |
$708.11 |
| 87400 |
|
50 |
50 |
$685.71 |
| 0071A |
|
12 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$328.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
38 |
$325.95 |
| 3066F |
|
219 |
169 |
$300.00 |
| 99397 |
|
17 |
16 |
$256.95 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
32 |
$141.00 |
| 96127 |
|
44 |
38 |
$70.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,178 |
1,142 |
$20.00 |
| 1160F |
|
24,506 |
19,788 |
$0.01 |
| 1159F |
|
24,518 |
19,795 |
$0.01 |
| 3008F |
|
13,137 |
10,876 |
$0.00 |
| 3079F |
|
3,946 |
3,563 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
618 |
524 |
$0.00 |
| 1126F |
|
5,456 |
4,668 |
$0.00 |
| 4010F |
|
4,660 |
3,724 |
$0.00 |
| 1125F |
|
6,402 |
5,462 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,382 |
3,680 |
$0.00 |
| 3074F |
|
8,531 |
7,331 |
$0.00 |
| 3080F |
|
1,128 |
1,027 |
$0.00 |
| 90686 |
|
464 |
455 |
$0.00 |
| 1000F |
|
1,878 |
1,525 |
$0.00 |
| 3075F |
|
2,578 |
2,328 |
$0.00 |
| 4011F |
|
1,345 |
1,067 |
$0.00 |
| 1170F |
|
106 |
96 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
287 |
222 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
158 |
121 |
$0.00 |
| 99454 |
|
40 |
40 |
$0.00 |
| 90651 |
|
107 |
104 |
$0.00 |
| 99345 |
Prolong home eval add 15m |
21 |
17 |
$0.00 |
| 99457 |
|
50 |
50 |
$0.00 |
| 99458 |
|
29 |
29 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 4013F |
|
4,587 |
3,681 |
$0.00 |
| 3725F |
|
2,541 |
2,385 |
$0.00 |
| 3077F |
|
1,587 |
1,424 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
782 |
700 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,580 |
6,268 |
$0.00 |
| 3078F |
|
7,394 |
6,369 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
1,197 |
984 |
$0.00 |
| 4025F |
|
5,324 |
4,304 |
$0.00 |
| 1090F |
|
879 |
693 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
110 |
82 |
$0.00 |
| 3288F |
|
452 |
363 |
$0.00 |
| 90734 |
|
46 |
44 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |