| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,944 |
18,238 |
$627K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,160 |
2,146 |
$79K |
| 99401 |
|
3,645 |
3,364 |
$74K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,029 |
2,015 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,486 |
1,445 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,673 |
2,650 |
$38K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,321 |
2,318 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
880 |
866 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
605 |
600 |
$26K |
| 99402 |
|
731 |
712 |
$25K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,414 |
465 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,315 |
439 |
$18K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,142 |
379 |
$17K |
| 99385 |
|
330 |
326 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,757 |
1,741 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,611 |
1,588 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
324 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
14,262 |
14,032 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,352 |
6,282 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
475 |
$9K |
| 97014 |
|
1,103 |
391 |
$8K |
| 90688 |
|
682 |
682 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
145 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
387 |
356 |
$6K |
| 99403 |
|
132 |
130 |
$6K |
| 90655 |
|
446 |
445 |
$5K |
| 90656 |
|
350 |
350 |
$5K |
| 99386 |
|
96 |
95 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
402 |
391 |
$4K |
| 93000 |
|
584 |
583 |
$4K |
| 90461 |
|
450 |
447 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,590 |
1,585 |
$4K |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
5,969 |
5,824 |
$4K |
| 99407 |
|
277 |
265 |
$3K |
| 97010 |
|
1,149 |
386 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,101 |
3,792 |
$3K |
| 3074F |
|
4,355 |
4,242 |
$2K |
| 3078F |
|
4,466 |
4,359 |
$2K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
445 |
418 |
$2K |
| 97162 |
|
42 |
42 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
226 |
226 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
1,191 |
1,183 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
417 |
415 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
147 |
142 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
216 |
212 |
$1K |
| 81001 |
|
828 |
823 |
$1K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,105 |
2,889 |
$810.00 |
| 3079F |
|
1,419 |
1,405 |
$778.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
124 |
122 |
$709.34 |
| 1125F |
|
1,783 |
1,731 |
$668.71 |
| 99000 |
|
947 |
926 |
$630.30 |
| 3077F |
|
786 |
770 |
$617.50 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,679 |
1,593 |
$568.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,725 |
3,635 |
$561.60 |
| 3044F |
|
1,199 |
1,152 |
$546.00 |
| 99051 |
|
277 |
259 |
$462.41 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,123 |
1,061 |
$455.00 |
| 99406 |
|
40 |
37 |
$432.58 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,788 |
3,640 |
$430.10 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,127 |
1,068 |
$382.00 |
| 3075F |
|
717 |
711 |
$373.00 |
| 90658 |
|
49 |
49 |
$366.40 |
| H0049 |
Alcohol and/or drug screening |
49 |
49 |
$296.00 |
| 90633 |
|
51 |
51 |
$276.28 |
| 3080F |
|
252 |
248 |
$267.00 |
| 1126F |
|
1,698 |
1,643 |
$240.00 |
| 90651 |
|
40 |
39 |
$233.41 |
| 90733 |
|
16 |
16 |
$212.98 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
616 |
580 |
$212.00 |
| 90734 |
|
24 |
24 |
$210.00 |
| 94060 |
|
26 |
26 |
$185.60 |
| 3046F |
|
92 |
88 |
$180.00 |
| 90715 |
|
12 |
12 |
$105.26 |
| 3008F |
|
15,140 |
13,711 |
$99.78 |
| 81000 |
|
38 |
38 |
$91.96 |
| 87070 |
|
31 |
31 |
$91.09 |
| 82962 |
|
70 |
63 |
$88.55 |
| 94726 |
|
22 |
22 |
$74.13 |
| 94729 |
|
22 |
22 |
$73.86 |
| 97802 |
|
180 |
173 |
$71.98 |
| 94016 |
|
27 |
27 |
$61.70 |
| 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) |
497 |
485 |
$60.00 |
| 1036F |
|
4,014 |
3,853 |
$50.60 |
| 1000F |
|
3,888 |
3,768 |
$44.00 |
| G8482 |
Influenza immunization administered or previously received |
424 |
391 |
$43.50 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
28 |
27 |
$42.11 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
84 |
81 |
$35.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
70 |
68 |
$35.00 |
| 3725F |
|
3,358 |
3,341 |
$34.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,285 |
2,168 |
$31.00 |
| 3016F |
|
3,105 |
3,094 |
$30.00 |
| G0144 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision |
351 |
350 |
$20.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
52 |
50 |
$14.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
14 |
$14.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
59 |
56 |
$10.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$7.00 |
| 2022F |
|
61 |
61 |
$4.00 |
| 82270 |
|
16 |
15 |
$3.40 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
630 |
609 |
$2.80 |
| 3061F |
|
28 |
28 |
$0.00 |
| 3017F |
|
1,154 |
1,137 |
$0.00 |
| 3011F |
|
495 |
493 |
$0.00 |
| 3060F |
|
26 |
26 |
$0.00 |
| 3014F |
|
1,385 |
1,360 |
$0.00 |
| 3049F |
|
159 |
153 |
$0.00 |
| 3048F |
|
243 |
242 |
$0.00 |
| 2010F |
|
101 |
100 |
$0.00 |
| 3072F |
|
90 |
90 |
$0.00 |
| 4293F |
|
458 |
458 |
$0.00 |
| 94010 |
|
27 |
27 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 4037F |
|
13 |
13 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
15 |
15 |
$0.00 |
| 1030F |
|
14 |
14 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 3015F |
|
2,090 |
2,047 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
101 |
101 |
$0.00 |
| 3050F |
|
131 |
130 |
$0.00 |
| 90670 |
|
28 |
26 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
192 |
181 |
$0.00 |
| 1159F |
|
241 |
234 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| 1160F |
|
119 |
118 |
$0.00 |
| 4004F |
|
27 |
26 |
$0.00 |
| 4274F |
|
13 |
13 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
14 |
14 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
14 |
14 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
12 |
12 |
$0.00 |