| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,310 |
6,224 |
$220K |
| 99199 |
Unlisted special service, procedure or report |
25,272 |
15,305 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
148 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
257 |
105 |
$8K |
| 99490 |
Ccm add 20min |
566 |
524 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
269 |
264 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,554 |
1,587 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
37 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$668.34 |
| 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) |
536 |
251 |
$514.46 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$386.74 |
| 99217 |
|
19 |
12 |
$238.72 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
703 |
223 |
$220.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
68 |
$14.39 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,655 |
1,519 |
$0.06 |
| G8939 |
Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter |
786 |
729 |
$0.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,047 |
960 |
$0.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
664 |
633 |
$0.03 |
| 3017F |
|
452 |
399 |
$0.03 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
341 |
311 |
$0.02 |
| 0518F |
|
726 |
670 |
$0.01 |
| 3288F |
|
696 |
645 |
$0.01 |
| 1101F |
|
755 |
700 |
$0.01 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
74 |
67 |
$0.01 |
| 3078F |
|
409 |
326 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
419 |
403 |
$0.00 |
| 1159F |
|
1,458 |
1,092 |
$0.00 |
| 1160F |
|
1,456 |
1,091 |
$0.00 |
| 3077F |
|
115 |
87 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
635 |
590 |
$0.00 |
| 99397 |
|
70 |
25 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
30 |
28 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |
| 3079F |
|
368 |
284 |
$0.00 |
| 3074F |
|
725 |
566 |
$0.00 |
| 1111F |
|
1,193 |
1,124 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
173 |
161 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3080F |
|
61 |
45 |
$0.00 |