| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,669 |
13,322 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,295 |
11,352 |
$771K |
| 99215 |
Prolong outpt/office vis |
1,124 |
1,043 |
$86K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
750 |
737 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,549 |
1,426 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
382 |
380 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,969 |
3,554 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
787 |
737 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
170 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
4,371 |
4,103 |
$12K |
| 82962 |
|
5,917 |
5,120 |
$11K |
| 99406 |
|
851 |
786 |
$6K |
| 36416 |
|
4,655 |
4,026 |
$4K |
| 99443 |
|
58 |
56 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,659 |
2,530 |
$3K |
| 99442 |
|
72 |
71 |
$3K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 81002 |
|
1,289 |
1,222 |
$3K |
| 80305 |
|
451 |
428 |
$3K |
| 90688 |
|
151 |
149 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 81025 |
|
141 |
138 |
$1K |
| 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) |
996 |
764 |
$957.08 |
| Q3014 |
Telehealth originating site facility fee |
207 |
197 |
$908.49 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
35 |
$683.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
85 |
$669.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$317.07 |
| 99441 |
|
13 |
13 |
$310.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$275.30 |
| 99000 |
|
179 |
167 |
$147.20 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
58 |
56 |
$134.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,210 |
11,904 |
$113.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
45 |
$111.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
203 |
184 |
$108.04 |
| 90658 |
|
15 |
14 |
$65.58 |
| 3078F |
|
4,233 |
3,635 |
$20.23 |
| 3074F |
|
3,359 |
2,936 |
$16.07 |
| 83014 |
|
12 |
12 |
$13.65 |
| 3075F |
|
1,369 |
1,295 |
$6.44 |
| 94760 |
|
3,253 |
2,714 |
$6.25 |
| 3079F |
|
1,138 |
1,067 |
$4.80 |
| 1125F |
|
1,642 |
1,534 |
$0.02 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
302 |
248 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
683 |
561 |
$0.00 |
| 3077F |
|
985 |
909 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
578 |
472 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
251 |
225 |
$0.00 |
| 99072 |
|
71 |
67 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
45 |
42 |
$0.00 |
| 4004F |
|
73 |
71 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,062 |
837 |
$0.00 |
| 3080F |
|
375 |
360 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
54 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
518 |
403 |
$0.00 |
| 1036F |
|
36 |
34 |
$0.00 |
| 3017F |
|
42 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
126 |
108 |
$0.00 |
| 1123F |
|
53 |
51 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
13 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
107 |
$0.00 |