| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,781 |
10,170 |
$682K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,118 |
1,110 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
559 |
521 |
$20K |
| 99442 |
|
308 |
277 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,050 |
1,012 |
$10K |
| 3074F |
|
6,794 |
5,356 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
90 |
$6K |
| 3078F |
|
4,471 |
3,817 |
$5K |
| 3079F |
|
3,841 |
3,324 |
$5K |
| 99441 |
|
840 |
745 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,336 |
1,330 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
175 |
$2K |
| 97802 |
|
924 |
913 |
$2K |
| 3075F |
|
1,029 |
982 |
$1K |
| 90658 |
|
89 |
87 |
$1K |
| 80061 |
Lipid panel |
1,516 |
1,503 |
$902.98 |
| H0049 |
Alcohol and/or drug screening |
153 |
153 |
$876.76 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,239 |
2,607 |
$867.50 |
| 99402 |
|
43 |
43 |
$779.94 |
| 99483 |
Prolong outpt/office vis |
12 |
12 |
$741.79 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$686.05 |
| 81002 |
|
407 |
397 |
$626.44 |
| 3077F |
|
495 |
466 |
$595.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$575.71 |
| 1126F |
|
2,390 |
2,123 |
$510.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$475.00 |
| 99051 |
|
239 |
224 |
$439.98 |
| 1159F |
|
2,163 |
1,822 |
$331.96 |
| 36415 |
Collection of venous blood by venipuncture |
915 |
896 |
$269.85 |
| 3080F |
|
244 |
234 |
$255.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
827 |
795 |
$244.29 |
| 3044F |
|
419 |
416 |
$190.00 |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
14 |
13 |
$141.88 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
314 |
312 |
$129.63 |
| 1125F |
|
873 |
821 |
$90.00 |
| 81000 |
|
33 |
33 |
$77.66 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
655 |
610 |
$75.00 |
| 99473 |
|
48 |
43 |
$63.18 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,064 |
2,507 |
$50.00 |
| 84153 |
|
65 |
64 |
$48.27 |
| 97803 |
|
69 |
68 |
$43.48 |
| 82607 |
|
48 |
46 |
$36.76 |
| 1160F |
|
321 |
264 |
$27.29 |
| 96127 |
|
48 |
48 |
$24.05 |
| 82042 |
|
89 |
89 |
$23.95 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
49 |
42 |
$22.50 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
80 |
64 |
$22.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
706 |
617 |
$22.50 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
80 |
64 |
$22.50 |
| 3048F |
|
50 |
50 |
$10.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$3.33 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
622 |
560 |
$0.00 |
| G8540 |
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter |
48 |
48 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
497 |
454 |
$0.00 |
| 1158F |
|
17 |
12 |
$0.00 |
| 3050F |
|
25 |
25 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
435 |
385 |
$0.00 |
| 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) |
46 |
43 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
499 |
456 |
$0.00 |
| 1036F |
|
491 |
475 |
$0.00 |
| 3011F |
|
908 |
899 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
26 |
26 |
$0.00 |
| 1170F |
|
93 |
77 |
$0.00 |
| G8733 |
Elder maltreatment screen documented as positive and a follow-up plan is documented |
16 |
15 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
25 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
136 |
135 |
$0.00 |
| G8939 |
Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter |
121 |
113 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
33 |
33 |
$0.00 |
| 3292F |
|
20 |
20 |
$0.00 |