| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,151 |
6,830 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,167 |
4,552 |
$246K |
| 99199 |
Unlisted special service, procedure or report |
21,832 |
12,615 |
$143K |
| 99490 |
Ccm add 20min |
1,466 |
1,395 |
$13K |
| 99406 |
|
2,023 |
1,402 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,259 |
1,018 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
363 |
298 |
$2K |
| 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) |
738 |
545 |
$2K |
| 99454 |
|
193 |
190 |
$2K |
| 99457 |
|
208 |
204 |
$2K |
| 99458 |
|
154 |
150 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
328 |
276 |
$900.85 |
| 99439 |
|
42 |
40 |
$619.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
14 |
$413.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
52 |
$336.52 |
| 96127 |
|
87 |
57 |
$207.94 |
| 82570 |
|
110 |
82 |
$156.46 |
| 82044 |
|
93 |
70 |
$109.43 |
| 90756 |
|
40 |
30 |
$106.73 |
| 81002 |
|
89 |
65 |
$87.14 |
| 90674 |
|
55 |
30 |
$28.52 |
| 3074F |
|
1,663 |
1,257 |
$26.15 |
| 3078F |
|
1,687 |
1,272 |
$25.34 |
| 1036F |
|
1,841 |
1,347 |
$25.00 |
| 82043 |
|
16 |
12 |
$7.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15,782 |
11,005 |
$5.01 |
| 3075F |
|
1,553 |
1,072 |
$1.36 |
| 3079F |
|
1,886 |
1,335 |
$1.16 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,674 |
3,491 |
$0.20 |
| 1125F |
|
69 |
63 |
$0.05 |
| 1111F |
|
13 |
12 |
$0.01 |
| 4004F |
|
1,865 |
1,297 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,435 |
1,033 |
$0.00 |
| 2014F |
|
192 |
127 |
$0.00 |
| 3077F |
|
46 |
40 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
186 |
159 |
$0.00 |
| 99072 |
|
116 |
98 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
17 |
16 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
33 |
26 |
$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 |
32 |
$0.00 |
| G9920 |
Screening performed and negative |
19 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,683 |
1,354 |
$0.00 |
| 3008F |
|
198 |
147 |
$0.00 |
| 3044F |
|
41 |
36 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
45 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
29 |
$0.00 |