| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,146 |
33,519 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,693 |
14,562 |
$604K |
| 99490 |
Ccm add 20min |
15,805 |
15,793 |
$234K |
| 99497 |
|
5,797 |
5,699 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
510 |
507 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
721 |
713 |
$50K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
2,088 |
2,036 |
$33K |
| 99401 |
|
2,567 |
2,310 |
$22K |
| 99457 |
|
1,811 |
1,787 |
$21K |
| 99454 |
|
1,474 |
1,442 |
$19K |
| 93000 |
|
3,253 |
3,209 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,495 |
3,413 |
$15K |
| 99397 |
|
1,624 |
1,609 |
$13K |
| 99458 |
|
1,155 |
1,139 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,688 |
1,632 |
$7K |
| 99442 |
|
285 |
267 |
$6K |
| 94060 |
|
297 |
296 |
$5K |
| 90756 |
|
1,541 |
1,535 |
$4K |
| 99051 |
|
2,527 |
2,286 |
$3K |
| 96127 |
|
731 |
723 |
$3K |
| 99439 |
|
226 |
226 |
$2K |
| H0049 |
Alcohol and/or drug screening |
349 |
327 |
$2K |
| 96401 |
|
89 |
89 |
$2K |
| 90750 |
|
443 |
438 |
$1K |
| 93922 |
|
72 |
72 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,717 |
2,675 |
$742.54 |
| 0031A |
|
24 |
24 |
$600.00 |
| 90670 |
|
87 |
87 |
$577.92 |
| 94010 |
|
45 |
44 |
$428.45 |
| 99453 |
|
91 |
91 |
$345.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,710 |
2,693 |
$320.19 |
| 0064A |
|
36 |
36 |
$312.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,299 |
2,287 |
$303.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$288.09 |
| 90732 |
|
85 |
84 |
$228.42 |
| 90688 |
|
178 |
178 |
$185.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
511 |
509 |
$148.31 |
| 90661 |
|
98 |
98 |
$147.40 |
| 99441 |
|
12 |
12 |
$138.35 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$127.28 |
| 0012A |
|
13 |
13 |
$120.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
99 |
94 |
$74.19 |
| 0011A |
|
12 |
12 |
$40.00 |
| 99387 |
|
91 |
91 |
$38.67 |
| 3077F |
|
4,223 |
3,739 |
$26.50 |
| 3074F |
|
9,853 |
8,149 |
$23.75 |
| H0001 |
Alcohol and/or drug assessment |
175 |
173 |
$20.00 |
| 90662 |
|
578 |
573 |
$17.45 |
| 3079F |
|
5,534 |
4,924 |
$14.50 |
| 3078F |
|
12,650 |
10,371 |
$12.56 |
| 3080F |
|
708 |
654 |
$12.00 |
| 1160F |
|
3,494 |
3,206 |
$10.20 |
| G0008 |
Administration of influenza virus vaccine |
1,954 |
1,946 |
$10.18 |
| J0897 |
Injection, denosumab, 1 mg |
194 |
192 |
$8.60 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
265 |
264 |
$7.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,852 |
4,968 |
$4.00 |
| 3008F |
|
4,159 |
4,097 |
$4.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
324 |
322 |
$3.93 |
| 82274 |
|
377 |
375 |
$3.93 |
| 1125F |
|
867 |
860 |
$0.85 |
| 99000 |
|
242 |
242 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,527 |
1,508 |
$0.00 |
| 91301 |
|
28 |
27 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
421 |
421 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,941 |
1,931 |
$0.00 |
| 99429 |
|
1,261 |
1,038 |
$0.00 |
| 1170F |
|
1,184 |
1,174 |
$0.00 |
| 1101F |
|
141 |
140 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
138 |
129 |
$0.00 |
| 1157F |
|
243 |
239 |
$0.00 |
| 3075F |
|
5,119 |
4,673 |
$0.00 |
| 3048F |
|
27 |
25 |
$0.00 |
| 1111F |
|
473 |
467 |
$0.00 |
| 91306 |
|
27 |
27 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
114 |
114 |
$0.00 |
| 3044F |
|
172 |
166 |
$0.00 |
| 4037F |
|
156 |
154 |
$0.00 |
| 2000F |
|
438 |
363 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
56 |
55 |
$0.00 |
| 1000F |
|
123 |
123 |
$0.00 |
| 1036F |
|
55 |
55 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,592 |
2,341 |
$0.00 |
| 3016F |
|
253 |
252 |
$0.00 |
| 1159F |
|
5,468 |
4,589 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,935 |
4,255 |
$0.00 |
| 0521F |
|
219 |
217 |
$0.00 |
| 1158F |
|
453 |
447 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
358 |
322 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 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) |
820 |
801 |
$0.00 |
| 3725F |
|
781 |
778 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
286 |
283 |
$0.00 |
| 3288F |
|
190 |
188 |
$0.00 |
| 99408 |
|
186 |
185 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
25 |
$0.00 |
| 3051F |
|
83 |
76 |
$0.00 |