| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
21,139 |
18,997 |
$1.41M |
| 99213 |
|
3,335 |
3,171 |
$154K |
| 99215 |
Prolong outpt/office vis |
1,380 |
1,296 |
$128K |
| 99395 |
|
670 |
660 |
$57K |
| 99396 |
|
597 |
589 |
$53K |
| 93000 |
|
2,013 |
1,983 |
$25K |
| 36415 |
|
5,764 |
5,548 |
$20K |
| 81002 |
|
4,967 |
4,697 |
$14K |
| 81025 |
|
2,098 |
1,988 |
$13K |
| 99051 |
|
1,413 |
1,268 |
$13K |
| 99394 |
|
106 |
106 |
$9K |
| 94760 |
|
12,908 |
11,059 |
$9K |
| 99204 |
|
77 |
77 |
$8K |
| 96372 |
|
517 |
465 |
$7K |
| 96160 |
|
1,872 |
1,788 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
202 |
192 |
$7K |
| 99000 |
|
2,085 |
1,945 |
$6K |
| 99385 |
|
59 |
59 |
$6K |
| 87880 |
|
326 |
319 |
$4K |
| 99459 |
|
218 |
206 |
$4K |
| 87804 |
|
274 |
272 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
105 |
89 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 99203 |
|
41 |
40 |
$3K |
| 90471 |
|
47 |
42 |
$789.31 |
| 99401 |
|
16 |
16 |
$474.46 |
| 90460 |
|
18 |
17 |
$402.51 |
| 80305 |
|
42 |
39 |
$249.09 |
| 3008F |
|
8,650 |
6,855 |
$235.04 |
| 94640 |
|
15 |
15 |
$182.43 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,435 |
2,885 |
$181.89 |
| 94664 |
|
14 |
14 |
$160.60 |
| 1159F |
|
5,056 |
4,152 |
$115.81 |
| 82962 |
|
40 |
39 |
$98.41 |
| 2010F |
|
7,384 |
5,880 |
$96.47 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
16 |
14 |
$92.38 |
| 99173 |
|
40 |
40 |
$73.59 |
| 2001F |
|
6,886 |
5,578 |
$68.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
25 |
$63.45 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,529 |
3,691 |
$47.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,691 |
2,209 |
$47.00 |
| 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) |
13 |
13 |
$33.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
26 |
$30.47 |
| 96127 |
|
18 |
16 |
$15.79 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.53 |
| 2000F |
|
8,232 |
6,522 |
$0.35 |
| 1126F |
|
3,585 |
2,977 |
$0.29 |
| 3037F |
|
7,942 |
6,262 |
$0.29 |
| 3074F |
|
6,269 |
4,992 |
$0.28 |
| 3078F |
|
5,708 |
4,583 |
$0.25 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,661 |
3,803 |
$0.16 |
| 1160F |
|
4,777 |
3,888 |
$0.15 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,803 |
2,320 |
$0.09 |
| 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) |
1,933 |
1,617 |
$0.07 |
| 1036F |
|
2,567 |
2,035 |
$0.02 |
| 3079F |
|
381 |
322 |
$0.01 |
| G8484 |
Influenza immunization was not administered, reason not given |
215 |
142 |
$0.00 |
| 2014F |
|
155 |
126 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
57 |
46 |
$0.00 |
| 1125F |
|
162 |
148 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
555 |
497 |
$0.00 |
| 3035F |
|
36 |
33 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
76 |
53 |
$0.00 |
| 3075F |
|
85 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
191 |
164 |
$0.00 |
| 1034F |
|
36 |
28 |
$0.00 |
| 3120F |
|
30 |
27 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
18 |
15 |
$0.00 |