| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,864 |
5,389 |
$286K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,284 |
3,713 |
$137K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,069 |
1,256 |
$95K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,303 |
2,058 |
$81K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,057 |
979 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
546 |
539 |
$32K |
| 93000 |
|
1,794 |
1,766 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
281 |
274 |
$23K |
| 90756 |
|
640 |
628 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
776 |
750 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
896 |
873 |
$13K |
| 99490 |
Ccm add 20min |
1,672 |
1,628 |
$9K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
413 |
401 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
575 |
569 |
$6K |
| 3074F |
|
3,038 |
2,589 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
434 |
406 |
$4K |
| 3078F |
|
2,651 |
2,296 |
$4K |
| 76775 |
|
103 |
95 |
$3K |
| 90661 |
|
71 |
71 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 3079F |
|
1,455 |
1,321 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,847 |
2,715 |
$2K |
| 93923 |
|
56 |
53 |
$2K |
| 99408 |
|
534 |
527 |
$1K |
| 0011A |
|
29 |
29 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
66 |
$1K |
| 90658 |
|
86 |
85 |
$1K |
| 3075F |
|
648 |
608 |
$890.04 |
| 99305 |
|
25 |
24 |
$849.06 |
| 76706 |
|
28 |
27 |
$655.36 |
| 99221 |
|
27 |
26 |
$628.60 |
| 96127 |
|
613 |
602 |
$545.56 |
| 91300 |
|
13 |
13 |
$420.78 |
| 3077F |
|
241 |
218 |
$280.01 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
51 |
51 |
$212.71 |
| 1125F |
|
535 |
467 |
$120.38 |
| 1159F |
|
573 |
501 |
$115.04 |
| 1160F |
|
576 |
504 |
$92.53 |
| 99307 |
|
14 |
13 |
$88.32 |
| 3080F |
|
45 |
41 |
$62.50 |
| 3008F |
|
6,972 |
5,773 |
$2.53 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,470 |
1,456 |
$0.57 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,106 |
3,435 |
$0.16 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,867 |
3,258 |
$0.14 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
267 |
267 |
$0.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
507 |
504 |
$0.05 |
| 1000F |
|
2,283 |
2,247 |
$0.01 |
| 3016F |
|
613 |
609 |
$0.00 |
| 4013F |
|
152 |
139 |
$0.00 |
| 3725F |
|
751 |
746 |
$0.00 |
| G0405 |
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
75 |
75 |
$0.00 |
| 99072 |
|
105 |
99 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
55 |
48 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,674 |
1,412 |
$0.00 |
| 1036F |
|
2,165 |
2,125 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| 99000 |
|
92 |
87 |
$0.00 |