| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,629 |
7,715 |
$322K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,249 |
4,609 |
$162K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,457 |
2,878 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,509 |
1,447 |
$77K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,827 |
1,614 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
414 |
406 |
$21K |
| 93000 |
|
1,374 |
1,314 |
$15K |
| 90682 |
|
204 |
201 |
$9K |
| 99490 |
Ccm add 20min |
6,053 |
5,656 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
284 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,792 |
3,660 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
350 |
342 |
$4K |
| 96127 |
|
966 |
925 |
$2K |
| 99439 |
|
2,584 |
2,139 |
$2K |
| 90662 |
|
160 |
152 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$1K |
| 99454 |
|
424 |
419 |
$1K |
| 99457 |
|
693 |
670 |
$1K |
| 90686 |
|
66 |
66 |
$1K |
| 99441 |
|
249 |
224 |
$765.67 |
| 99487 |
Ccm add 20min |
646 |
597 |
$700.14 |
| 99442 |
|
68 |
55 |
$622.96 |
| 92551 |
|
57 |
56 |
$412.31 |
| 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) |
355 |
305 |
$385.55 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
269 |
233 |
$362.19 |
| 99397 |
|
16 |
16 |
$320.16 |
| 99489 |
Ccm add 20min |
451 |
425 |
$263.97 |
| G0008 |
Administration of influenza virus vaccine |
136 |
131 |
$199.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
27 |
$160.48 |
| 96136 |
|
17 |
13 |
$103.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
131 |
$89.36 |
| 92552 |
|
26 |
26 |
$65.69 |
| 99424 |
|
496 |
460 |
$63.93 |
| 96132 |
|
17 |
13 |
$56.17 |
| 99425 |
|
83 |
74 |
$46.28 |
| 99453 |
|
14 |
14 |
$16.23 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,591 |
2,295 |
$0.00 |
| 1160F |
|
157 |
130 |
$0.00 |
| 3077F |
|
152 |
147 |
$0.00 |
| 3078F |
|
476 |
451 |
$0.00 |
| 1100F |
|
55 |
53 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
663 |
620 |
$0.00 |
| 3288F |
|
164 |
159 |
$0.00 |
| 1159F |
|
252 |
218 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
65 |
60 |
$0.00 |
| 4004F |
|
36 |
33 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
702 |
658 |
$0.00 |
| 1170F |
|
137 |
128 |
$0.00 |
| 3044F |
|
99 |
91 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
590 |
536 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
31 |
28 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
956 |
858 |
$0.00 |
| 3074F |
|
528 |
508 |
$0.00 |
| 1111F |
|
732 |
625 |
$0.00 |
| 1125F |
|
51 |
49 |
$0.00 |
| 1036F |
|
538 |
509 |
$0.00 |
| 3080F |
|
91 |
86 |
$0.00 |
| 3017F |
|
109 |
102 |
$0.00 |
| 3079F |
|
350 |
335 |
$0.00 |
| 3075F |
|
226 |
210 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
17 |
$0.00 |
| 99458 |
|
13 |
13 |
$0.00 |
| 3014F |
|
34 |
34 |
$0.00 |
| 3061F |
|
79 |
73 |
$0.00 |