| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,975 |
14,761 |
$906K |
| 99199 |
Unlisted special service, procedure or report |
118,525 |
64,152 |
$774K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,367 |
3,803 |
$199K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,347 |
8,893 |
$190K |
| 99072 |
|
3,987 |
1,961 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
419 |
306 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
221 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,539 |
717 |
$18K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,166 |
1,256 |
$18K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,750 |
1,026 |
$15K |
| 99493 |
|
128 |
96 |
$13K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
253 |
130 |
$8K |
| 3074F |
|
977 |
677 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
72 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
564 |
103 |
$7K |
| 3078F |
|
771 |
552 |
$6K |
| 80305 |
|
876 |
585 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,170 |
649 |
$4K |
| 87428 |
|
136 |
98 |
$4K |
| 3079F |
|
617 |
456 |
$3K |
| 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) |
666 |
386 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
122 |
48 |
$2K |
| 99443 |
|
123 |
58 |
$2K |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
225 |
141 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
415 |
288 |
$2K |
| 1101F |
|
427 |
321 |
$2K |
| 3077F |
|
262 |
190 |
$2K |
| G8482 |
Influenza immunization administered or previously received |
237 |
170 |
$2K |
| 99318 |
|
84 |
65 |
$1K |
| 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) |
451 |
319 |
$1K |
| 0012A |
|
25 |
19 |
$885.00 |
| 3075F |
|
361 |
277 |
$850.01 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
82 |
36 |
$750.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
42 |
$732.36 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
133 |
76 |
$700.00 |
| 3080F |
|
140 |
104 |
$650.01 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
96 |
65 |
$600.00 |
| 90686 |
|
241 |
66 |
$532.20 |
| 3017F |
|
152 |
104 |
$500.00 |
| 0011A |
|
23 |
16 |
$450.82 |
| 99490 |
Ccm add 20min |
100 |
50 |
$445.87 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
174 |
107 |
$306.05 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
297 |
113 |
$257.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
20 |
$233.25 |
| 3044F |
|
123 |
93 |
$200.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
136 |
85 |
$200.00 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
70 |
$163.92 |
| 36416 |
|
134 |
59 |
$120.00 |
| 99497 |
|
18 |
12 |
$94.38 |
| 82044 |
|
49 |
33 |
$54.79 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
60 |
49 |
$50.00 |
| 90688 |
|
43 |
14 |
$17.85 |
| G0008 |
Administration of influenza virus vaccine |
247 |
90 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21 |
13 |
$0.00 |
| 91301 |
|
71 |
49 |
$0.00 |
| 90674 |
|
61 |
25 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
365 |
81 |
$0.00 |