| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,074 |
15,256 |
$1.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,416 |
18,391 |
$1.10M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,941 |
1,926 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,740 |
1,724 |
$158K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,341 |
1,336 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,300 |
1,225 |
$110K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,076 |
357 |
$36K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
969 |
826 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
351 |
320 |
$25K |
| 99383 |
|
284 |
282 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,599 |
1,524 |
$23K |
| 99490 |
Ccm add 20min |
1,643 |
1,544 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
183 |
$22K |
| 90723 |
|
725 |
713 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
456 |
401 |
$21K |
| 99382 |
|
206 |
205 |
$17K |
| 90670 |
|
1,167 |
1,148 |
$15K |
| 90686 |
|
1,130 |
1,120 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
399 |
115 |
$13K |
| 90648 |
|
980 |
963 |
$13K |
| 99384 |
|
103 |
101 |
$10K |
| 99381 |
|
96 |
93 |
$8K |
| 90680 |
|
535 |
522 |
$7K |
| 90633 |
|
556 |
553 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
92 |
69 |
$6K |
| 99406 |
|
663 |
600 |
$6K |
| 90715 |
|
252 |
250 |
$6K |
| 99439 |
|
504 |
474 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
84 |
$6K |
| 99385 |
|
71 |
65 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,055 |
807 |
$5K |
| 90734 |
|
348 |
346 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
224 |
134 |
$4K |
| 99072 |
|
4,935 |
4,230 |
$4K |
| 90651 |
|
529 |
527 |
$4K |
| 92551 |
|
78 |
78 |
$4K |
| 90707 |
|
154 |
154 |
$3K |
| 90696 |
|
95 |
95 |
$3K |
| 90620 |
|
262 |
260 |
$2K |
| 90716 |
|
131 |
131 |
$2K |
| 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) |
425 |
369 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
29 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
62 |
$1K |
| 90619 |
|
149 |
148 |
$1K |
| 90710 |
|
45 |
45 |
$1K |
| 0012A |
|
50 |
30 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$1K |
| 0011A |
|
39 |
26 |
$920.00 |
| 99386 |
|
13 |
12 |
$889.52 |
| 92587 |
|
24 |
24 |
$794.30 |
| 90700 |
|
39 |
39 |
$751.62 |
| 90656 |
|
83 |
83 |
$722.38 |
| 96127 |
|
454 |
416 |
$542.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$472.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
25 |
$449.95 |
| 99188 |
|
13 |
13 |
$331.22 |
| 81002 |
|
119 |
107 |
$291.52 |
| 90685 |
|
22 |
22 |
$268.23 |
| 90688 |
|
33 |
33 |
$202.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$187.56 |
| 85018 |
|
17 |
17 |
$36.67 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,093 |
1,032 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
249 |
238 |
$0.00 |
| 3044F |
|
77 |
63 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
217 |
205 |
$0.00 |
| 91307 |
|
26 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,228 |
1,155 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
90 |
87 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
866 |
824 |
$0.00 |