| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,888 |
18,062 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,183 |
19,244 |
$979K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,921 |
4,763 |
$414K |
| 99401 |
|
8,296 |
7,676 |
$203K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,099 |
2,056 |
$174K |
| 99490 |
Ccm add 20min |
6,971 |
6,625 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,227 |
1,166 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,611 |
1,601 |
$122K |
| 93000 |
|
11,245 |
10,781 |
$115K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,753 |
1,634 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
768 |
214 |
$41K |
| 99439 |
|
2,280 |
2,039 |
$27K |
| 96127 |
|
4,948 |
4,645 |
$15K |
| 99397 |
|
280 |
247 |
$10K |
| 99215 |
Prolong outpt/office vis |
102 |
101 |
$8K |
| 82962 |
|
9,382 |
8,147 |
$6K |
| 93923 |
|
103 |
101 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
141 |
$5K |
| 99406 |
|
391 |
363 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
36 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
277 |
268 |
$2K |
| 99442 |
|
99 |
92 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
743 |
658 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$986.66 |
| 3078F |
|
18,223 |
15,513 |
$948.91 |
| 1126F |
|
18,974 |
16,032 |
$941.87 |
| 3074F |
|
16,502 |
14,028 |
$878.83 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
18 |
$736.63 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
154 |
141 |
$726.78 |
| 90686 |
|
52 |
52 |
$711.05 |
| 3008F |
|
6,969 |
6,486 |
$650.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$542.07 |
| 1160F |
|
22,788 |
19,248 |
$399.21 |
| 1125F |
|
7,762 |
6,949 |
$293.21 |
| 90688 |
|
21 |
21 |
$275.38 |
| 3079F |
|
4,402 |
4,001 |
$215.14 |
| 3075F |
|
3,518 |
3,167 |
$174.13 |
| 3077F |
|
4,140 |
3,732 |
$155.18 |
| 3044F |
|
2,105 |
1,938 |
$82.13 |
| 1159F |
|
12,804 |
11,407 |
$70.20 |
| 3080F |
|
896 |
775 |
$42.00 |
| 4010F |
|
768 |
737 |
$33.00 |
| 36416 |
|
154 |
151 |
$15.66 |
| 1158F |
|
1,421 |
1,362 |
$15.00 |
| 3061F |
|
259 |
253 |
$14.00 |
| G9968 |
Patient was referred to another clinician or specialist during the measurement period |
52 |
52 |
$10.00 |
| 94760 |
|
131 |
129 |
$9.54 |
| 96160 |
|
24 |
24 |
$5.97 |
| 3051F |
|
135 |
121 |
$4.01 |
| 3046F |
|
21 |
15 |
$3.00 |
| 1170F |
|
1,500 |
1,437 |
$2.00 |
| 3045F |
|
28 |
26 |
$2.00 |
| 2010F |
|
26,136 |
21,980 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17,649 |
15,286 |
$0.00 |
| 2001F |
|
25,049 |
20,965 |
$0.00 |
| 2000F |
|
11,553 |
9,347 |
$0.00 |
| 3014F |
|
425 |
393 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,487 |
1,237 |
$0.00 |
| 3049F |
|
163 |
163 |
$0.00 |
| 3319F |
|
167 |
167 |
$0.00 |
| 1036F |
|
1,529 |
1,418 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
383 |
355 |
$0.00 |
| 1034F |
|
179 |
169 |
$0.00 |
| 4037F |
|
45 |
45 |
$0.00 |
| 3017F |
|
175 |
152 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,868 |
1,766 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
329 |
303 |
$0.00 |
| 3120F |
|
142 |
141 |
$0.00 |
| 3351F |
|
17 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16,969 |
14,763 |
$0.00 |
| 1124F |
|
496 |
477 |
$0.00 |
| 0518F |
|
206 |
197 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,731 |
1,636 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
58 |
54 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
302 |
288 |
$0.00 |
| 3050F |
|
71 |
70 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
246 |
234 |
$0.00 |
| 3015F |
|
48 |
42 |
$0.00 |
| 3288F |
|
23 |
22 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |