| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,382 |
31,444 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,800 |
28,625 |
$1.25M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,060 |
2,259 |
$249K |
| 99215 |
Prolong outpt/office vis |
2,926 |
2,053 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,335 |
2,358 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,749 |
2,007 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,411 |
1,871 |
$155K |
| 99442 |
|
3,420 |
3,070 |
$150K |
| 90677 |
|
696 |
397 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,715 |
1,212 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,678 |
1,334 |
$91K |
| 90686 |
|
6,003 |
4,690 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
808 |
561 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
613 |
412 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,708 |
1,240 |
$39K |
| 90651 |
|
1,399 |
1,004 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,717 |
6,209 |
$34K |
| 99441 |
|
1,066 |
1,010 |
$31K |
| 90698 |
|
2,647 |
1,868 |
$30K |
| 99443 |
|
1,312 |
1,254 |
$30K |
| 90670 |
|
2,363 |
1,738 |
$29K |
| 99495 |
|
312 |
243 |
$26K |
| 90715 |
|
1,745 |
1,257 |
$26K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
870 |
295 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,040 |
3,110 |
$22K |
| 91320 |
|
480 |
279 |
$20K |
| 99385 |
|
304 |
191 |
$19K |
| 99307 |
|
1,373 |
1,165 |
$18K |
| 90633 |
|
1,639 |
1,107 |
$18K |
| 99205 |
Prolong outpt/office vis |
301 |
148 |
$17K |
| 90680 |
|
1,330 |
968 |
$16K |
| 90744 |
|
1,445 |
1,012 |
$16K |
| 90619 |
|
386 |
203 |
$8K |
| S0612 |
Annual gynecological examination, established patient |
135 |
108 |
$8K |
| 99173 |
|
4,604 |
3,297 |
$8K |
| 0012A |
|
205 |
203 |
$8K |
| 0134A |
|
405 |
285 |
$8K |
| 96127 |
|
2,577 |
1,788 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
547 |
383 |
$7K |
| 90480 |
|
475 |
268 |
$7K |
| 0011A |
|
253 |
222 |
$7K |
| 90734 |
|
455 |
382 |
$6K |
| 0064A |
|
205 |
170 |
$6K |
| 90682 |
|
209 |
164 |
$5K |
| 93000 |
|
714 |
509 |
$5K |
| 90732 |
|
250 |
117 |
$5K |
| 83655 |
|
656 |
476 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,142 |
1,651 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
304 |
247 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
113 |
77 |
$2K |
| 99381 |
|
54 |
36 |
$2K |
| 81025 |
|
470 |
356 |
$2K |
| 90710 |
|
176 |
120 |
$2K |
| 81003 |
|
1,569 |
1,179 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
128 |
$2K |
| 99386 |
|
18 |
13 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
213 |
$2K |
| 90716 |
|
249 |
107 |
$2K |
| 90707 |
|
259 |
110 |
$2K |
| 99383 |
|
19 |
14 |
$1K |
| 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) |
191 |
140 |
$1K |
| 90688 |
|
939 |
603 |
$1K |
| 85018 |
|
751 |
563 |
$966.93 |
| 90696 |
|
59 |
44 |
$840.59 |
| 0071A |
|
23 |
18 |
$737.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
252 |
181 |
$652.32 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
26 |
$627.89 |
| 96161 |
|
529 |
285 |
$555.59 |
| 99304 |
|
12 |
12 |
$554.74 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
13 |
$542.36 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
32 |
$478.50 |
| 87806 |
|
103 |
81 |
$474.04 |
| 86580 |
|
271 |
211 |
$436.22 |
| 92551 |
|
33 |
21 |
$235.45 |
| 90685 |
|
326 |
186 |
$169.49 |
| 99374 |
|
37 |
32 |
$120.03 |
| 90662 |
|
70 |
56 |
$107.44 |
| G0008 |
Administration of influenza virus vaccine |
269 |
205 |
$23.69 |
| 3725F |
|
6,682 |
5,103 |
$19.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,427 |
5,315 |
$18.00 |
| 91306 |
|
205 |
170 |
$0.98 |
| 91301 |
|
487 |
464 |
$0.51 |
| 91313 |
|
405 |
285 |
$0.40 |
| 91307 |
|
95 |
63 |
$0.25 |
| 90461 |
|
4,063 |
2,641 |
$0.00 |
| 3046F |
|
1,153 |
761 |
$0.00 |
| 3078F |
|
21,349 |
16,317 |
$0.00 |
| 3077F |
|
10,625 |
7,978 |
$0.00 |
| 1160F |
|
1,774 |
1,278 |
$0.00 |
| G9920 |
Screening performed and negative |
339 |
218 |
$0.00 |
| 3051F |
|
183 |
124 |
$0.00 |
| 1159F |
|
1,217 |
885 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
692 |
477 |
$0.00 |
| 3045F |
|
68 |
55 |
$0.00 |
| 3075F |
|
7,950 |
6,075 |
$0.00 |
| 3080F |
|
6,796 |
5,180 |
$0.00 |
| 3079F |
|
15,206 |
11,547 |
$0.00 |
| 3044F |
|
2,021 |
1,374 |
$0.00 |
| 3074F |
|
24,725 |
18,888 |
$0.00 |
| 1101F |
|
165 |
140 |
$0.00 |
| 1125F |
|
10,393 |
7,794 |
$0.00 |
| 1126F |
|
17,386 |
13,010 |
$0.00 |
| 1111F |
|
989 |
760 |
$0.00 |
| 3052F |
|
96 |
64 |
$0.00 |
| 3008F |
|
1,815 |
1,506 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 1123F |
|
51 |
46 |
$0.00 |