| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
449 |
447 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,342 |
5,812 |
$45K |
| 99072 |
|
1,776 |
1,514 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,595 |
3,408 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,600 |
2,408 |
$14K |
| 90674 |
|
903 |
901 |
$13K |
| 96156 |
|
2,386 |
2,378 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
554 |
553 |
$7K |
| 99490 |
Ccm add 20min |
1,038 |
1,038 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
285 |
285 |
$6K |
| 99497 |
|
386 |
386 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,149 |
1,116 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
566 |
563 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
86 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
954 |
942 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,035 |
1,032 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,075 |
2,975 |
$2K |
| 90756 |
|
75 |
74 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
107 |
106 |
$964.11 |
| 4037F |
|
512 |
509 |
$813.62 |
| 96150 |
|
59 |
58 |
$782.26 |
| 99447 |
|
21 |
21 |
$582.85 |
| 99429 |
|
31 |
31 |
$426.00 |
| 88150 |
|
119 |
118 |
$384.38 |
| 90694 |
|
286 |
285 |
$355.63 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
107 |
106 |
$304.65 |
| 96151 |
|
20 |
20 |
$278.72 |
| 99454 |
|
22 |
20 |
$242.19 |
| 99000 |
|
184 |
166 |
$239.15 |
| G0008 |
Administration of influenza virus vaccine |
373 |
372 |
$209.75 |
| 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 |
200 |
189 |
$207.99 |
| 99483 |
Prolong outpt/office vis |
19 |
19 |
$194.16 |
| 99457 |
|
22 |
22 |
$171.27 |
| 82274 |
|
204 |
198 |
$160.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
85 |
$125.55 |
| 99458 |
|
16 |
16 |
$101.78 |
| 99347 |
|
18 |
18 |
$75.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,451 |
1,447 |
$71.40 |
| 90688 |
|
15 |
15 |
$59.39 |
| 3008F |
|
942 |
940 |
$50.00 |
| 90686 |
|
15 |
15 |
$49.26 |
| 3017F |
|
370 |
365 |
$45.74 |
| 99386 |
|
15 |
14 |
$33.69 |
| 1160F |
|
43 |
43 |
$9.00 |
| 3044F |
|
194 |
191 |
$0.00 |
| 1123F |
|
307 |
307 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
180 |
180 |
$0.00 |
| 3075F |
|
72 |
72 |
$0.00 |
| 3079F |
|
64 |
63 |
$0.00 |
| 3014F |
|
248 |
243 |
$0.00 |
| 3074F |
|
992 |
893 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
332 |
332 |
$0.00 |
| 0064A |
|
34 |
34 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
52 |
52 |
$0.00 |
| 1170F |
|
120 |
118 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
253 |
253 |
$0.00 |
| 3077F |
|
90 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
356 |
348 |
$0.00 |
| 3078F |
|
1,118 |
1,006 |
$0.00 |
| 1159F |
|
16 |
16 |
$0.00 |
| 3015F |
|
273 |
269 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
511 |
508 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
69 |
69 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
78 |
77 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
21 |
21 |
$0.00 |
| 0013A |
|
43 |
43 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
43 |
42 |
$0.00 |
| 0003A |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |