| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,127 |
16,113 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,646 |
5,477 |
$307K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,000 |
4,424 |
$84K |
| 99490 |
Ccm add 20min |
981 |
981 |
$17K |
| 99497 |
|
776 |
772 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
928 |
918 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,297 |
1,081 |
$5K |
| 90750 |
|
53 |
51 |
$5K |
| 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 |
380 |
379 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
724 |
691 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
80 |
$4K |
| 0013A |
|
56 |
56 |
$2K |
| 99442 |
|
29 |
29 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,482 |
1,458 |
$1K |
| 96401 |
|
27 |
26 |
$856.37 |
| 96127 |
|
591 |
589 |
$723.31 |
| 93000 |
|
136 |
134 |
$634.15 |
| 99051 |
|
552 |
515 |
$510.70 |
| 90674 |
|
182 |
180 |
$449.76 |
| 94664 |
|
49 |
48 |
$441.69 |
| 90756 |
|
116 |
116 |
$276.10 |
| 90688 |
|
192 |
189 |
$103.12 |
| 99397 |
|
42 |
42 |
$101.52 |
| 36410 |
|
16 |
15 |
$81.76 |
| 90686 |
|
131 |
131 |
$50.11 |
| G0008 |
Administration of influenza virus vaccine |
511 |
509 |
$35.81 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
42 |
$19.73 |
| J3111 |
Injection, romosozumab-aqqg, 1 mg |
24 |
24 |
$9.00 |
| 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) |
611 |
552 |
$8.16 |
| 1159F |
|
1,534 |
1,265 |
$0.17 |
| 1160F |
|
1,534 |
1,266 |
$0.03 |
| 0521F |
|
20 |
20 |
$0.00 |
| 1124F |
|
38 |
38 |
$0.00 |
| 3078F |
|
373 |
347 |
$0.00 |
| 81002 |
|
57 |
53 |
$0.00 |
| 3077F |
|
28 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
97 |
88 |
$0.00 |
| 1158F |
|
165 |
164 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
864 |
777 |
$0.00 |
| 3079F |
|
92 |
91 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
515 |
475 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
567 |
567 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
171 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 3075F |
|
91 |
86 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
121 |
111 |
$0.00 |
| 99429 |
|
19 |
14 |
$0.00 |
| 1170F |
|
182 |
182 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
107 |
95 |
$0.00 |
| 3008F |
|
386 |
344 |
$0.00 |
| 3074F |
|
262 |
247 |
$0.00 |
| 1125F |
|
165 |
165 |
$0.00 |