| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,928 |
20,123 |
$870K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,667 |
3,402 |
$154K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,937 |
6,805 |
$77K |
| 93000 |
|
4,386 |
4,344 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,416 |
1,416 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,269 |
3,166 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,358 |
1,358 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,526 |
1,409 |
$30K |
| 99497 |
|
930 |
919 |
$25K |
| 99490 |
Ccm add 20min |
1,501 |
1,497 |
$21K |
| 94375 |
|
651 |
645 |
$19K |
| 90756 |
|
1,281 |
1,280 |
$17K |
| 99406 |
|
1,400 |
1,366 |
$15K |
| 99442 |
|
3,521 |
3,217 |
$14K |
| 90746 |
|
223 |
223 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,441 |
1,072 |
$12K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,490 |
1,410 |
$11K |
| 0012A |
|
260 |
260 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
150 |
$11K |
| 0011A |
|
278 |
278 |
$11K |
| H0049 |
Alcohol and/or drug screening |
2,699 |
2,690 |
$7K |
| 90688 |
|
442 |
442 |
$6K |
| 90686 |
|
395 |
395 |
$6K |
| 0064A |
|
139 |
139 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
101 |
101 |
$4K |
| 90674 |
|
145 |
145 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,174 |
5,099 |
$3K |
| 99441 |
|
1,883 |
1,757 |
$3K |
| 90707 |
|
36 |
36 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,926 |
7,745 |
$2K |
| 99443 |
|
301 |
283 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
2,234 |
2,226 |
$2K |
| 90715 |
|
55 |
55 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
112 |
$1K |
| 99397 |
|
529 |
529 |
$1K |
| 83014 |
|
221 |
220 |
$1K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
708 |
705 |
$949.12 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
108 |
107 |
$944.92 |
| 3077F |
|
915 |
847 |
$808.50 |
| 3078F |
|
2,536 |
2,271 |
$738.26 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,592 |
3,482 |
$725.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,168 |
834 |
$716.45 |
| 3074F |
|
1,936 |
1,754 |
$670.30 |
| 3079F |
|
908 |
846 |
$643.50 |
| 96127 |
|
378 |
373 |
$639.84 |
| 0031A |
|
15 |
15 |
$630.85 |
| 3075F |
|
989 |
919 |
$498.50 |
| 0004A |
|
13 |
13 |
$488.43 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,771 |
2,702 |
$326.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
63 |
$273.14 |
| 90662 |
|
52 |
52 |
$233.90 |
| 3050F |
|
912 |
895 |
$210.00 |
| 99051 |
|
414 |
375 |
$205.56 |
| 97803 |
|
991 |
984 |
$201.83 |
| 1159F |
|
4,299 |
3,927 |
$177.40 |
| 3049F |
|
530 |
525 |
$173.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,709 |
2,695 |
$158.50 |
| 1160F |
|
2,001 |
1,941 |
$134.50 |
| 3044F |
|
345 |
340 |
$127.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
180 |
180 |
$121.62 |
| G0008 |
Administration of influenza virus vaccine |
427 |
426 |
$109.41 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,491 |
1,448 |
$104.50 |
| 90658 |
|
57 |
57 |
$87.44 |
| 3080F |
|
143 |
136 |
$77.50 |
| G9459 |
Currently a tobacco non-user |
805 |
803 |
$63.00 |
| G9276 |
Documentation that patient is a current tobacco user |
271 |
267 |
$58.50 |
| 3008F |
|
6,377 |
6,197 |
$16.55 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,666 |
1,661 |
$11.50 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
208 |
204 |
$10.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
303 |
296 |
$10.00 |
| 91306 |
|
135 |
135 |
$9.35 |
| 3725F |
|
5,083 |
5,002 |
$5.00 |
| 2000F |
|
3,129 |
2,747 |
$4.00 |
| 1034F |
|
551 |
534 |
$2.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
878 |
805 |
$2.00 |
| G8482 |
Influenza immunization administered or previously received |
591 |
591 |
$0.20 |
| 91300 |
|
14 |
14 |
$0.10 |
| 4010F |
|
467 |
451 |
$0.03 |
| 1000F |
|
3,053 |
3,039 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 1036F |
|
3,150 |
3,138 |
$0.00 |
| 1170F |
|
98 |
97 |
$0.00 |
| 1031F |
|
2,324 |
2,317 |
$0.00 |
| 91301 |
|
511 |
495 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,106 |
958 |
$0.00 |
| 1157F |
|
75 |
75 |
$0.00 |
| 4000F |
|
107 |
107 |
$0.00 |
| 99429 |
|
1,423 |
1,103 |
$0.00 |
| 1125F |
|
168 |
167 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,231 |
2,220 |
$0.00 |
| 3048F |
|
55 |
55 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
165 |
164 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 1101F |
|
42 |
42 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 4037F |
|
114 |
114 |
$0.00 |
| 3017F |
|
29 |
29 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1032F |
|
269 |
266 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
981 |
860 |
$0.00 |
| 3016F |
|
1,741 |
1,736 |
$0.00 |
| 4158F |
|
534 |
532 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
62 |
60 |
$0.00 |
| 3288F |
|
39 |
39 |
$0.00 |
| 0521F |
|
26 |
26 |
$0.00 |
| 1158F |
|
82 |
82 |
$0.00 |
| 99072 |
|
101 |
95 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
275 |
251 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
24 |
24 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
17 |
17 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |