| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,378 |
29,301 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,028 |
15,046 |
$579K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,276 |
6,899 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,660 |
7,200 |
$553K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,275 |
4,876 |
$367K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,947 |
3,752 |
$332K |
| 99429 |
|
5,816 |
5,432 |
$167K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,912 |
13,038 |
$126K |
| 59430 |
|
1,402 |
1,320 |
$95K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,062 |
6,292 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,695 |
3,347 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,083 |
3,243 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,662 |
6,894 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,242 |
5,023 |
$38K |
| 99381 |
|
319 |
317 |
$26K |
| 99490 |
Ccm add 20min |
5,473 |
5,460 |
$23K |
| 90461 |
|
5,997 |
1,965 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,997 |
958 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
220 |
$12K |
| 81002 |
|
9,183 |
5,402 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
626 |
556 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
131 |
130 |
$4K |
| 90474 |
|
330 |
302 |
$3K |
| 96160 |
|
1,847 |
1,765 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
15 |
$818.48 |
| 81025 |
|
341 |
307 |
$637.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
41 |
$592.22 |
| 90473 |
|
49 |
45 |
$351.98 |
| 99443 |
|
50 |
50 |
$319.29 |
| 99497 |
|
44 |
44 |
$198.47 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
317 |
315 |
$113.11 |
| 92250 |
|
15 |
14 |
$25.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$19.55 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,149 |
1,099 |
$17.68 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
402 |
387 |
$17.68 |
| 90677 |
|
680 |
678 |
$2.39 |
| 90686 |
|
7,486 |
6,845 |
$2.22 |
| 90656 |
|
418 |
418 |
$1.03 |
| 90697 |
|
1,057 |
1,005 |
$0.99 |
| 90671 |
|
169 |
167 |
$0.45 |
| 90619 |
|
103 |
101 |
$0.41 |
| 83655 |
|
24 |
24 |
$0.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,288 |
5,027 |
$0.11 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,188 |
2,093 |
$0.04 |
| 90620 |
|
142 |
140 |
$0.03 |
| 3078F |
|
1,456 |
1,275 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,718 |
2,558 |
$0.00 |
| 90633 |
|
1,142 |
1,057 |
$0.00 |
| 90710 |
|
870 |
779 |
$0.00 |
| 3288F |
|
4,094 |
3,818 |
$0.00 |
| 90670 |
|
3,268 |
2,973 |
$0.00 |
| 90681 |
|
713 |
652 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,173 |
1,115 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
501 |
424 |
$0.00 |
| 90734 |
|
330 |
311 |
$0.00 |
| 4004F |
|
212 |
198 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
63 |
59 |
$0.00 |
| 1159F |
|
329 |
242 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
63 |
59 |
$0.00 |
| 90715 |
|
38 |
34 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
13 |
13 |
$0.00 |
| 1036F |
|
5,490 |
4,867 |
$0.00 |
| 36416 |
|
67 |
59 |
$0.00 |
| 3074F |
|
1,260 |
1,157 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
531 |
516 |
$0.00 |
| 90651 |
|
447 |
415 |
$0.00 |
| 90698 |
|
2,053 |
1,887 |
$0.00 |
| 0500F |
|
890 |
866 |
$0.00 |
| 0503F |
|
1,397 |
1,313 |
$0.00 |
| 90744 |
|
404 |
370 |
$0.00 |
| 1111F |
|
461 |
445 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
55 |
54 |
$0.00 |
| 1170F |
|
324 |
308 |
$0.00 |
| 1126F |
|
130 |
115 |
$0.00 |
| 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) |
55 |
54 |
$0.00 |
| 99457 |
|
102 |
102 |
$0.00 |
| 99439 |
|
45 |
45 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
41 |
40 |
$0.00 |
| 3079F |
|
78 |
77 |
$0.00 |
| 1125F |
|
67 |
67 |
$0.00 |
| 3044F |
|
66 |
60 |
$0.00 |
| 99458 |
|
48 |
48 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 82962 |
|
14 |
13 |
$0.00 |