| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,949 |
59,938 |
$3.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,614 |
29,273 |
$1.67M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,268 |
7,779 |
$310K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
309 |
300 |
$223K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,838 |
2,663 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,357 |
2,273 |
$147K |
| 99460 |
|
1,505 |
1,389 |
$127K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,721 |
1,489 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,071 |
1,012 |
$110K |
| 99218 |
|
2,400 |
1,608 |
$88K |
| 59025 |
Fetal non-stress test |
3,892 |
1,890 |
$88K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,476 |
2,281 |
$87K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,168 |
1,097 |
$83K |
| 59410 |
|
97 |
79 |
$73K |
| 76801 |
|
658 |
585 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,572 |
1,368 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
16,801 |
15,301 |
$44K |
| H1000 |
Prenatal care, at-risk assessment |
667 |
571 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
511 |
463 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
348 |
328 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
260 |
248 |
$20K |
| 80305 |
|
1,861 |
1,620 |
$18K |
| 90686 |
|
2,901 |
2,767 |
$18K |
| 90670 |
|
1,766 |
1,704 |
$17K |
| 51701 |
|
606 |
552 |
$16K |
| 99215 |
Prolong outpt/office vis |
257 |
240 |
$16K |
| 54150 |
|
261 |
243 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
84 |
76 |
$13K |
| 59514 |
|
15 |
15 |
$13K |
| 99402 |
|
249 |
235 |
$11K |
| 52281 |
|
101 |
100 |
$11K |
| 51700 |
|
274 |
147 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
139 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
549 |
487 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
162 |
$9K |
| 99462 |
|
193 |
147 |
$7K |
| 99221 |
|
166 |
125 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
476 |
449 |
$6K |
| 81025 |
|
890 |
813 |
$6K |
| 90698 |
|
1,022 |
988 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
308 |
278 |
$5K |
| D1206 |
Topical application of fluoride varnish |
292 |
286 |
$5K |
| 51729 |
|
43 |
42 |
$5K |
| 51784 |
|
89 |
71 |
$5K |
| 92551 |
|
585 |
567 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
116 |
112 |
$4K |
| 99235 |
|
40 |
34 |
$3K |
| 85018 |
|
1,434 |
1,331 |
$3K |
| 90633 |
|
229 |
222 |
$3K |
| 36416 |
|
1,155 |
1,022 |
$3K |
| 51797 |
|
40 |
40 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
215 |
$3K |
| 96127 |
|
700 |
667 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
189 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
73 |
60 |
$1K |
| 99234 |
|
21 |
16 |
$1K |
| 90656 |
|
104 |
103 |
$1K |
| 59430 |
|
14 |
14 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
226 |
199 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
16 |
$1K |
| 90685 |
|
458 |
446 |
$1K |
| 90680 |
|
934 |
907 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$992.25 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$910.53 |
| 99406 |
|
89 |
82 |
$827.76 |
| 87428 |
|
31 |
28 |
$795.02 |
| 82950 |
|
210 |
207 |
$757.04 |
| 99217 |
|
15 |
13 |
$613.89 |
| 99173 |
|
183 |
178 |
$492.31 |
| 90744 |
|
366 |
352 |
$490.00 |
| 90716 |
|
26 |
25 |
$281.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
50 |
$258.85 |
| 99442 |
|
13 |
12 |
$247.76 |
| 90707 |
|
26 |
25 |
$187.32 |
| J1644 |
Injection, heparin sodium, per 1000 units |
46 |
25 |
$173.98 |
| 99024 |
|
1,485 |
906 |
$163.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
43 |
$148.60 |
| 90648 |
|
27 |
26 |
$128.22 |
| 51741 |
|
41 |
41 |
$115.88 |
| 90700 |
|
16 |
15 |
$100.00 |
| 81003 |
|
33 |
28 |
$71.01 |
| 82962 |
|
12 |
12 |
$34.61 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
47,545 |
40,037 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
24,367 |
20,719 |
$0.00 |
| 1036F |
|
48,865 |
41,149 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
10,662 |
9,507 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
8,889 |
7,321 |
$0.00 |
| G8405 |
Lower extremity neurological exam not performed |
580 |
532 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,749 |
3,826 |
$0.00 |
| 3017F |
|
13,595 |
12,353 |
$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) |
21,588 |
18,470 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,854 |
8,950 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,924 |
1,745 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
4,157 |
3,402 |
$0.00 |
| 1101F |
|
208 |
186 |
$0.00 |
| 3074F |
|
1,028 |
931 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
262 |
182 |
$0.00 |
| 3014F |
|
65 |
63 |
$0.00 |
| 0503F |
|
281 |
234 |
$0.00 |
| 0500F |
|
55 |
45 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
45 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
48 |
$0.00 |
| 3044F |
|
28 |
26 |
$0.00 |
| 0501F |
|
70 |
57 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 3079F |
|
194 |
181 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| 4004F |
|
23,674 |
20,072 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
72,186 |
61,572 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
33,024 |
27,405 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
23,880 |
20,618 |
$0.00 |
| 0502F |
|
2,695 |
1,559 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
1,874 |
1,692 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,087 |
7,382 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
3,198 |
2,003 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
5,281 |
4,656 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
113 |
105 |
$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) |
1,169 |
1,098 |
$0.00 |
| 90461 |
|
169 |
166 |
$0.00 |
| 3078F |
|
643 |
594 |
$0.00 |
| 4040F |
|
290 |
251 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
28 |
26 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |