| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,619 |
18,944 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,299 |
21,072 |
$895K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,929 |
4,885 |
$239K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,441 |
5,064 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,690 |
2,670 |
$108K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,354 |
5,291 |
$71K |
| 94010 |
|
3,436 |
3,362 |
$53K |
| 93000 |
|
6,122 |
6,050 |
$44K |
| 99385 |
|
432 |
430 |
$20K |
| 93040 |
|
1,645 |
1,613 |
$17K |
| 3074F |
|
13,848 |
12,111 |
$16K |
| 3078F |
|
13,226 |
11,659 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
8,883 |
8,710 |
$13K |
| 0513F |
|
4,256 |
3,836 |
$9K |
| 3079F |
|
4,616 |
4,356 |
$6K |
| 99386 |
|
77 |
76 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
24 |
24 |
$4K |
| 3075F |
|
2,590 |
2,468 |
$4K |
| 3077F |
|
2,126 |
1,960 |
$3K |
| 95117 |
|
264 |
145 |
$2K |
| 90674 |
|
180 |
179 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
61 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 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) |
329 |
293 |
$2K |
| 3044F |
|
2,366 |
2,197 |
$1K |
| 3080F |
|
768 |
702 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
125 |
$1K |
| 99000 |
|
3,783 |
3,729 |
$1K |
| 99401 |
|
112 |
109 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
208 |
$1K |
| 92567 |
|
89 |
86 |
$758.93 |
| 95018 |
|
17 |
17 |
$726.55 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
38 |
34 |
$467.04 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
53 |
53 |
$416.04 |
| 1159F |
|
6,027 |
5,961 |
$379.25 |
| 1160F |
|
6,000 |
5,936 |
$344.25 |
| 90686 |
|
15 |
15 |
$241.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$199.89 |
| 99406 |
|
15 |
13 |
$178.75 |
| 99051 |
|
42 |
40 |
$169.13 |
| 90756 |
|
14 |
14 |
$140.93 |
| 1126F |
|
656 |
576 |
$120.00 |
| 82947 |
|
13 |
12 |
$36.02 |
| 99072 |
|
7,271 |
6,212 |
$32.16 |
| 3023F |
|
492 |
487 |
$20.00 |
| 3048F |
|
3,102 |
2,740 |
$0.90 |
| 3049F |
|
2,344 |
2,148 |
$0.24 |
| 3050F |
|
1,639 |
1,496 |
$0.24 |
| 3061F |
|
290 |
268 |
$0.03 |
| 4290F |
|
26 |
26 |
$0.00 |
| 1031F |
|
4,104 |
4,095 |
$0.00 |
| 1220F |
|
6,502 |
6,449 |
$0.00 |
| 1000F |
|
4,541 |
4,506 |
$0.00 |
| 3017F |
|
31 |
31 |
$0.00 |
| 0001F |
|
15 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
114 |
100 |
$0.00 |
| 4293F |
|
26 |
26 |
$0.00 |
| 1036F |
|
30 |
30 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 3725F |
|
1,729 |
1,723 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
296 |
293 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
12 |
$0.00 |