| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,088 |
6,419 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,090 |
2,807 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
484 |
478 |
$7K |
| 99497 |
|
725 |
689 |
$4K |
| 93000 |
|
802 |
787 |
$3K |
| 96127 |
|
742 |
728 |
$2K |
| 94010 |
|
178 |
171 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
464 |
421 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
298 |
293 |
$1K |
| 93923 |
|
37 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
418 |
400 |
$865.15 |
| 96136 |
|
131 |
123 |
$802.22 |
| 36410 |
|
519 |
512 |
$736.86 |
| 99442 |
|
64 |
62 |
$689.69 |
| 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 |
50 |
49 |
$681.69 |
| 36415 |
Collection of venous blood by venipuncture |
1,322 |
1,287 |
$534.94 |
| 90688 |
|
365 |
365 |
$241.53 |
| 99397 |
|
205 |
205 |
$145.24 |
| 90732 |
|
32 |
32 |
$133.47 |
| 90756 |
|
231 |
231 |
$132.90 |
| 91322 |
|
48 |
48 |
$129.50 |
| 99401 |
|
371 |
342 |
$110.76 |
| 99443 |
|
24 |
24 |
$103.67 |
| 99051 |
|
286 |
275 |
$77.06 |
| 92250 |
|
14 |
14 |
$65.98 |
| 90678 |
|
17 |
16 |
$60.19 |
| 3074F |
|
3,373 |
3,114 |
$42.50 |
| 3078F |
|
3,622 |
3,342 |
$42.50 |
| 90480 |
|
48 |
48 |
$40.00 |
| 0013A |
|
33 |
33 |
$40.00 |
| 90656 |
|
32 |
31 |
$22.35 |
| 90658 |
|
80 |
80 |
$21.86 |
| 96160 |
|
18 |
18 |
$20.09 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
207 |
189 |
$9.70 |
| 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) |
221 |
218 |
$4.08 |
| 3079F |
|
596 |
573 |
$0.00 |
| 3075F |
|
675 |
658 |
$0.00 |
| 3008F |
|
2,367 |
2,282 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
155 |
151 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,072 |
1,041 |
$0.00 |
| 3044F |
|
1,129 |
1,095 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
506 |
465 |
$0.00 |
| 2000F |
|
359 |
327 |
$0.00 |
| 1101F |
|
83 |
83 |
$0.00 |
| 3017F |
|
245 |
235 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
35 |
35 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
282 |
275 |
$0.00 |
| 1170F |
|
264 |
256 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
157 |
149 |
$0.00 |
| 1123F |
|
57 |
56 |
$0.00 |
| 2023F |
|
102 |
101 |
$0.00 |
| 4037F |
|
75 |
75 |
$0.00 |
| 3061F |
|
114 |
111 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
133 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
636 |
635 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 1157F |
|
170 |
168 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
264 |
253 |
$0.00 |
| 1036F |
|
61 |
59 |
$0.00 |
| 1000F |
|
33 |
31 |
$0.00 |
| 1125F |
|
113 |
111 |
$0.00 |
| 4010F |
|
44 |
44 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 3048F |
|
27 |
26 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
15 |
15 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$0.00 |
| 91301 |
|
39 |
39 |
$0.00 |
| 1126F |
|
16 |
15 |
$0.00 |
| 82947 |
|
148 |
148 |
$0.00 |
| 1159F |
|
751 |
678 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
378 |
370 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,009 |
986 |
$0.00 |
| 3288F |
|
86 |
86 |
$0.00 |
| 1160F |
|
788 |
725 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
487 |
454 |
$0.00 |
| 3725F |
|
223 |
217 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
643 |
626 |
$0.00 |
| 3077F |
|
86 |
82 |
$0.00 |
| 1158F |
|
295 |
286 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
637 |
591 |
$0.00 |
| 90662 |
|
61 |
61 |
$0.00 |
| 99408 |
|
22 |
22 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 81002 |
|
24 |
24 |
$0.00 |
| 4005F |
|
28 |
27 |
$0.00 |
| 0521F |
|
31 |
31 |
$0.00 |
| 2022F |
|
39 |
38 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
62 |
60 |
$0.00 |
| 3016F |
|
32 |
30 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
33 |
33 |
$0.00 |
| 90679 |
|
18 |
16 |
$0.00 |
| 77080 |
|
12 |
12 |
$0.00 |
| 90750 |
|
13 |
13 |
$0.00 |
| 82274 |
|
12 |
12 |
$0.00 |