| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,120 |
8,602 |
$664K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,643 |
7,395 |
$423K |
| 99215 |
Prolong outpt/office vis |
2,049 |
1,848 |
$181K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,127 |
1,061 |
$104K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,572 |
709 |
$91K |
| 99233 |
Prolong inpt eval add15 m |
912 |
452 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
829 |
791 |
$75K |
| 99401 |
|
1,882 |
1,553 |
$45K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
247 |
241 |
$42K |
| 99457 |
|
1,035 |
1,029 |
$36K |
| 93923 |
|
357 |
344 |
$34K |
| 99497 |
|
592 |
557 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,866 |
1,594 |
$27K |
| 99454 |
|
672 |
670 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
177 |
168 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
307 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
6,039 |
5,630 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
849 |
797 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
392 |
228 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
144 |
143 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,165 |
1,084 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
437 |
$12K |
| 99493 |
|
110 |
105 |
$11K |
| 99458 |
|
446 |
390 |
$10K |
| 90756 |
|
506 |
464 |
$9K |
| 96127 |
|
1,997 |
1,966 |
$8K |
| 99494 |
|
70 |
66 |
$6K |
| 99385 |
|
59 |
59 |
$6K |
| 96160 |
|
2,125 |
2,072 |
$5K |
| 99386 |
|
38 |
38 |
$5K |
| 94010 |
|
207 |
201 |
$5K |
| 90688 |
|
266 |
259 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$4K |
| 93000 |
|
321 |
300 |
$4K |
| 95923 |
|
29 |
29 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
43 |
27 |
$3K |
| 81002 |
|
1,131 |
1,034 |
$3K |
| 99173 |
|
2,756 |
2,371 |
$3K |
| 99221 |
|
38 |
38 |
$3K |
| H0031 |
Mental health assessment, by non-physician |
31 |
31 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
34 |
32 |
$2K |
| 95921 |
|
28 |
28 |
$2K |
| 99453 |
|
119 |
119 |
$2K |
| 90662 |
|
77 |
75 |
$1K |
| 99492 |
|
13 |
12 |
$1K |
| 90658 |
|
40 |
40 |
$1K |
| 99397 |
|
13 |
12 |
$675.21 |
| 97802 |
|
55 |
45 |
$467.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
469 |
409 |
$412.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
139 |
111 |
$304.06 |
| 94760 |
|
196 |
174 |
$259.13 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
174 |
166 |
$247.36 |
| T1016 |
Case management, each 15 minutes |
19 |
16 |
$232.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
63 |
63 |
$221.32 |
| G0008 |
Administration of influenza virus vaccine |
88 |
84 |
$154.18 |
| 92551 |
|
13 |
13 |
$138.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
12 |
$130.12 |
| 3074F |
|
578 |
421 |
$116.02 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
81 |
57 |
$78.30 |
| G8482 |
Influenza immunization administered or previously received |
97 |
64 |
$62.97 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
48 |
35 |
$9.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
35 |
$6.06 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,115 |
771 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
303 |
223 |
$0.00 |
| 2010F |
|
498 |
336 |
$0.00 |
| 3008F |
|
883 |
625 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
713 |
519 |
$0.00 |
| 3079F |
|
775 |
558 |
$0.00 |
| 1111F |
|
931 |
653 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
17 |
16 |
$0.00 |
| 1090F |
|
942 |
656 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
932 |
680 |
$0.00 |
| 1160F |
|
888 |
626 |
$0.00 |
| 1159F |
|
884 |
626 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
950 |
647 |
$0.00 |
| 4004F |
|
911 |
640 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
434 |
307 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,074 |
742 |
$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) |
18 |
14 |
$0.00 |
| 99072 |
|
94 |
63 |
$0.00 |