| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,023 |
9,497 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,562 |
3,367 |
$121K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,263 |
1,259 |
$88K |
| 93925 |
|
911 |
906 |
$66K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
368 |
368 |
$55K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
586 |
580 |
$37K |
| 76536 |
|
317 |
317 |
$23K |
| 93970 |
|
402 |
397 |
$22K |
| 76775 |
|
347 |
345 |
$22K |
| 99397 |
|
785 |
775 |
$16K |
| 93978 |
|
358 |
356 |
$14K |
| 93000 |
|
1,796 |
1,777 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
141 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,109 |
1,064 |
$8K |
| 99490 |
Ccm add 20min |
3,886 |
3,874 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
113 |
$8K |
| 93880 |
|
106 |
104 |
$6K |
| 93926 |
|
44 |
37 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,132 |
1,117 |
$3K |
| 99454 |
|
734 |
733 |
$3K |
| 93971 |
|
45 |
38 |
$2K |
| 99497 |
|
180 |
177 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,009 |
1,002 |
$2K |
| 90688 |
|
509 |
506 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
755 |
753 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
429 |
426 |
$517.29 |
| 93976 |
|
14 |
14 |
$483.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
329 |
325 |
$440.50 |
| 99457 |
|
720 |
719 |
$244.04 |
| 99483 |
Prolong outpt/office vis |
72 |
72 |
$177.34 |
| 80305 |
|
67 |
62 |
$83.84 |
| 99453 |
|
21 |
21 |
$74.55 |
| 99441 |
|
14 |
13 |
$63.85 |
| 90689 |
|
21 |
21 |
$36.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$17.88 |
| 1125F |
|
261 |
250 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
151 |
147 |
$0.00 |
| 3080F |
|
105 |
102 |
$0.00 |
| 3074F |
|
520 |
506 |
$0.00 |
| 3075F |
|
191 |
187 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
221 |
219 |
$0.00 |
| 1126F |
|
261 |
253 |
$0.00 |
| 3008F |
|
235 |
232 |
$0.00 |
| 1123F |
|
144 |
140 |
$0.00 |
| 3079F |
|
275 |
268 |
$0.00 |
| 1101F |
|
88 |
88 |
$0.00 |
| 3017F |
|
215 |
210 |
$0.00 |
| 3066F |
|
30 |
30 |
$0.00 |
| 4037F |
|
33 |
33 |
$0.00 |
| 3044F |
|
474 |
464 |
$0.00 |
| 1170F |
|
555 |
536 |
$0.00 |
| 3014F |
|
224 |
219 |
$0.00 |
| 3268F |
|
33 |
32 |
$0.00 |
| 1030F |
|
40 |
40 |
$0.00 |
| 3061F |
|
62 |
60 |
$0.00 |
| 1036F |
|
202 |
195 |
$0.00 |
| 4010F |
|
30 |
30 |
$0.00 |
| 3048F |
|
30 |
30 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
30 |
29 |
$0.00 |
| 0509F |
|
12 |
12 |
$0.00 |
| 3078F |
|
834 |
802 |
$0.00 |
| 1159F |
|
819 |
792 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
201 |
197 |
$0.00 |
| 1160F |
|
614 |
594 |
$0.00 |
| 1158F |
|
147 |
144 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
152 |
147 |
$0.00 |
| 3095F |
|
117 |
117 |
$0.00 |
| 3077F |
|
546 |
531 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
198 |
192 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 3051F |
|
21 |
20 |
$0.00 |
| 2022F |
|
22 |
22 |
$0.00 |