| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,519 |
4,644 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,440 |
2,335 |
$187K |
| 99487 |
Ccm add 20min |
1,796 |
1,791 |
$51K |
| 99401 |
|
2,099 |
1,883 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
197 |
197 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
510 |
466 |
$14K |
| 93000 |
|
1,052 |
1,048 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
918 |
781 |
$11K |
| 99490 |
Ccm add 20min |
774 |
768 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
418 |
416 |
$6K |
| 3074F |
|
5,056 |
4,203 |
$6K |
| 3078F |
|
4,750 |
3,985 |
$5K |
| 94060 |
|
98 |
98 |
$5K |
| 99443 |
|
68 |
62 |
$4K |
| 99497 |
|
134 |
133 |
$4K |
| 90674 |
|
146 |
146 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
184 |
$3K |
| 81002 |
|
932 |
923 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,398 |
2,352 |
$1K |
| 3079F |
|
526 |
487 |
$1K |
| 99072 |
|
108 |
98 |
$935.00 |
| 90656 |
|
42 |
42 |
$848.88 |
| G0008 |
Administration of influenza virus vaccine |
62 |
61 |
$830.09 |
| 94010 |
|
35 |
34 |
$754.31 |
| 3075F |
|
196 |
185 |
$657.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,139 |
992 |
$620.42 |
| H0001 |
Alcohol and/or drug assessment |
71 |
71 |
$580.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$279.67 |
| 99397 |
|
14 |
14 |
$264.65 |
| 98960 |
|
303 |
303 |
$248.72 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,004 |
875 |
$190.50 |
| 99173 |
|
161 |
159 |
$151.93 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
221 |
221 |
$124.43 |
| 96127 |
|
41 |
41 |
$121.09 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
2,754 |
2,321 |
$100.00 |
| 90653 |
|
14 |
14 |
$59.53 |
| 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) |
15 |
15 |
$46.50 |
| 82270 |
|
12 |
12 |
$33.48 |
| 3077F |
|
32 |
30 |
$32.50 |
| 94760 |
|
215 |
206 |
$27.61 |
| 3080F |
|
12 |
12 |
$15.00 |
| 99050 |
|
18 |
15 |
$14.00 |
| 1160F |
|
304 |
302 |
$12.50 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
25 |
25 |
$12.00 |
| 1159F |
|
244 |
242 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
25 |
25 |
$0.00 |
| 2022F |
|
92 |
91 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,716 |
2,263 |
$0.00 |
| 3725F |
|
1,112 |
962 |
$0.00 |
| 1100F |
|
96 |
95 |
$0.00 |
| 3288F |
|
108 |
106 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
224 |
198 |
$0.00 |
| 3062F |
|
42 |
42 |
$0.00 |
| 1033F |
|
29 |
25 |
$0.00 |
| 3048F |
|
140 |
140 |
$0.00 |
| 1036F |
|
1,501 |
1,354 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
444 |
372 |
$0.00 |
| 3008F |
|
1,704 |
1,465 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
224 |
199 |
$0.00 |
| 1000F |
|
1,118 |
965 |
$0.00 |
| 3072F |
|
54 |
52 |
$0.00 |
| 1101F |
|
96 |
95 |
$0.00 |
| 3066F |
|
42 |
42 |
$0.00 |
| 99000 |
|
42 |
42 |
$0.00 |
| 3044F |
|
63 |
53 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 99429 |
|
28 |
26 |
$0.00 |
| 3061F |
|
50 |
50 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
18 |
18 |
$0.00 |