| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,589 |
18,564 |
$714K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,193 |
4,692 |
$210K |
| 99490 |
Ccm add 20min |
3,627 |
3,620 |
$51K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,336 |
5,187 |
$44K |
| 93000 |
|
3,611 |
3,581 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,801 |
2,693 |
$35K |
| 99497 |
|
1,267 |
1,248 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
881 |
881 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,373 |
1,263 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
754 |
754 |
$21K |
| 94375 |
|
873 |
868 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,237 |
1,594 |
$13K |
| 99442 |
|
2,134 |
1,965 |
$12K |
| 99406 |
|
1,133 |
1,104 |
$11K |
| 90756 |
|
878 |
875 |
$10K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,514 |
1,455 |
$10K |
| 0012A |
|
155 |
155 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
394 |
393 |
$7K |
| 0011A |
|
156 |
156 |
$6K |
| 90746 |
|
118 |
117 |
$6K |
| 90688 |
|
441 |
440 |
$6K |
| 0064A |
|
195 |
194 |
$6K |
| H0049 |
Alcohol and/or drug screening |
2,030 |
2,022 |
$3K |
| 90686 |
|
247 |
246 |
$3K |
| 99397 |
|
622 |
619 |
$3K |
| 99441 |
|
1,686 |
1,554 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
66 |
66 |
$3K |
| 90674 |
|
113 |
112 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,369 |
6,229 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,402 |
4,298 |
$2K |
| 90750 |
|
86 |
85 |
$2K |
| 0031A |
|
31 |
31 |
$1K |
| 96127 |
|
706 |
692 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
72 |
$1K |
| 0004A |
|
26 |
26 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,078 |
1,452 |
$991.53 |
| 99443 |
|
145 |
135 |
$878.09 |
| 83014 |
|
157 |
155 |
$842.40 |
| 90715 |
|
25 |
25 |
$763.66 |
| 90632 |
|
13 |
13 |
$757.33 |
| 90670 |
|
12 |
12 |
$724.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
131 |
131 |
$643.42 |
| 99051 |
|
1,617 |
1,397 |
$587.38 |
| 3078F |
|
5,022 |
4,088 |
$532.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
373 |
372 |
$521.47 |
| 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 |
84 |
81 |
$510.80 |
| 3074F |
|
3,984 |
3,321 |
$508.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,680 |
3,533 |
$507.00 |
| 90677 |
|
39 |
39 |
$475.27 |
| 3077F |
|
1,374 |
1,257 |
$456.00 |
| H0001 |
Alcohol and/or drug assessment |
1,288 |
1,283 |
$432.20 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,834 |
2,720 |
$276.50 |
| 3079F |
|
1,230 |
1,133 |
$262.50 |
| 1159F |
|
6,559 |
5,416 |
$259.83 |
| 3075F |
|
1,500 |
1,390 |
$232.50 |
| 1160F |
|
2,485 |
2,370 |
$139.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,478 |
1,430 |
$102.50 |
| 3049F |
|
404 |
400 |
$75.00 |
| 3080F |
|
324 |
307 |
$75.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,820 |
1,810 |
$74.50 |
| 3050F |
|
622 |
614 |
$72.00 |
| 97803 |
|
1,010 |
988 |
$70.94 |
| 99385 |
|
66 |
66 |
$64.87 |
| 90662 |
|
22 |
22 |
$56.01 |
| 90658 |
|
37 |
37 |
$43.72 |
| G9459 |
Currently a tobacco non-user |
346 |
345 |
$36.00 |
| G0008 |
Administration of influenza virus vaccine |
476 |
473 |
$31.94 |
| 99401 |
|
350 |
334 |
$23.70 |
| 2000F |
|
2,837 |
2,542 |
$20.23 |
| 1125F |
|
465 |
450 |
$20.00 |
| 1170F |
|
350 |
347 |
$16.60 |
| G9276 |
Documentation that patient is a current tobacco user |
101 |
98 |
$10.50 |
| 91306 |
|
189 |
188 |
$9.60 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
310 |
284 |
$8.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
28 |
27 |
$8.00 |
| 1157F |
|
300 |
296 |
$1.65 |
| 3008F |
|
5,883 |
5,668 |
$0.89 |
| 91301 |
|
310 |
299 |
$0.01 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
824 |
763 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
449 |
414 |
$0.00 |
| 1158F |
|
389 |
383 |
$0.00 |
| 0521F |
|
237 |
226 |
$0.00 |
| 3288F |
|
171 |
167 |
$0.00 |
| 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) |
326 |
319 |
$0.00 |
| 3725F |
|
3,844 |
3,749 |
$0.00 |
| 4158F |
|
256 |
256 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,563 |
2,027 |
$0.00 |
| 99080 |
|
110 |
26 |
$0.00 |
| 3016F |
|
26 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
519 |
519 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
51 |
$0.00 |
| 1032F |
|
98 |
95 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
25 |
24 |
$0.00 |
| 99072 |
|
14 |
14 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
95 |
94 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
45 |
45 |
$0.00 |
| 99429 |
|
978 |
741 |
$0.00 |
| 3044F |
|
542 |
532 |
$0.00 |
| 1036F |
|
2,072 |
2,058 |
$0.00 |
| 1034F |
|
456 |
447 |
$0.00 |
| 1000F |
|
2,057 |
2,045 |
$0.00 |
| 4010F |
|
571 |
562 |
$0.00 |
| 1101F |
|
107 |
107 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
187 |
184 |
$0.00 |
| 1031F |
|
1,515 |
1,507 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
160 |
156 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,902 |
2,267 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
379 |
377 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,619 |
1,607 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
269 |
265 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
280 |
272 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
77 |
77 |
$0.00 |
| 91303 |
|
16 |
16 |
$0.00 |
| 3048F |
|
44 |
43 |
$0.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| 4037F |
|
162 |
161 |
$0.00 |
| 99386 |
|
14 |
14 |
$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) |
56 |
56 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
13 |
$0.00 |
| 3017F |
|
14 |
14 |
$0.00 |