| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,599 |
14,834 |
$598K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,779 |
15,265 |
$490K |
| 99349 |
|
16,654 |
12,613 |
$274K |
| 99348 |
|
4,440 |
3,354 |
$52K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,940 |
1,280 |
$35K |
| 99350 |
Prolong home eval add 15m |
1,595 |
1,193 |
$32K |
| 95923 |
|
519 |
400 |
$18K |
| 99443 |
|
2,053 |
1,500 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,513 |
1,015 |
$16K |
| 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 |
2,757 |
2,340 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
272 |
$15K |
| 99490 |
Ccm add 20min |
2,765 |
2,448 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
170 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
217 |
196 |
$11K |
| 99336 |
|
886 |
562 |
$10K |
| 99215 |
Prolong outpt/office vis |
167 |
90 |
$10K |
| G0180 |
Physician or allowed practitioner 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 |
1,985 |
1,636 |
$10K |
| 93922 |
|
547 |
426 |
$9K |
| 95921 |
|
356 |
265 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
274 |
251 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
849 |
680 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
143 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
58 |
$4K |
| 99442 |
|
570 |
489 |
$4K |
| 99406 |
|
1,058 |
736 |
$4K |
| 99335 |
|
492 |
274 |
$3K |
| 95943 |
|
222 |
155 |
$3K |
| 94010 |
|
187 |
131 |
$2K |
| 90674 |
|
222 |
145 |
$2K |
| 99483 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
71 |
61 |
$2K |
| 99484 |
|
87 |
63 |
$1K |
| 3008F |
|
1,136 |
974 |
$1K |
| 99454 |
|
185 |
144 |
$1K |
| 99343 |
|
29 |
19 |
$1K |
| 93000 |
|
168 |
123 |
$1K |
| 1159F |
|
2,906 |
2,050 |
$1K |
| 99457 |
|
182 |
144 |
$1K |
| 81003 |
|
835 |
679 |
$985.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
148 |
$977.14 |
| 99347 |
|
82 |
47 |
$848.59 |
| 99458 |
|
180 |
131 |
$821.65 |
| 99344 |
|
42 |
27 |
$761.88 |
| 11721 |
|
225 |
198 |
$638.80 |
| 93050 |
|
344 |
254 |
$530.10 |
| 99487 |
Ccm add 20min |
56 |
53 |
$507.56 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
359 |
237 |
$448.81 |
| 1160F |
|
1,937 |
1,412 |
$360.00 |
| 1125F |
|
3,719 |
2,930 |
$310.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
308 |
255 |
$285.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
26 |
$256.27 |
| 99441 |
|
15 |
15 |
$248.95 |
| 3077F |
|
198 |
171 |
$150.00 |
| 90653 |
|
103 |
86 |
$114.18 |
| 80305 |
|
47 |
41 |
$111.16 |
| 99453 |
|
17 |
12 |
$110.42 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
93 |
44 |
$87.12 |
| 3080F |
|
14 |
12 |
$70.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
55 |
$69.80 |
| G0008 |
Administration of influenza virus vaccine |
114 |
100 |
$63.99 |
| 3079F |
|
59 |
53 |
$50.00 |
| 3074F |
|
163 |
139 |
$50.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
152 |
123 |
$42.51 |
| 3078F |
|
193 |
176 |
$40.00 |
| 94760 |
|
14 |
14 |
$38.95 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,568 |
1,261 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
973 |
818 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,617 |
2,140 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
879 |
708 |
$0.00 |
| 1123F |
|
855 |
688 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
449 |
354 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
510 |
429 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
88 |
74 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
23 |
21 |
$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) |
59 |
46 |
$0.00 |
| 99499 |
|
234 |
202 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,601 |
14,312 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,480 |
2,020 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,991 |
1,671 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,430 |
1,958 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,981 |
1,601 |
$0.00 |
| 3725F |
|
153 |
122 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
872 |
716 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
42 |
33 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
230 |
186 |
$0.00 |
| 3288F |
|
155 |
104 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
14 |
12 |
$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) |
26 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
62 |
58 |
$0.00 |
| 99051 |
|
21 |
20 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
16 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
17 |
16 |
$0.00 |
| 1100F |
|
48 |
34 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
15 |
13 |
$0.00 |
| 0518F |
|
37 |
30 |
$0.00 |