| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,074 |
11,995 |
$999K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,035 |
15,379 |
$881K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,886 |
1,871 |
$176K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,745 |
1,732 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,269 |
1,256 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
780 |
777 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
778 |
776 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
494 |
494 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
292 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,582 |
2,551 |
$24K |
| Q3014 |
Telehealth originating site facility fee |
1,937 |
1,865 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
328 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
4,854 |
4,685 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,027 |
1,015 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
311 |
308 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
279 |
262 |
$13K |
| 87428 |
|
271 |
266 |
$11K |
| 99215 |
Prolong outpt/office vis |
95 |
93 |
$11K |
| 90686 |
|
870 |
865 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,235 |
1,103 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
658 |
646 |
$8K |
| 99406 |
|
979 |
919 |
$7K |
| 81002 |
|
2,152 |
2,022 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
395 |
373 |
$5K |
| 87430 |
|
331 |
327 |
$4K |
| 90670 |
|
146 |
144 |
$4K |
| 99442 |
|
135 |
128 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
110 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
177 |
$3K |
| 96127 |
|
1,211 |
1,186 |
$3K |
| 90674 |
|
83 |
83 |
$1K |
| 90756 |
|
61 |
60 |
$1K |
| 0011A |
|
27 |
27 |
$984.10 |
| 0012A |
|
24 |
24 |
$908.40 |
| 99051 |
|
1,770 |
1,708 |
$890.00 |
| 90656 |
|
41 |
41 |
$760.55 |
| 93000 |
|
60 |
59 |
$561.09 |
| 99441 |
|
13 |
13 |
$390.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$344.01 |
| 90688 |
|
34 |
34 |
$325.89 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$266.80 |
| 92567 |
|
27 |
26 |
$232.44 |
| 87400 |
|
36 |
18 |
$210.60 |
| 87420 |
|
12 |
12 |
$115.03 |
| 96160 |
|
111 |
111 |
$111.54 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$59.67 |
| 3074F |
|
21,469 |
19,685 |
$37.91 |
| 3078F |
|
18,696 |
17,273 |
$29.13 |
| 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) |
245 |
233 |
$20.48 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19,604 |
17,455 |
$17.92 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,831 |
4,494 |
$17.89 |
| 3008F |
|
22,150 |
20,028 |
$14.40 |
| 4037F |
|
2,647 |
2,594 |
$14.05 |
| 3079F |
|
5,458 |
5,169 |
$12.57 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,842 |
7,237 |
$11.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,227 |
3,170 |
$5.98 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,986 |
3,696 |
$5.96 |
| 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) |
453 |
448 |
$5.96 |
| 3075F |
|
2,451 |
2,359 |
$3.28 |
| 1034F |
|
2,873 |
2,670 |
$3.24 |
| 3077F |
|
1,456 |
1,379 |
$1.93 |
| 3080F |
|
1,274 |
1,214 |
$1.66 |
| 1000F |
|
1,135 |
1,067 |
$0.30 |
| 1220F |
|
88 |
88 |
$0.17 |
| 3725F |
|
4,941 |
4,832 |
$0.04 |
| 1036F |
|
4,494 |
4,216 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,530 |
1,501 |
$0.01 |
| G9395 |
Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five |
103 |
100 |
$0.01 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12,415 |
11,319 |
$0.01 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
658 |
624 |
$0.01 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,169 |
1,091 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
319 |
301 |
$0.00 |
| 1159F |
|
2,913 |
2,584 |
$0.00 |
| 4004F |
|
1,670 |
1,600 |
$0.00 |
| 1090F |
|
97 |
97 |
$0.00 |
| 3288F |
|
33 |
32 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14 |
14 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
30 |
30 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
392 |
368 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
738 |
672 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
118 |
112 |
$0.00 |
| 1101F |
|
29 |
28 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
53 |
52 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
87 |
84 |
$0.00 |
| 91301 |
|
48 |
48 |
$0.00 |