| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,871 |
12,859 |
$832K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,920 |
6,573 |
$564K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,054 |
2,611 |
$274K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,452 |
2,441 |
$233K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,507 |
5,278 |
$197K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,427 |
1,415 |
$122K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,555 |
1,497 |
$117K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,743 |
1,092 |
$61K |
| 99385 |
|
441 |
434 |
$44K |
| 99221 |
|
751 |
690 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
561 |
548 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
853 |
812 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
9,385 |
9,121 |
$26K |
| 90686 |
|
1,075 |
1,063 |
$21K |
| 99406 |
|
3,050 |
2,959 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
325 |
214 |
$17K |
| 99386 |
|
134 |
133 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,487 |
1,472 |
$15K |
| 99408 |
|
1,013 |
997 |
$13K |
| 82962 |
|
3,270 |
3,033 |
$8K |
| 93000 |
|
730 |
713 |
$6K |
| 90688 |
|
325 |
318 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
100 |
85 |
$4K |
| 90656 |
|
115 |
113 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
284 |
277 |
$2K |
| 96127 |
|
659 |
653 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
39 |
$804.41 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
28 |
27 |
$459.86 |
| 81002 |
|
195 |
193 |
$455.92 |
| 85610 |
|
152 |
109 |
$454.11 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$384.72 |
| 99442 |
|
16 |
15 |
$188.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
103 |
101 |
$146.79 |
| 90662 |
|
52 |
52 |
$83.49 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$16.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
690 |
646 |
$5.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,961 |
2,735 |
$2.50 |
| 3074F |
|
3,379 |
3,267 |
$0.95 |
| 3078F |
|
2,867 |
2,792 |
$0.86 |
| 3079F |
|
2,039 |
1,994 |
$0.26 |
| 3077F |
|
1,288 |
1,208 |
$0.23 |
| 3080F |
|
950 |
891 |
$0.21 |
| 3075F |
|
1,211 |
1,191 |
$0.17 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
264 |
259 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
910 |
899 |
$0.00 |
| 1160F |
|
2,102 |
2,032 |
$0.00 |
| 1159F |
|
1,918 |
1,847 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
652 |
631 |
$0.00 |
| 3046F |
|
50 |
48 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,222 |
1,137 |
$0.00 |
| 3044F |
|
593 |
578 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
542 |
540 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
29 |
26 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |