| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,248 |
10,680 |
$419K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,121 |
3,837 |
$128K |
| 99444 |
|
2,325 |
718 |
$111K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,198 |
1,940 |
$78K |
| 99423 |
|
1,029 |
349 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
635 |
625 |
$54K |
| 99215 |
Prolong outpt/office vis |
1,374 |
1,172 |
$46K |
| 99050 |
|
3,572 |
3,291 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
507 |
501 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,202 |
1,500 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
449 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,799 |
1,686 |
$21K |
| 99422 |
|
593 |
298 |
$13K |
| 95923 |
|
186 |
175 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
585 |
462 |
$5K |
| 0071A |
|
152 |
149 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
85 |
$5K |
| 0001A |
|
188 |
168 |
$4K |
| 99421 |
|
243 |
161 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
50 |
$4K |
| 93970 |
|
39 |
35 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
450 |
197 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
423 |
395 |
$2K |
| 82948 |
|
853 |
772 |
$2K |
| 99457 |
|
973 |
831 |
$2K |
| 87015 |
|
724 |
664 |
$2K |
| 94060 |
|
56 |
55 |
$2K |
| 0002A |
|
59 |
58 |
$2K |
| 99454 |
|
706 |
543 |
$2K |
| 92250 |
|
45 |
45 |
$2K |
| 99335 |
|
61 |
52 |
$1K |
| 93922 |
|
40 |
37 |
$1K |
| 99458 |
|
579 |
499 |
$1K |
| 0011A |
|
110 |
100 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
823 |
566 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
25 |
$1K |
| 0081A |
|
34 |
33 |
$1K |
| 95250 |
|
20 |
18 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
186 |
74 |
$1K |
| 11755 |
|
89 |
82 |
$888.02 |
| 0072A |
|
25 |
25 |
$880.00 |
| 99051 |
|
193 |
178 |
$801.88 |
| 0004A |
|
22 |
21 |
$760.00 |
| 0064A |
|
42 |
40 |
$760.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
82 |
77 |
$747.09 |
| 0003A |
|
21 |
19 |
$680.00 |
| 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 |
533 |
516 |
$596.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
179 |
$596.10 |
| 92587 |
|
48 |
45 |
$583.13 |
| 81002 |
|
994 |
875 |
$551.10 |
| 0111A |
|
15 |
13 |
$520.00 |
| 90480 |
|
29 |
29 |
$450.00 |
| 99310 |
Prolong nursin fac eval 15m |
54 |
41 |
$401.52 |
| 0124A |
|
14 |
13 |
$360.00 |
| 96160 |
|
169 |
165 |
$337.72 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
170 |
36 |
$291.67 |
| 0134A |
|
24 |
19 |
$280.00 |
| 0012A |
|
26 |
25 |
$280.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
89 |
83 |
$178.84 |
| 82274 |
|
26 |
25 |
$66.85 |
| 85018 |
|
13 |
12 |
$2.46 |
| 91320 |
|
28 |
28 |
$0.14 |
| 91301 |
|
150 |
140 |
$0.05 |
| 91300 |
|
225 |
201 |
$0.04 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
326 |
298 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
351 |
325 |
$0.00 |
| 3288F |
|
239 |
203 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
238 |
212 |
$0.00 |
| 90715 |
|
33 |
31 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
170 |
147 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
128 |
102 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90713 |
|
13 |
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) |
46 |
42 |
$0.00 |
| 90734 |
|
38 |
36 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
89 |
82 |
$0.00 |
| 90672 |
|
13 |
12 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| 3044F |
|
18 |
15 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
507 |
452 |
$0.00 |
| 82962 |
|
1,087 |
938 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
373 |
330 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
276 |
244 |
$0.00 |
| 0031A |
|
36 |
31 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
333 |
294 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
51 |
43 |
$0.00 |
| 3072F |
|
30 |
28 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
49 |
46 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
46 |
42 |
$0.00 |
| 91303 |
|
30 |
30 |
$0.00 |
| 1101F |
|
31 |
29 |
$0.00 |
| 90651 |
|
31 |
29 |
$0.00 |
| 90686 |
|
17 |
16 |
$0.00 |