| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,209 |
29,179 |
$2.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,866 |
13,080 |
$1.21M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,516 |
5,438 |
$526K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,199 |
3,130 |
$280K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
6,002 |
5,972 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,245 |
2,033 |
$84K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,228 |
6,217 |
$72K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
4,318 |
4,291 |
$61K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,416 |
2,392 |
$60K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,157 |
6,133 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,304 |
3,206 |
$49K |
| 93000 |
|
2,966 |
2,940 |
$44K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,794 |
2,716 |
$39K |
| 90686 |
|
1,960 |
1,949 |
$39K |
| 99443 |
|
716 |
652 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
17,028 |
16,429 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
271 |
$23K |
| 88142 |
|
2,149 |
2,146 |
$18K |
| 99385 |
|
183 |
181 |
$17K |
| 99442 |
|
472 |
454 |
$14K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
931 |
929 |
$14K |
| 99215 |
Prolong outpt/office vis |
97 |
96 |
$10K |
| 3074F |
|
6,763 |
5,995 |
$8K |
| 90746 |
|
121 |
120 |
$8K |
| 3078F |
|
6,319 |
5,658 |
$7K |
| 81025 |
|
1,930 |
1,865 |
$7K |
| 3079F |
|
3,299 |
3,050 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 76830 |
Ultrasound, transvaginal |
34 |
34 |
$3K |
| 90656 |
|
171 |
171 |
$3K |
| 0013A |
|
79 |
79 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
99 |
98 |
$2K |
| 82947 |
|
629 |
549 |
$2K |
| 3075F |
|
1,450 |
1,377 |
$1K |
| 3077F |
|
1,647 |
1,490 |
$1K |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
469 |
469 |
$1K |
| 3044F |
|
4,585 |
4,349 |
$520.32 |
| 91322 |
|
12 |
12 |
$519.88 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
66 |
60 |
$494.10 |
| 90756 |
|
36 |
36 |
$483.62 |
| 94664 |
|
36 |
36 |
$393.61 |
| 99406 |
|
30 |
30 |
$332.56 |
| 1126F |
|
3,775 |
3,440 |
$321.19 |
| 3008F |
|
23,465 |
19,777 |
$295.21 |
| 3080F |
|
370 |
348 |
$278.50 |
| 90480 |
|
12 |
12 |
$255.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$245.67 |
| 98960 |
|
43 |
43 |
$243.76 |
| 1160F |
|
4,162 |
3,733 |
$235.04 |
| 1159F |
|
4,198 |
3,760 |
$235.04 |
| 1125F |
|
3,783 |
3,355 |
$227.06 |
| 1036F |
|
12,784 |
11,513 |
$191.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$188.68 |
| 90658 |
|
13 |
13 |
$156.50 |
| 96127 |
|
25 |
24 |
$141.11 |
| S9441 |
Asthma education, non-physician provider, per session |
67 |
56 |
$140.88 |
| 3048F |
|
1,994 |
1,904 |
$120.12 |
| 1170F |
|
183 |
178 |
$40.00 |
| 82962 |
|
148 |
132 |
$37.79 |
| 99408 |
|
30 |
30 |
$36.65 |
| 3049F |
|
562 |
522 |
$32.00 |
| 3050F |
|
185 |
172 |
$16.00 |
| 91301 |
|
61 |
60 |
$4.59 |
| 3511F |
|
4,159 |
4,128 |
$3.35 |
| 3351F |
|
5,639 |
5,297 |
$3.04 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
25 |
24 |
$0.13 |
| 4010F |
|
531 |
474 |
$0.02 |
| 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) |
51 |
49 |
$0.01 |
| 3015F |
|
6,415 |
6,079 |
$0.01 |
| 3014F |
|
1,899 |
1,672 |
$0.00 |
| 4037F |
|
3,936 |
3,510 |
$0.00 |
| 3017F |
|
3,008 |
2,674 |
$0.00 |
| 1034F |
|
375 |
322 |
$0.00 |
| 1123F |
|
378 |
367 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
55 |
55 |
$0.00 |
| 4086F |
|
457 |
403 |
$0.00 |
| 1157F |
|
265 |
260 |
$0.00 |
| 3353F |
|
48 |
41 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
40 |
38 |
$0.00 |
| 97802 |
|
18 |
18 |
$0.00 |
| 3016F |
|
9,618 |
8,386 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
187 |
182 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,170 |
1,143 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
34 |
34 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
631 |
627 |
$0.00 |
| 4013F |
|
1,027 |
910 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
578 |
576 |
$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) |
1,651 |
1,500 |
$0.00 |
| 1090F |
|
490 |
472 |
$0.00 |
| 4040F |
|
88 |
79 |
$0.00 |
| 1158F |
|
265 |
261 |
$0.00 |
| 4004F |
|
801 |
798 |
$0.00 |
| G9451 |
Patient received one-time screening for hcv infection |
882 |
878 |
$0.00 |
| 2022F |
|
109 |
103 |
$0.00 |
| 1091F |
|
60 |
57 |
$0.00 |
| 99001 |
|
23 |
23 |
$0.00 |