| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99497 |
|
4,623 |
4,357 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,154 |
5,704 |
$211K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,226 |
3,939 |
$142K |
| 99498 |
|
1,727 |
1,589 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,685 |
1,536 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,611 |
2,521 |
$61K |
| 99397 |
|
964 |
899 |
$22K |
| 94060 |
|
726 |
714 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
343 |
340 |
$21K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,703 |
2,663 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,045 |
989 |
$14K |
| 99443 |
|
313 |
275 |
$11K |
| 93000 |
|
2,770 |
2,735 |
$11K |
| 99215 |
Prolong outpt/office vis |
355 |
334 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,332 |
3,269 |
$8K |
| 90662 |
|
277 |
277 |
$7K |
| 99385 |
|
110 |
110 |
$6K |
| 96160 |
|
303 |
298 |
$6K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
6,533 |
5,964 |
$5K |
| 3074F |
|
3,703 |
3,529 |
$4K |
| 82270 |
|
3,436 |
3,195 |
$3K |
| 3078F |
|
3,497 |
3,299 |
$3K |
| 99401 |
|
3,865 |
3,573 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
715 |
714 |
$2K |
| 90658 |
|
410 |
410 |
$2K |
| 1126F |
|
3,310 |
3,149 |
$600.00 |
| 1170F |
|
3,420 |
3,215 |
$560.00 |
| 1159F |
|
3,410 |
3,209 |
$500.00 |
| 1160F |
|
3,425 |
3,222 |
$465.00 |
| 3079F |
|
914 |
903 |
$415.00 |
| 81002 |
|
902 |
885 |
$368.74 |
| 3075F |
|
613 |
606 |
$177.50 |
| 94010 |
|
323 |
312 |
$163.71 |
| 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) |
5,064 |
4,770 |
$121.01 |
| 3044F |
|
1,609 |
1,554 |
$110.01 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
130 |
130 |
$91.71 |
| 97803 |
|
51 |
50 |
$82.44 |
| 3077F |
|
42 |
42 |
$65.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
231 |
229 |
$63.57 |
| 97802 |
|
62 |
61 |
$63.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$55.86 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,249 |
4,935 |
$40.00 |
| 3049F |
|
901 |
877 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,235 |
1,202 |
$28.56 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,692 |
2,511 |
$25.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
131 |
131 |
$24.21 |
| 3048F |
|
1,865 |
1,749 |
$10.00 |
| 82787 |
|
372 |
371 |
$2.00 |
| 3008F |
|
5,516 |
5,170 |
$0.07 |
| 2022F |
|
1,173 |
1,097 |
$0.02 |
| 3072F |
|
1,168 |
1,094 |
$0.02 |
| 4010F |
|
1,400 |
1,319 |
$0.01 |
| 3061F |
|
607 |
592 |
$0.01 |
| 1158F |
|
3,752 |
3,549 |
$0.00 |
| 3023F |
|
111 |
111 |
$0.00 |
| 4013F |
|
4,117 |
3,898 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,594 |
2,437 |
$0.00 |
| 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 |
1,015 |
951 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
210 |
206 |
$0.00 |
| 80061 |
Lipid panel |
808 |
795 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,581 |
2,481 |
$0.00 |
| 3050F |
|
663 |
635 |
$0.00 |
| 3725F |
|
565 |
560 |
$0.00 |
| 3288F |
|
736 |
692 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
14 |
14 |
$0.00 |
| 82565 |
|
1,134 |
1,108 |
$0.00 |
| 99408 |
|
246 |
242 |
$0.00 |
| 3015F |
|
45 |
45 |
$0.00 |
| 3016F |
|
17 |
15 |
$0.00 |
| 2001F |
|
2,618 |
2,424 |
$0.00 |
| 1036F |
|
6,234 |
5,839 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,588 |
3,340 |
$0.00 |
| 1123F |
|
510 |
506 |
$0.00 |
| 3017F |
|
1,758 |
1,683 |
$0.00 |
| 3014F |
|
942 |
909 |
$0.00 |
| 4008F |
|
829 |
805 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
605 |
586 |
$0.00 |
| 1157F |
|
3,754 |
3,553 |
$0.00 |
| 3351F |
|
455 |
454 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,013 |
997 |
$0.00 |
| 0001F |
|
3,133 |
2,924 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
768 |
756 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
359 |
331 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
773 |
765 |
$0.00 |
| 82044 |
|
789 |
780 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
1,169 |
1,127 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
740 |
732 |
$0.00 |
| 84132 |
|
1,134 |
1,108 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
45 |
45 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
17 |
16 |
$0.00 |