| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,904 |
32,222 |
$2.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,827 |
8,323 |
$419K |
| 99215 |
Prolong outpt/office vis |
1,641 |
1,567 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,384 |
1,330 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
910 |
899 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
808 |
786 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
580 |
564 |
$50K |
| 93000 |
|
3,860 |
3,759 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
374 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
8,566 |
8,256 |
$28K |
| 81025 |
|
4,071 |
3,919 |
$26K |
| 81002 |
|
9,294 |
8,879 |
$25K |
| 96160 |
|
6,029 |
5,808 |
$21K |
| 94760 |
|
28,702 |
24,941 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,520 |
1,503 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,261 |
1,173 |
$17K |
| 99051 |
|
2,923 |
2,647 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
132 |
$11K |
| 86580 |
|
1,027 |
1,001 |
$9K |
| 99000 |
|
3,493 |
3,212 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
249 |
238 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
310 |
308 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
98 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$1K |
| 99173 |
|
572 |
542 |
$1K |
| 99401 |
|
32 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$984.40 |
| 90461 |
|
35 |
28 |
$941.02 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$692.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$544.94 |
| 97802 |
|
16 |
15 |
$520.91 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$417.01 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
13 |
$376.69 |
| 90688 |
|
25 |
23 |
$270.21 |
| 96127 |
|
86 |
74 |
$262.61 |
| 99397 |
|
14 |
13 |
$251.17 |
| 1036F |
|
4,416 |
3,798 |
$212.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
124 |
119 |
$183.02 |
| 90686 |
|
13 |
12 |
$169.14 |
| 80305 |
|
20 |
18 |
$159.45 |
| 1160F |
|
13,208 |
11,569 |
$102.32 |
| 82947 |
|
29 |
26 |
$90.82 |
| 2001F |
|
19,569 |
16,960 |
$81.11 |
| 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) |
12 |
12 |
$63.11 |
| 82962 |
|
45 |
41 |
$54.00 |
| 3037F |
|
21,796 |
18,458 |
$10.95 |
| 3078F |
|
12,949 |
11,123 |
$10.86 |
| 2000F |
|
21,210 |
18,008 |
$9.71 |
| 1159F |
|
14,464 |
12,575 |
$9.26 |
| 3008F |
|
22,879 |
19,415 |
$5.72 |
| 3074F |
|
16,053 |
13,739 |
$4.77 |
| 2010F |
|
20,251 |
17,256 |
$0.53 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,730 |
11,823 |
$0.40 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,535 |
11,655 |
$0.40 |
| 1126F |
|
10,819 |
9,363 |
$0.33 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,249 |
9,767 |
$0.29 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
8,477 |
7,538 |
$0.18 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,339 |
6,462 |
$0.14 |
| 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) |
3,144 |
2,721 |
$0.12 |
| 3079F |
|
4,695 |
4,193 |
$0.05 |
| G8484 |
Influenza immunization was not administered, reason not given |
686 |
491 |
$0.04 |
| G8732 |
No documentation of pain assessment, reason not given |
1,124 |
1,004 |
$0.02 |
| 2014F |
|
631 |
457 |
$0.02 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
367 |
271 |
$0.01 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
153 |
132 |
$0.01 |
| 3075F |
|
661 |
577 |
$0.00 |
| 1125F |
|
1,093 |
1,039 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
447 |
374 |
$0.00 |
| 3060F |
|
13 |
12 |
$0.00 |
| 3080F |
|
131 |
120 |
$0.00 |
| 4010F |
|
148 |
126 |
$0.00 |
| 1034F |
|
224 |
204 |
$0.00 |
| 3120F |
|
135 |
129 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
125 |
114 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
15 |
13 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
29 |
19 |
$0.00 |
| 3077F |
|
416 |
354 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
263 |
235 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
176 |
138 |
$0.00 |
| 3210F |
|
46 |
43 |
$0.00 |
| 3511F |
|
29 |
26 |
$0.00 |
| 3062F |
|
13 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
12 |
$0.00 |