| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,686 |
13,861 |
$1.06M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,901 |
5,320 |
$231K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,732 |
1,712 |
$129K |
| 99443 |
|
1,415 |
1,245 |
$125K |
| 99442 |
|
1,414 |
1,303 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,006 |
4,478 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,137 |
1,135 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
791 |
749 |
$67K |
| 99401 |
|
5,088 |
4,717 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,044 |
2,962 |
$44K |
| 99457 |
|
1,225 |
1,170 |
$37K |
| 90686 |
|
1,770 |
1,758 |
$36K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,027 |
969 |
$29K |
| 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 |
2,784 |
2,470 |
$27K |
| 99454 |
|
640 |
632 |
$24K |
| 99441 |
|
946 |
885 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
186 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,617 |
1,563 |
$11K |
| 3074F |
|
7,781 |
6,640 |
$10K |
| 97803 |
|
2,539 |
2,432 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
637 |
620 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,589 |
1,581 |
$7K |
| 3078F |
|
5,888 |
5,108 |
$7K |
| 99458 |
|
311 |
311 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
5,818 |
5,640 |
$6K |
| 90688 |
|
351 |
347 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
366 |
319 |
$5K |
| 90656 |
|
280 |
279 |
$5K |
| 96160 |
|
2,170 |
2,157 |
$4K |
| 99406 |
|
497 |
437 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,013 |
1,970 |
$4K |
| 3079F |
|
3,684 |
3,304 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
244 |
128 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
228 |
227 |
$2K |
| 3075F |
|
2,146 |
1,971 |
$2K |
| 3080F |
|
1,393 |
1,239 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
722 |
712 |
$2K |
| 90746 |
|
26 |
26 |
$2K |
| 99397 |
|
26 |
26 |
$1K |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
5,519 |
4,504 |
$1K |
| 99453 |
|
92 |
92 |
$1K |
| 3077F |
|
1,104 |
979 |
$1K |
| 99000 |
|
3,851 |
3,650 |
$1K |
| 97802 |
|
111 |
111 |
$1K |
| 94060 |
|
47 |
47 |
$1K |
| 90756 |
|
38 |
38 |
$804.24 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
177 |
175 |
$446.00 |
| 3044F |
|
2,665 |
2,555 |
$301.18 |
| 99051 |
|
53 |
52 |
$244.98 |
| 90658 |
|
12 |
12 |
$126.81 |
| 1159F |
|
2,481 |
2,425 |
$95.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,486 |
3,044 |
$90.03 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
206 |
108 |
$88.99 |
| 1160F |
|
2,522 |
2,463 |
$85.81 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,985 |
2,432 |
$73.52 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$37.92 |
| 3051F |
|
140 |
137 |
$20.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,931 |
1,640 |
$8.75 |
| 3008F |
|
6,914 |
5,926 |
$5.05 |
| 4010F |
|
3,747 |
3,127 |
$1.32 |
| 3048F |
|
523 |
518 |
$0.23 |
| 3045F |
|
81 |
77 |
$0.12 |
| 3725F |
|
3,175 |
3,084 |
$0.04 |
| 3016F |
|
125 |
123 |
$0.01 |
| 4008F |
|
1,335 |
1,144 |
$0.00 |
| 3017F |
|
51 |
48 |
$0.00 |
| 1123F |
|
145 |
145 |
$0.00 |
| 1000F |
|
39 |
35 |
$0.00 |
| 3049F |
|
25 |
25 |
$0.00 |
| 1157F |
|
17 |
17 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
28 |
28 |
$0.00 |
| 1158F |
|
160 |
160 |
$0.00 |
| 99072 |
|
186 |
145 |
$0.00 |
| 3046F |
|
14 |
13 |
$0.00 |
| 94375 |
|
13 |
13 |
$0.00 |