| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,508 |
35,719 |
$282K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
11,050 |
10,868 |
$121K |
| 94010 |
|
4,086 |
4,072 |
$88K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
11,492 |
11,107 |
$65K |
| 93000 |
|
7,663 |
7,594 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,620 |
5,517 |
$61K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
11,581 |
11,174 |
$49K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35,711 |
32,452 |
$40K |
| 99442 |
|
1,702 |
1,517 |
$35K |
| H0001 |
Alcohol and/or drug assessment |
35,230 |
32,145 |
$32K |
| 99441 |
|
5,663 |
5,220 |
$26K |
| 99443 |
|
618 |
556 |
$16K |
| 3074F |
|
17,482 |
16,160 |
$15K |
| 3078F |
|
19,440 |
18,029 |
$14K |
| 99385 |
|
1,119 |
1,117 |
$13K |
| 97803 |
|
6,874 |
6,480 |
$11K |
| 99406 |
|
1,377 |
1,310 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,777 |
1,763 |
$10K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
9,387 |
9,338 |
$10K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
6,053 |
5,998 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,639 |
1,586 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,314 |
3,153 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
25,341 |
24,765 |
$7K |
| 99397 |
|
1,097 |
1,083 |
$7K |
| 99496 |
|
278 |
278 |
$5K |
| 3079F |
|
5,505 |
5,308 |
$4K |
| S9083 |
Global fee urgent care centers |
46 |
43 |
$4K |
| 99386 |
|
358 |
358 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
192 |
$4K |
| 3075F |
|
5,003 |
4,811 |
$4K |
| 90688 |
|
1,033 |
1,031 |
$4K |
| 86580 |
|
524 |
520 |
$3K |
| 3077F |
|
1,353 |
1,298 |
$3K |
| 1111F |
|
1,284 |
1,228 |
$3K |
| 1126F |
|
24,230 |
21,882 |
$3K |
| 3080F |
|
2,179 |
2,087 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44,115 |
39,487 |
$2K |
| 97802 |
|
1,328 |
1,317 |
$2K |
| 80053 |
Comprehensive metabolic panel |
10,386 |
10,335 |
$2K |
| 3016F |
|
17,627 |
16,120 |
$2K |
| 82962 |
|
8,958 |
8,221 |
$1K |
| 1159F |
|
29,115 |
26,144 |
$1K |
| 1000F |
|
24,247 |
22,148 |
$1K |
| 99051 |
|
656 |
618 |
$1K |
| 1160F |
|
29,859 |
26,632 |
$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 |
9,305 |
8,345 |
$1K |
| 99495 |
|
168 |
168 |
$1K |
| 1125F |
|
7,273 |
6,951 |
$935.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,066 |
1,031 |
$810.70 |
| 90673 |
|
14 |
14 |
$751.48 |
| 82272 |
|
3,045 |
3,020 |
$630.85 |
| 0034A |
|
16 |
16 |
$600.00 |
| 0013A |
|
16 |
16 |
$600.00 |
| 0004A |
|
17 |
17 |
$600.00 |
| 83014 |
|
131 |
129 |
$566.26 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
31 |
$498.74 |
| 0011A |
|
26 |
26 |
$485.96 |
| 82270 |
|
2,017 |
1,994 |
$345.94 |
| 3725F |
|
24,705 |
22,572 |
$242.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$214.48 |
| 2010F |
|
31,555 |
28,382 |
$214.00 |
| 3048F |
|
2,282 |
2,203 |
$206.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
7,157 |
6,691 |
$203.50 |
| 3044F |
|
1,472 |
1,416 |
$186.00 |
| 3050F |
|
1,224 |
1,180 |
$160.00 |
| 3049F |
|
1,870 |
1,809 |
$144.00 |
| 1170F |
|
324 |
300 |
$130.03 |
| 0521F |
|
544 |
520 |
$96.00 |
| 3008F |
|
31,527 |
28,360 |
$74.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$71.12 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17,069 |
15,315 |
$67.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
85 |
84 |
$57.91 |
| 0001A |
|
15 |
15 |
$47.25 |
| 3011F |
|
1,655 |
1,644 |
$40.00 |
| 92250 |
|
20 |
20 |
$30.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19 |
19 |
$30.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
3,575 |
3,416 |
$23.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18,019 |
16,112 |
$21.50 |
| 81025 |
|
164 |
161 |
$16.89 |
| 82948 |
|
4,581 |
4,321 |
$15.40 |
| G2061 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes |
17 |
17 |
$11.72 |
| G9276 |
Documentation that patient is a current tobacco user |
1,134 |
1,081 |
$10.00 |
| 99453 |
|
64 |
64 |
$4.59 |
| 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) |
3,308 |
3,185 |
$4.50 |
| 2001F |
|
31,535 |
28,373 |
$4.00 |
| 81002 |
|
191 |
189 |
$3.78 |
| 82274 |
|
969 |
959 |
$3.40 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
3,346 |
3,310 |
$1.24 |
| 4010F |
|
3,041 |
2,950 |
$0.16 |
| 91300 |
|
19 |
19 |
$0.16 |
| 3061F |
|
1,378 |
1,322 |
$0.13 |
| 91301 |
|
124 |
124 |
$0.07 |
| 3045F |
|
145 |
135 |
$0.01 |
| 3014F |
|
2,207 |
2,130 |
$0.00 |
| 3017F |
|
3,414 |
3,273 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,619 |
1,480 |
$0.00 |
| 1157F |
|
623 |
607 |
$0.00 |
| 1005F |
|
787 |
768 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,574 |
1,546 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
2,505 |
2,455 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
22 |
$0.00 |
| 0012A |
|
43 |
43 |
$0.00 |
| G8816 |
Statin medication prescribed at discharge |
1,723 |
1,685 |
$0.00 |
| 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 |
48 |
$0.00 |
| 1036F |
|
5,523 |
5,286 |
$0.00 |
| 4000F |
|
211 |
201 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
879 |
843 |
$0.00 |
| 99000 |
|
122 |
121 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,817 |
4,505 |
$0.00 |
| G2062 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
97 |
85 |
$0.00 |
| 88150 |
|
94 |
94 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
81 |
79 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
49 |
48 |
$0.00 |
| 82043 |
|
29 |
28 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| 99457 |
|
27 |
27 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
13 |
13 |
$0.00 |
| 84478 |
|
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
86 |
80 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
30 |
30 |
$0.00 |
| 83718 |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,652 |
1,620 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
2,657 |
2,439 |
$0.00 |
| 2026F |
|
146 |
141 |
$0.00 |
| 4013F |
|
1,837 |
1,774 |
$0.00 |
| 1175F |
|
310 |
299 |
$0.00 |
| 2022F |
|
232 |
227 |
$0.00 |
| 2014F |
|
280 |
266 |
$0.00 |
| 4040F |
|
180 |
177 |
$0.00 |
| 3015F |
|
400 |
397 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,413 |
2,319 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
5,138 |
4,895 |
$0.00 |
| 1124F |
|
906 |
879 |
$0.00 |
| 3288F |
|
375 |
359 |
$0.00 |
| 1158F |
|
380 |
373 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
643 |
634 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
613 |
595 |
$0.00 |
| 3051F |
|
289 |
280 |
$0.00 |
| 3046F |
|
208 |
196 |
$0.00 |
| 99499 |
|
32 |
32 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
946 |
932 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
163 |
155 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
68 |
68 |
$0.00 |
| 0518F |
|
157 |
150 |
$0.00 |
| 4004F |
|
187 |
177 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
799 |
768 |
$0.00 |
| 90655 |
|
14 |
14 |
$0.00 |
| 1100F |
|
41 |
41 |
$0.00 |
| G2089 |
Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% |
13 |
13 |
$0.00 |
| 77295 |
|
45 |
44 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
17 |
17 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
47 |
47 |
$0.00 |
| 80061 |
Lipid panel |
14 |
14 |
$0.00 |
| 3023F |
|
27 |
27 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
23 |
22 |
$0.00 |