| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,110 |
25,652 |
$605K |
| 93000 |
|
21,785 |
21,718 |
$241K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,304 |
1,303 |
$238K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
9,168 |
9,146 |
$221K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,025 |
2,023 |
$202K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,380 |
6,189 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,098 |
3,094 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,431 |
5,076 |
$53K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,756 |
4,747 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,461 |
5,387 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,124 |
2,054 |
$39K |
| 92552 |
|
5,748 |
5,738 |
$36K |
| 90688 |
|
1,824 |
1,815 |
$25K |
| 93970 |
|
150 |
150 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,977 |
1,826 |
$24K |
| 90686 |
|
1,793 |
1,785 |
$21K |
| 99442 |
|
1,454 |
1,343 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
29,209 |
28,011 |
$17K |
| 99385 |
|
904 |
902 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
600 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
328 |
$10K |
| 99441 |
|
3,584 |
3,425 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
718 |
717 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
125 |
124 |
$9K |
| 3074F |
|
14,854 |
14,062 |
$9K |
| 96127 |
|
13,538 |
13,455 |
$9K |
| 3078F |
|
13,852 |
13,126 |
$8K |
| 81002 |
|
15,618 |
15,355 |
$6K |
| 0012A |
|
160 |
160 |
$5K |
| 0011A |
|
168 |
168 |
$5K |
| 99386 |
|
362 |
361 |
$4K |
| 3079F |
|
6,223 |
5,973 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$3K |
| 82948 |
|
2,963 |
2,766 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
83 |
$2K |
| 90715 |
|
67 |
67 |
$2K |
| 93923 |
|
38 |
38 |
$2K |
| 90674 |
|
222 |
222 |
$2K |
| 3077F |
|
2,284 |
2,163 |
$2K |
| 3075F |
|
2,880 |
2,803 |
$2K |
| 99497 |
|
132 |
132 |
$1K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
1,126 |
1,122 |
$1K |
| 94010 |
|
43 |
43 |
$1K |
| 93015 |
|
16 |
16 |
$956.98 |
| 85018 |
|
587 |
586 |
$921.42 |
| 99443 |
|
18 |
17 |
$881.21 |
| 1126F |
|
10,517 |
10,161 |
$815.59 |
| 86580 |
|
97 |
93 |
$522.09 |
| 87450 |
|
205 |
203 |
$466.26 |
| 99397 |
|
60 |
59 |
$461.78 |
| 99606 |
|
103 |
100 |
$400.00 |
| 96116 |
|
251 |
250 |
$383.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
49 |
$383.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,158 |
1,155 |
$354.68 |
| 90461 |
|
165 |
157 |
$353.78 |
| 3080F |
|
489 |
464 |
$291.50 |
| 1159F |
|
7,061 |
6,767 |
$265.71 |
| 1160F |
|
9,091 |
8,563 |
$256.68 |
| 3008F |
|
23,034 |
21,585 |
$251.52 |
| 1125F |
|
2,669 |
2,596 |
$192.01 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
12 |
12 |
$139.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$127.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
86 |
86 |
$125.95 |
| 3044F |
|
4,437 |
4,397 |
$55.83 |
| 87430 |
|
12 |
12 |
$52.00 |
| 90685 |
|
49 |
49 |
$20.34 |
| 3048F |
|
869 |
862 |
$8.11 |
| 3049F |
|
620 |
615 |
$8.05 |
| 2010F |
|
8,317 |
7,818 |
$2.64 |
| 2022F |
|
532 |
516 |
$0.10 |
| 3061F |
|
419 |
412 |
$0.08 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
442 |
435 |
$0.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
130 |
128 |
$0.02 |
| 3050F |
|
479 |
478 |
$0.01 |
| 90670 |
|
54 |
54 |
$0.00 |
| 2028F |
|
79 |
79 |
$0.00 |
| 3045F |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
508 |
501 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
165 |
165 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
40 |
40 |
$0.00 |
| 0521F |
|
23 |
23 |
$0.00 |
| 1158F |
|
72 |
72 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
40 |
40 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
12 |
$0.00 |
| 90734 |
|
50 |
50 |
$0.00 |
| 87210 |
|
22 |
22 |
$0.00 |
| 99401 |
|
23 |
22 |
$0.00 |
| 1170F |
|
112 |
110 |
$0.00 |
| 1036F |
|
4,044 |
3,939 |
$0.00 |
| 3014F |
|
728 |
710 |
$0.00 |
| 90651 |
|
51 |
51 |
$0.00 |
| 2000F |
|
160 |
160 |
$0.00 |
| 94761 |
|
24 |
24 |
$0.00 |
| 91301 |
|
279 |
269 |
$0.00 |
| 3017F |
|
13 |
12 |
$0.00 |
| 1101F |
|
25 |
25 |
$0.00 |