| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,664 |
14,342 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,381 |
6,651 |
$564K |
| 93922 |
|
1,761 |
1,630 |
$104K |
| 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) |
2,868 |
2,018 |
$47K |
| 94010 |
|
1,202 |
1,118 |
$28K |
| 93000 |
|
2,001 |
1,893 |
$27K |
| 99484 |
|
1,531 |
1,405 |
$26K |
| 96127 |
|
3,435 |
3,158 |
$22K |
| 95923 |
|
190 |
185 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
119 |
$16K |
| 96160 |
|
1,716 |
1,630 |
$15K |
| 99406 |
|
990 |
882 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
423 |
385 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
67 |
$9K |
| 99458 |
|
468 |
393 |
$9K |
| 99385 |
|
61 |
58 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
64 |
63 |
$6K |
| 99386 |
|
41 |
40 |
$6K |
| 95943 |
|
127 |
123 |
$6K |
| 96130 |
|
255 |
248 |
$6K |
| 3008F |
|
4,039 |
3,160 |
$5K |
| 94664 |
|
395 |
370 |
$4K |
| 99408 |
|
184 |
175 |
$4K |
| 77080 |
|
76 |
71 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
305 |
249 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
43 |
42 |
$2K |
| 3044F |
|
155 |
121 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
51 |
49 |
$1K |
| 95999 |
|
64 |
63 |
$1K |
| 99457 |
|
509 |
435 |
$1K |
| 95909 |
|
23 |
12 |
$1K |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
26 |
24 |
$1K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
50 |
43 |
$1K |
| 99091 |
|
164 |
150 |
$1K |
| 90682 |
|
49 |
49 |
$952.99 |
| 96139 |
|
51 |
46 |
$807.65 |
| 3074F |
|
86 |
80 |
$720.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
19 |
$701.88 |
| 0011A |
|
17 |
17 |
$560.00 |
| 99497 |
|
121 |
115 |
$491.90 |
| 0004A |
|
12 |
12 |
$482.00 |
| 99454 |
|
119 |
102 |
$478.08 |
| 1160F |
|
333 |
315 |
$378.00 |
| 99483 |
Prolong outpt/office vis |
19 |
14 |
$343.37 |
| 96138 |
|
56 |
48 |
$278.38 |
| 99453 |
|
86 |
77 |
$183.28 |
| 99490 |
Ccm add 20min |
22 |
22 |
$54.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
174 |
135 |
$36.00 |
| 99401 |
|
157 |
137 |
$24.00 |
| 91300 |
|
12 |
12 |
$0.03 |
| 91301 |
|
15 |
15 |
$0.01 |
| G0008 |
Administration of influenza virus vaccine |
87 |
86 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
37 |
35 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
98 |
94 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
86 |
74 |
$0.00 |
| 3079F |
|
66 |
55 |
$0.00 |
| 1101F |
|
75 |
71 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
20 |
18 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 3288F |
|
117 |
83 |
$0.00 |
| 1159F |
|
139 |
125 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
68 |
$0.00 |
| 3078F |
|
30 |
29 |
$0.00 |