| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,337 |
4,781 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,519 |
2,309 |
$240K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
266 |
261 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
2,507 |
2,435 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
891 |
670 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
84 |
$7K |
| 80305 |
|
563 |
557 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
30 |
26 |
$3K |
| 90756 |
|
106 |
106 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
229 |
228 |
$2K |
| 81002 |
|
918 |
885 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
47 |
45 |
$2K |
| 99406 |
|
129 |
121 |
$1K |
| 82270 |
|
286 |
281 |
$967.28 |
| 90688 |
|
42 |
42 |
$768.31 |
| 94010 |
|
14 |
14 |
$184.65 |
| 99000 |
|
232 |
224 |
$111.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
92 |
$102.83 |
| 86804 |
|
21 |
20 |
$89.74 |
| 96160 |
|
45 |
45 |
$77.97 |
| 97804 |
|
2,568 |
2,230 |
$17.36 |
| 4004F |
|
2,822 |
2,493 |
$1.25 |
| 3074F |
|
5,087 |
4,568 |
$0.19 |
| 3078F |
|
5,082 |
4,556 |
$0.19 |
| 3353F |
|
2,344 |
2,055 |
$0.14 |
| 1170F |
|
3,087 |
2,764 |
$0.06 |
| 1160F |
|
2,518 |
2,267 |
$0.06 |
| 1159F |
|
2,526 |
2,269 |
$0.06 |
| 1126F |
|
1,809 |
1,646 |
$0.04 |
| 3351F |
|
1,163 |
1,034 |
$0.00 |
| 3352F |
|
1,510 |
1,342 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
2,818 |
2,477 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,223 |
2,017 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,789 |
1,577 |
$0.00 |
| 1101F |
|
844 |
765 |
$0.00 |
| 1034F |
|
2,299 |
2,023 |
$0.00 |
| 1157F |
|
878 |
789 |
$0.00 |
| 1125F |
|
1,176 |
1,030 |
$0.00 |
| 3044F |
|
691 |
623 |
$0.00 |
| 3017F |
|
2,383 |
2,114 |
$0.00 |
| 1000F |
|
1,014 |
914 |
$0.00 |
| 1036F |
|
2,818 |
2,530 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,451 |
1,332 |
$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) |
1,812 |
1,596 |
$0.00 |
| 3061F |
|
433 |
391 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,904 |
1,682 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
233 |
205 |
$0.00 |
| 1123F |
|
306 |
266 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,484 |
1,389 |
$0.00 |
| M1031 |
Patients with no clinical indications for imaging of the head |
349 |
281 |
$0.00 |
| G8924 |
Spirometry results documented (fev1/fvc < 70%) |
552 |
493 |
$0.00 |
| 3014F |
|
60 |
58 |
$0.00 |
| 1031F |
|
935 |
846 |
$0.00 |
| 1111F |
|
312 |
293 |
$0.00 |
| 3354F |
|
271 |
249 |
$0.00 |
| 3075F |
|
173 |
158 |
$0.00 |
| 3079F |
|
202 |
182 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
43 |
38 |
$0.00 |
| 0012A |
|
17 |
17 |
$0.00 |
| 0011A |
|
18 |
18 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,573 |
2,321 |
$0.00 |
| 1090F |
|
277 |
247 |
$0.00 |
| G9534 |
Advanced brain imaging (cta, ct, mra or mri) was not ordered |
259 |
232 |
$0.00 |
| 3725F |
|
1,041 |
929 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,176 |
3,711 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,758 |
1,559 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,817 |
1,617 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
464 |
402 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,183 |
3,710 |
$0.00 |
| 2028F |
|
492 |
439 |
$0.00 |
| G9695 |
Long-acting inhaled bronchodilator prescribed |
624 |
555 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
101 |
90 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
913 |
823 |
$0.00 |
| 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) |
154 |
141 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
87 |
79 |
$0.00 |
| 0518F |
|
248 |
221 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
2,156 |
1,916 |
$0.00 |
| 1158F |
|
878 |
789 |
$0.00 |
| 3023F |
|
550 |
498 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
34 |
31 |
$0.00 |
| 2022F |
|
646 |
581 |
$0.00 |
| 99080 |
|
12 |
12 |
$0.00 |
| 3288F |
|
65 |
57 |
$0.00 |