| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,784 |
22,394 |
$2.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,991 |
12,031 |
$865K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,492 |
513 |
$71K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,053 |
394 |
$31K |
| 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) |
1,690 |
1,482 |
$28K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
805 |
273 |
$16K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12,094 |
10,613 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
96 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
73 |
$9K |
| 93000 |
|
389 |
369 |
$9K |
| 1036F |
|
14,761 |
12,911 |
$8K |
| 99454 |
|
506 |
457 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
31 |
$6K |
| 93922 |
|
79 |
66 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
218 |
85 |
$5K |
| 95923 |
|
46 |
38 |
$5K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,534 |
1,312 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
89 |
$4K |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
976 |
869 |
$4K |
| 97161 |
|
60 |
57 |
$4K |
| 95921 |
|
47 |
38 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$3K |
| 99457 |
|
309 |
291 |
$3K |
| 97014 |
|
231 |
82 |
$3K |
| 99385 |
|
25 |
24 |
$3K |
| 90686 |
|
134 |
132 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21,786 |
19,074 |
$2K |
| 3074F |
|
3,737 |
3,245 |
$2K |
| 3046F |
|
3,391 |
3,005 |
$2K |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
276 |
261 |
$2K |
| 4040F |
|
9,897 |
8,811 |
$2K |
| 99441 |
|
212 |
141 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
281 |
245 |
$1K |
| 3044F |
|
4,985 |
4,324 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,262 |
2,084 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
181 |
$853.40 |
| 97010 |
|
186 |
70 |
$791.82 |
| 90756 |
|
31 |
28 |
$765.99 |
| 3008F |
|
15,129 |
13,265 |
$740.00 |
| 99442 |
|
41 |
37 |
$662.88 |
| 99458 |
|
30 |
27 |
$593.96 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,565 |
2,271 |
$544.58 |
| 0124A |
|
14 |
12 |
$480.00 |
| 3014F |
|
509 |
426 |
$470.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,742 |
5,045 |
$438.64 |
| 90688 |
|
26 |
23 |
$428.22 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,538 |
3,158 |
$320.89 |
| 2022F |
|
746 |
621 |
$300.00 |
| 3017F |
|
507 |
449 |
$257.35 |
| G8482 |
Influenza immunization administered or previously received |
2,136 |
1,904 |
$139.23 |
| G9509 |
Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 |
13 |
12 |
$137.23 |
| 3077F |
|
139 |
129 |
$125.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,079 |
953 |
$118.94 |
| 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) |
2,053 |
1,824 |
$92.38 |
| 90694 |
|
43 |
25 |
$70.57 |
| 90653 |
|
15 |
15 |
$57.60 |
| 91312 |
|
13 |
12 |
$0.02 |
| 3079F |
|
526 |
426 |
$0.01 |
| 3725F |
|
11,080 |
9,824 |
$0.00 |
| 1160F |
|
14,144 |
12,380 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
582 |
528 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
187 |
159 |
$0.00 |
| 3078F |
|
2,955 |
2,598 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,046 |
1,818 |
$0.00 |
| 4037F |
|
2,010 |
1,696 |
$0.00 |
| 3075F |
|
114 |
94 |
$0.00 |
| 3060F |
|
347 |
303 |
$0.00 |
| 3061F |
|
216 |
169 |
$0.00 |
| 3080F |
|
56 |
50 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
13 |
$0.00 |