| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,662 |
13,896 |
$563K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,458 |
5,613 |
$167K |
| 99497 |
|
2,548 |
1,959 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
986 |
785 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
321 |
252 |
$17K |
| 99490 |
Ccm add 20min |
5,922 |
4,977 |
$14K |
| 99406 |
|
1,731 |
1,265 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
873 |
678 |
$9K |
| 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) |
2,024 |
1,422 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
59 |
$4K |
| 3079F |
|
10,099 |
7,263 |
$4K |
| 3078F |
|
11,241 |
7,830 |
$4K |
| 3074F |
|
12,530 |
9,231 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
518 |
424 |
$3K |
| 1159F |
|
15,145 |
10,575 |
$3K |
| 1160F |
|
15,064 |
10,523 |
$3K |
| 99439 |
|
872 |
675 |
$3K |
| 90686 |
|
297 |
257 |
$3K |
| 93922 |
|
264 |
197 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
97 |
$2K |
| 95923 |
|
188 |
142 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
39 |
$2K |
| 3077F |
|
2,910 |
2,014 |
$2K |
| 3075F |
|
6,448 |
4,651 |
$2K |
| 3080F |
|
1,570 |
1,161 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
191 |
$2K |
| 91322 |
|
78 |
54 |
$1K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
726 |
483 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
144 |
$1K |
| 3044F |
|
3,855 |
2,830 |
$960.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,168 |
805 |
$958.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
706 |
471 |
$939.86 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$810.19 |
| 99442 |
|
44 |
37 |
$748.98 |
| 80305 |
|
215 |
180 |
$633.06 |
| 95943 |
|
40 |
29 |
$441.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
329 |
275 |
$393.72 |
| 90480 |
|
77 |
54 |
$352.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
31 |
27 |
$349.34 |
| 1158F |
|
335 |
222 |
$320.00 |
| 90673 |
|
22 |
16 |
$258.50 |
| 0064A |
|
16 |
12 |
$240.00 |
| 3046F |
|
533 |
375 |
$230.00 |
| 99487 |
Ccm add 20min |
29 |
27 |
$137.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$130.26 |
| 1157F |
|
403 |
187 |
$130.00 |
| 87400 |
|
14 |
12 |
$125.94 |
| 92250 |
|
25 |
14 |
$113.25 |
| 95921 |
|
95 |
70 |
$111.70 |
| 99397 |
|
201 |
125 |
$104.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
181 |
157 |
$80.22 |
| 1170F |
|
973 |
650 |
$80.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$70.33 |
| 96160 |
|
209 |
138 |
$62.63 |
| 3045F |
|
138 |
85 |
$60.00 |
| 2022F |
|
232 |
162 |
$60.00 |
| 80061 |
Lipid panel |
612 |
528 |
$58.65 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
23 |
12 |
$52.76 |
| 85610 |
|
227 |
112 |
$47.24 |
| 1111F |
|
35 |
26 |
$40.00 |
| 3072F |
|
150 |
100 |
$30.00 |
| 1126F |
|
104 |
69 |
$20.00 |
| 92082 |
|
25 |
14 |
$14.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
389 |
335 |
$13.66 |
| 81002 |
|
16 |
12 |
$9.51 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
221 |
164 |
$3.00 |
| G0008 |
Administration of influenza virus vaccine |
338 |
254 |
$1.07 |
| 91301 |
|
18 |
12 |
$0.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,344 |
3,180 |
$0.01 |
| 4010F |
|
2,584 |
1,839 |
$0.00 |
| 1036F |
|
1,847 |
1,352 |
$0.00 |
| 1123F |
|
770 |
480 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
336 |
257 |
$0.00 |
| 3014F |
|
479 |
295 |
$0.00 |
| 3017F |
|
1,089 |
796 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
304 |
238 |
$0.00 |
| 1125F |
|
256 |
175 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
317 |
245 |
$0.00 |
| 3008F |
|
576 |
380 |
$0.00 |
| 3052F |
|
17 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
12 |
$0.00 |
| 90677 |
|
18 |
12 |
$0.00 |
| G8970 |
No risk factors or one moderate risk factor for thromboembolism |
12 |
12 |
$0.00 |
| 3061F |
|
14 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,931 |
2,870 |
$0.00 |
| 4004F |
|
1,288 |
935 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,914 |
3,502 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
735 |
543 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,588 |
2,640 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,643 |
1,874 |
$0.00 |
| 90662 |
|
86 |
67 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,075 |
763 |
$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) |
98 |
80 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
634 |
497 |
$0.00 |
| 99072 |
|
166 |
109 |
$0.00 |
| 3051F |
|
18 |
14 |
$0.00 |