| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,415 |
8,439 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,653 |
4,612 |
$219K |
| 99442 |
|
1,698 |
1,484 |
$79K |
| 99490 |
Ccm add 20min |
3,637 |
3,629 |
$59K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
401 |
285 |
$10K |
| 99497 |
|
913 |
900 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
453 |
375 |
$7K |
| 99443 |
|
71 |
64 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$3K |
| 99439 |
|
282 |
281 |
$3K |
| 96127 |
|
725 |
708 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
597 |
476 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
269 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,518 |
1,254 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
113 |
70 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,542 |
3,119 |
$1K |
| 93000 |
|
274 |
268 |
$1K |
| 94010 |
|
166 |
161 |
$1K |
| 99397 |
|
318 |
317 |
$1K |
| 99441 |
|
99 |
95 |
$988.20 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
59 |
42 |
$840.39 |
| 90678 |
|
13 |
13 |
$788.68 |
| 0011A |
|
16 |
16 |
$639.78 |
| 90756 |
|
29 |
29 |
$580.24 |
| 90662 |
|
76 |
76 |
$574.49 |
| 99051 |
|
2,052 |
1,813 |
$489.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
638 |
626 |
$308.12 |
| 90686 |
|
26 |
25 |
$293.75 |
| 99401 |
|
100 |
99 |
$288.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
362 |
347 |
$231.58 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
241 |
235 |
$215.00 |
| 99491 |
Ccm add 20min |
14 |
14 |
$193.40 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
283 |
276 |
$170.00 |
| H0001 |
Alcohol and/or drug assessment |
40 |
39 |
$153.00 |
| 90653 |
|
102 |
100 |
$133.26 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
154 |
94 |
$97.48 |
| 90688 |
|
27 |
27 |
$86.24 |
| J7050 |
Infusion, normal saline solution, 250 cc |
346 |
248 |
$40.60 |
| 90694 |
|
172 |
171 |
$39.45 |
| 3078F |
|
5,165 |
4,319 |
$36.70 |
| 3074F |
|
3,849 |
3,269 |
$35.00 |
| 1160F |
|
1,374 |
1,288 |
$30.78 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,618 |
1,504 |
$27.00 |
| 3079F |
|
1,511 |
1,404 |
$25.00 |
| 3077F |
|
1,527 |
1,391 |
$25.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
137 |
83 |
$23.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
95 |
72 |
$22.85 |
| 1159F |
|
3,961 |
3,349 |
$20.58 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,141 |
1,817 |
$15.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,782 |
1,538 |
$11.00 |
| 81002 |
|
33 |
33 |
$5.08 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
28 |
26 |
$3.79 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
13 |
$3.68 |
| 1170F |
|
171 |
164 |
$1.70 |
| 1158F |
|
389 |
383 |
$1.70 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
319 |
288 |
$1.00 |
| 3044F |
|
381 |
329 |
$0.00 |
| 1036F |
|
156 |
152 |
$0.00 |
| 2000F |
|
4,241 |
3,547 |
$0.00 |
| 1101F |
|
145 |
142 |
$0.00 |
| 3048F |
|
323 |
286 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
405 |
397 |
$0.00 |
| 3008F |
|
4,777 |
4,413 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
335 |
333 |
$0.00 |
| 3075F |
|
1,564 |
1,479 |
$0.00 |
| 99429 |
|
399 |
224 |
$0.00 |
| 1000F |
|
40 |
40 |
$0.00 |
| 36416 |
|
81 |
72 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
26 |
26 |
$0.00 |
| 1157F |
|
78 |
76 |
$0.00 |
| 3080F |
|
78 |
73 |
$0.00 |
| 1126F |
|
37 |
37 |
$0.00 |
| 4037F |
|
247 |
247 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
26 |
25 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 3016F |
|
144 |
142 |
$0.00 |
| 3051F |
|
69 |
62 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
143 |
141 |
$0.00 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
136 |
135 |
$0.00 |
| 3725F |
|
173 |
168 |
$0.00 |
| 3288F |
|
338 |
329 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
400 |
370 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
18 |
18 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
64 |
64 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
214 |
203 |
$0.00 |
| 90682 |
|
24 |
24 |
$0.00 |
| 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) |
151 |
144 |
$0.00 |
| 99072 |
|
109 |
99 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
24 |
19 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |