| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,317 |
4,491 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,527 |
2,946 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
477 |
418 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
433 |
382 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,130 |
744 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
80 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
309 |
95 |
$5K |
| 93297 |
|
747 |
671 |
$5K |
| 93000 |
|
325 |
274 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,034 |
782 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
262 |
141 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
227 |
195 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
89 |
$2K |
| 99385 |
|
28 |
28 |
$2K |
| 87449 |
|
161 |
153 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
72 |
$2K |
| 93294 |
|
126 |
116 |
$1K |
| 99386 |
|
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
67 |
$1K |
| 90674 |
|
43 |
42 |
$923.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$682.55 |
| A4212 |
Non-coring needle or stylet with or without catheter |
471 |
294 |
$274.02 |
| 96523 |
|
533 |
313 |
$260.48 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
324 |
208 |
$253.21 |
| 72100 |
|
13 |
12 |
$247.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$171.26 |
| 93290 |
|
14 |
12 |
$152.42 |
| 36591 |
|
328 |
196 |
$146.88 |
| 3044F |
|
730 |
682 |
$120.06 |
| 99406 |
|
15 |
13 |
$93.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$39.93 |
| A4210 |
Needle-free injection device, each |
21 |
13 |
$12.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
25 |
$10.17 |
| 3008F |
|
1,432 |
1,242 |
$0.70 |
| 3074F |
|
335 |
284 |
$0.30 |
| 3078F |
|
234 |
195 |
$0.26 |
| 3079F |
|
151 |
140 |
$0.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,289 |
1,140 |
$0.06 |
| 1159F |
|
366 |
325 |
$0.04 |
| 1160F |
|
420 |
371 |
$0.04 |
| 1036F |
|
1,031 |
917 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
162 |
147 |
$0.00 |
| 3048F |
|
190 |
189 |
$0.00 |
| 1220F |
|
93 |
82 |
$0.00 |
| 2000F |
|
760 |
672 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
61 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
477 |
433 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
44 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
590 |
540 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
190 |
175 |
$0.00 |
| 3049F |
|
86 |
84 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
25 |
$0.00 |
| 1034F |
|
229 |
204 |
$0.00 |
| 3075F |
|
45 |
42 |
$0.00 |
| G8967 |
Fda approved oral anticoagulant is prescribed |
16 |
12 |
$0.00 |
| 4004F |
|
771 |
665 |
$0.00 |
| 3725F |
|
734 |
682 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
38 |
36 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
281 |
256 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
601 |
551 |
$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) |
43 |
38 |
$0.00 |
| 4035F |
|
33 |
31 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
25 |
24 |
$0.00 |