| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
1,972 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,124 |
1,011 |
$29K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
855 |
833 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
165 |
150 |
$7K |
| 80050 |
General health panel |
269 |
266 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
116 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
743 |
194 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
190 |
183 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
111 |
102 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
49 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
551 |
521 |
$2K |
| 99215 |
Prolong outpt/office vis |
49 |
43 |
$2K |
| 80061 |
Lipid panel |
324 |
305 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
239 |
199 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
45 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
73 |
28 |
$1K |
| 80053 |
Comprehensive metabolic panel |
668 |
580 |
$1K |
| 99457 |
|
243 |
238 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
684 |
594 |
$1K |
| 82728 |
|
337 |
292 |
$973.11 |
| 84443 |
Thyroid stimulating hormone (TSH) |
420 |
363 |
$876.38 |
| 90674 |
|
46 |
45 |
$808.87 |
| 84481 |
|
189 |
164 |
$793.19 |
| 83550 |
|
337 |
292 |
$623.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$497.47 |
| 84439 |
|
192 |
167 |
$481.52 |
| 83540 |
|
338 |
292 |
$463.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$366.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$203.38 |
| 84153 |
|
55 |
53 |
$201.72 |
| 99490 |
Ccm add 20min |
100 |
100 |
$121.60 |
| 93923 |
|
13 |
13 |
$114.18 |
| 93922 |
|
16 |
12 |
$64.16 |
| 99454 |
|
81 |
80 |
$57.27 |
| 82607 |
|
30 |
19 |
$52.32 |
| 82746 |
|
30 |
19 |
$50.98 |
| 3044F |
|
56 |
51 |
$40.00 |
| 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) |
180 |
164 |
$32.02 |
| 99422 |
|
583 |
137 |
$29.67 |
| 99307 |
|
12 |
12 |
$27.92 |
| 84480 |
|
143 |
130 |
$9.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
303 |
283 |
$0.03 |
| 1160F |
|
58 |
44 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
211 |
191 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
37 |
34 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
129 |
119 |
$0.00 |
| 3288F |
|
22 |
22 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$0.00 |
| 3078F |
|
44 |
44 |
$0.00 |
| 1159F |
|
59 |
45 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
95 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
206 |
197 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
62 |
58 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
261 |
232 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
713 |
671 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
150 |
145 |
$0.00 |
| 1126F |
|
113 |
94 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
23 |
18 |
$0.00 |
| 1123F |
|
118 |
113 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
230 |
212 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 1125F |
|
14 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
101 |
90 |
$0.00 |
| 3017F |
|
64 |
55 |
$0.00 |
| 1036F |
|
35 |
33 |
$0.00 |
| 3074F |
|
60 |
59 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
17 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |