| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,965 |
9,505 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,050 |
5,490 |
$291K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,623 |
4,284 |
$136K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,313 |
1,292 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
306 |
303 |
$19K |
| 99442 |
|
251 |
242 |
$14K |
| 90682 |
|
284 |
284 |
$12K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
137 |
137 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
200 |
188 |
$7K |
| 99441 |
|
130 |
129 |
$7K |
| 90686 |
|
294 |
289 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
118 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,583 |
6,206 |
$5K |
| 3074F |
|
3,069 |
2,862 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
379 |
374 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
229 |
227 |
$3K |
| 3078F |
|
2,223 |
2,098 |
$3K |
| 99000 |
|
2,905 |
2,712 |
$2K |
| 3079F |
|
1,595 |
1,531 |
$2K |
| 99050 |
|
526 |
511 |
$2K |
| 99397 |
|
63 |
63 |
$1K |
| 3077F |
|
606 |
574 |
$1K |
| 3080F |
|
534 |
503 |
$1K |
| H0034 |
Medication training and support, per 15 minutes |
360 |
355 |
$831.00 |
| 3075F |
|
660 |
631 |
$830.00 |
| 96160 |
|
500 |
486 |
$642.90 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
2,948 |
2,807 |
$450.00 |
| 99490 |
Ccm add 20min |
94 |
94 |
$270.61 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
12 |
12 |
$200.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$172.54 |
| 93000 |
|
12 |
12 |
$164.45 |
| 82274 |
|
31 |
30 |
$129.44 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
20 |
20 |
$47.20 |
| S0316 |
Disease management program, follow-up/reassessment |
12 |
12 |
$35.02 |
| 99072 |
|
448 |
410 |
$35.00 |
| 1160F |
|
2,038 |
1,973 |
$10.01 |
| 1159F |
|
2,022 |
1,958 |
$5.01 |
| 1126F |
|
25 |
24 |
$5.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
1,887 |
1,710 |
$0.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,724 |
5,214 |
$0.02 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
1,017 |
928 |
$0.00 |
| 3288F |
|
249 |
231 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,467 |
6,055 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,237 |
1,180 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,200 |
3,091 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
951 |
917 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,974 |
2,802 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,353 |
10,429 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,570 |
2,346 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
2,425 |
2,272 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,863 |
1,782 |
$0.00 |
| 1100F |
|
221 |
206 |
$0.00 |
| 2022F |
|
694 |
631 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
629 |
582 |
$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) |
152 |
142 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
182 |
170 |
$0.00 |
| 3725F |
|
17 |
16 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
136 |
122 |
$0.00 |
| 99080 |
|
55 |
55 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
16 |
14 |
$0.00 |
| 3046F |
|
44 |
39 |
$0.00 |
| 3045F |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,361 |
3,231 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
1,788 |
1,634 |
$0.00 |
| 0001F |
|
1,305 |
1,259 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
738 |
711 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,034 |
990 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
523 |
451 |
$0.00 |
| 3017F |
|
3,050 |
2,786 |
$0.00 |
| 99429 |
|
81 |
77 |
$0.00 |
| 1036F |
|
6,537 |
6,003 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,398 |
2,241 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
151 |
132 |
$0.00 |
| 3044F |
|
289 |
263 |
$0.00 |
| 3014F |
|
92 |
82 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,503 |
1,248 |
$0.00 |
| 1006F |
|
25 |
24 |
$0.00 |
| 99422 |
|
18 |
18 |
$0.00 |