| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,484 |
13,940 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,977 |
21,004 |
$41K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
435 |
352 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
690 |
686 |
$19K |
| 90688 |
|
1,919 |
1,917 |
$17K |
| 99201 |
|
536 |
413 |
$17K |
| 96150 |
|
2,275 |
2,254 |
$11K |
| 90658 |
|
223 |
223 |
$4K |
| 90686 |
|
207 |
206 |
$4K |
| 3078F |
|
31,693 |
30,058 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
918 |
865 |
$2K |
| 90656 |
|
65 |
65 |
$1K |
| 99000 |
|
2,264 |
2,175 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
78 |
29 |
$1K |
| 81003 |
|
2,184 |
1,890 |
$1K |
| 92552 |
|
164 |
155 |
$757.68 |
| 36415 |
Collection of venous blood by venipuncture |
4,230 |
4,039 |
$744.22 |
| 82948 |
|
1,398 |
1,307 |
$696.80 |
| 96156 |
|
2,660 |
2,624 |
$694.45 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$429.16 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$424.71 |
| 3074F |
|
29,406 |
27,910 |
$287.03 |
| 99442 |
|
4,863 |
4,602 |
$262.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
699 |
675 |
$251.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,147 |
3,124 |
$123.92 |
| 1000F |
|
16,359 |
15,445 |
$120.02 |
| 81025 |
|
104 |
104 |
$110.80 |
| 3075F |
|
732 |
711 |
$82.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,519 |
4,464 |
$65.37 |
| 81002 |
|
895 |
800 |
$62.35 |
| 90715 |
|
12 |
12 |
$37.16 |
| 85018 |
|
212 |
207 |
$34.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
325 |
324 |
$20.66 |
| A4550 |
Surgical trays |
25 |
25 |
$15.00 |
| 96127 |
|
934 |
914 |
$9.52 |
| 94760 |
|
44 |
42 |
$5.53 |
| 3077F |
|
746 |
717 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
954 |
918 |
$0.00 |
| 1160F |
|
367 |
351 |
$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) |
227 |
216 |
$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) |
349 |
331 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
429 |
420 |
$0.00 |
| 99173 |
|
276 |
276 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
255 |
242 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
63 |
$0.00 |
| 3725F |
|
86 |
84 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 1159F |
|
116 |
115 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
13 |
12 |
$0.00 |
| 1036F |
|
17,531 |
16,597 |
$0.00 |
| 3008F |
|
15,869 |
15,065 |
$0.00 |
| 3079F |
|
1,665 |
1,623 |
$0.00 |
| 3017F |
|
47 |
45 |
$0.00 |
| 99441 |
|
624 |
601 |
$0.00 |
| 4010F |
|
316 |
300 |
$0.00 |
| 99443 |
|
1,102 |
1,025 |
$0.00 |
| 82962 |
|
252 |
235 |
$0.00 |
| 3061F |
|
63 |
59 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
242 |
238 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
91 |
88 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |