| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,468 |
36,547 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,274 |
12,668 |
$669K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,003 |
1,929 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,347 |
1,292 |
$94K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,107 |
1,072 |
$86K |
| 99349 |
|
2,521 |
1,286 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,162 |
3,239 |
$69K |
| 80305 |
|
5,896 |
4,998 |
$61K |
| 36415 |
Collection of venous blood by venipuncture |
19,556 |
17,668 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,572 |
1,690 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
377 |
365 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,147 |
2,040 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
354 |
$28K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
177 |
172 |
$24K |
| 99350 |
Prolong home eval add 15m |
424 |
190 |
$19K |
| 99490 |
Ccm add 20min |
1,803 |
1,694 |
$18K |
| 93000 |
|
812 |
776 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
121 |
$13K |
| 99348 |
|
1,125 |
697 |
$13K |
| 87428 |
|
296 |
284 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
730 |
707 |
$11K |
| 90688 |
|
684 |
656 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
108 |
$9K |
| 99442 |
|
211 |
187 |
$7K |
| 99406 |
|
862 |
788 |
$7K |
| 99487 |
Ccm add 20min |
253 |
238 |
$5K |
| 95923 |
|
78 |
55 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,811 |
1,467 |
$3K |
| 90686 |
|
174 |
172 |
$3K |
| 99344 |
|
25 |
25 |
$2K |
| 0513F |
|
128 |
115 |
$2K |
| 95921 |
|
78 |
55 |
$2K |
| 81025 |
|
243 |
226 |
$2K |
| 93923 |
|
79 |
56 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
32 |
$2K |
| 83014 |
|
182 |
177 |
$1K |
| 99386 |
|
13 |
13 |
$1K |
| 99443 |
|
28 |
27 |
$1K |
| 99051 |
|
73 |
68 |
$978.00 |
| 99385 |
|
12 |
12 |
$968.82 |
| 99439 |
|
93 |
88 |
$849.34 |
| 81003 |
|
900 |
841 |
$810.22 |
| 0011A |
|
34 |
29 |
$760.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$760.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$757.70 |
| 99347 |
|
83 |
79 |
$616.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
210 |
120 |
$527.02 |
| 0064A |
|
13 |
13 |
$400.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
55 |
53 |
$313.27 |
| 94010 |
|
13 |
13 |
$248.32 |
| 93040 |
|
38 |
32 |
$237.17 |
| 99407 |
|
25 |
13 |
$229.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
13 |
$225.97 |
| 20610 |
|
13 |
12 |
$207.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
458 |
429 |
$139.33 |
| 3044F |
|
116 |
114 |
$120.49 |
| 94761 |
|
38 |
32 |
$100.00 |
| 90694 |
|
29 |
28 |
$91.35 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
12 |
12 |
$47.95 |
| 90653 |
|
23 |
22 |
$46.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
111 |
108 |
$13.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
89 |
87 |
$11.25 |
| G0008 |
Administration of influenza virus vaccine |
208 |
199 |
$8.59 |
| 3074F |
|
566 |
536 |
$1.39 |
| 3079F |
|
289 |
279 |
$0.92 |
| 3078F |
|
256 |
241 |
$0.55 |
| 3077F |
|
129 |
120 |
$0.38 |
| 3080F |
|
103 |
96 |
$0.31 |
| 3075F |
|
16 |
15 |
$0.08 |
| 1160F |
|
1,631 |
1,449 |
$0.02 |
| 1159F |
|
1,629 |
1,452 |
$0.01 |
| 1036F |
|
277 |
268 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 1125F |
|
20 |
17 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
26 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
25 |
$0.00 |
| 4010F |
|
17 |
16 |
$0.00 |
| 91301 |
|
30 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
50 |
46 |
$0.00 |
| 4004F |
|
89 |
84 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
90 |
88 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
27 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |