| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,140 |
70,584 |
$5.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,292 |
11,130 |
$1.07M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
10,942 |
10,891 |
$977K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
9,963 |
9,921 |
$833K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,802 |
15,947 |
$660K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,745 |
3,741 |
$286K |
| 99385 |
|
1,876 |
1,875 |
$168K |
| 99386 |
|
1,393 |
1,391 |
$143K |
| 90674 |
|
5,096 |
5,094 |
$141K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,127 |
9,066 |
$94K |
| 90756 |
|
2,397 |
2,388 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
32,455 |
32,049 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,558 |
1,525 |
$28K |
| 99401 |
|
975 |
961 |
$27K |
| 90661 |
|
704 |
704 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
424 |
424 |
$22K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
647 |
644 |
$17K |
| 87110 |
|
1,382 |
1,377 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
125 |
$15K |
| 99384 |
|
157 |
157 |
$14K |
| 90688 |
|
550 |
550 |
$11K |
| 99397 |
|
131 |
130 |
$8K |
| 99442 |
|
399 |
348 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
81 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
619 |
616 |
$5K |
| 92250 |
|
417 |
416 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
368 |
356 |
$4K |
| 3074F |
|
3,204 |
3,099 |
$4K |
| 99497 |
|
87 |
87 |
$4K |
| 92228 |
|
170 |
170 |
$3K |
| 3078F |
|
2,331 |
2,262 |
$3K |
| 99383 |
|
29 |
29 |
$2K |
| 3079F |
|
1,987 |
1,933 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
103 |
103 |
$2K |
| 3075F |
|
1,129 |
1,106 |
$1K |
| 93000 |
|
78 |
78 |
$1K |
| 99406 |
|
104 |
103 |
$916.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
104 |
104 |
$858.47 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
24 |
24 |
$652.60 |
| 99000 |
|
348 |
346 |
$633.50 |
| 99441 |
|
53 |
50 |
$492.36 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
386 |
376 |
$473.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
276 |
262 |
$464.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,931 |
3,873 |
$329.05 |
| 3048F |
|
347 |
342 |
$288.00 |
| 99443 |
|
12 |
12 |
$280.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
162 |
156 |
$203.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$185.18 |
| 3044F |
|
460 |
453 |
$72.00 |
| 3061F |
|
57 |
57 |
$72.00 |
| 3046F |
|
13 |
13 |
$40.00 |
| 82270 |
|
174 |
172 |
$3.99 |
| 3008F |
|
8,905 |
8,718 |
$2.70 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
586 |
586 |
$2.50 |
| 82274 |
|
75 |
73 |
$0.57 |
| 4010F |
|
183 |
177 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
600 |
598 |
$0.00 |
| 1000F |
|
1,893 |
1,863 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 1036F |
|
1,320 |
1,307 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,342 |
1,332 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
915 |
848 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
703 |
690 |
$0.00 |
| 3292F |
|
1,163 |
1,153 |
$0.00 |
| 90651 |
|
31 |
30 |
$0.00 |
| 3014F |
|
34 |
33 |
$0.00 |
| 90686 |
|
35 |
35 |
$0.00 |
| 90656 |
|
50 |
50 |
$0.00 |
| 1157F |
|
24 |
24 |
$0.00 |
| 3011F |
|
44 |
44 |
$0.00 |
| 2028F |
|
1,422 |
1,366 |
$0.00 |
| 3725F |
|
2,762 |
2,707 |
$0.00 |
| 3015F |
|
18 |
17 |
$0.00 |
| 3016F |
|
735 |
720 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
170 |
168 |
$0.00 |
| 1159F |
|
188 |
181 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
692 |
678 |
$0.00 |
| 1160F |
|
422 |
402 |
$0.00 |
| 1032F |
|
43 |
43 |
$0.00 |
| 1158F |
|
25 |
25 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 3045F |
|
173 |
168 |
$0.00 |
| 2022F |
|
34 |
31 |
$0.00 |
| 4004F |
|
30 |
28 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
54 |
52 |
$0.00 |
| 90734 |
|
57 |
56 |
$0.00 |
| 3051F |
|
104 |
103 |
$0.00 |
| 90715 |
|
23 |
23 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |