| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,842 |
3,159 |
$124K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,156 |
580 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
665 |
629 |
$9K |
| 99091 |
|
53 |
50 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
85 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
70 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
55 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
34 |
$2K |
| 99406 |
|
427 |
338 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
176 |
94 |
$1K |
| 99385 |
|
14 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$920.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
65 |
$832.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
76 |
74 |
$426.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$418.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
96 |
83 |
$402.10 |
| 90686 |
|
57 |
54 |
$382.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
387 |
359 |
$368.62 |
| 93000 |
|
29 |
29 |
$278.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
13 |
$241.86 |
| 90461 |
|
30 |
22 |
$230.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
120 |
109 |
$170.85 |
| 82947 |
|
90 |
78 |
$142.25 |
| 0012A |
|
19 |
19 |
$136.27 |
| 0011A |
|
25 |
23 |
$132.12 |
| 82044 |
|
17 |
13 |
$52.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
168 |
152 |
$48.96 |
| 82570 |
|
17 |
13 |
$48.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
409 |
368 |
$0.00 |
| 1170F |
|
50 |
40 |
$0.00 |
| 1036F |
|
2,241 |
1,837 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
114 |
87 |
$0.00 |
| 3008F |
|
3,675 |
3,003 |
$0.00 |
| 4000F |
|
296 |
226 |
$0.00 |
| 1125F |
|
592 |
523 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |
| 3079F |
|
55 |
45 |
$0.00 |
| 3075F |
|
51 |
43 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 1034F |
|
19 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
75 |
$0.00 |
| 91301 |
|
50 |
47 |
$0.00 |
| 1159F |
|
1,350 |
1,101 |
$0.00 |
| 1160F |
|
1,351 |
1,101 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
77 |
61 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
262 |
186 |
$0.00 |
| 3725F |
|
593 |
505 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 0518F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
96 |
67 |
$0.00 |
| 1090F |
|
50 |
40 |
$0.00 |
| 0521F |
|
446 |
395 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
77 |
61 |
$0.00 |
| 3288F |
|
49 |
39 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 3078F |
|
17 |
13 |
$0.00 |