| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,279 |
16,430 |
$197K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,003 |
763 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,442 |
685 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,513 |
648 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,738 |
1,001 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
5,546 |
5,137 |
$20K |
| 99442 |
|
1,905 |
1,701 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
799 |
778 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
79 |
$5K |
| 99441 |
|
648 |
586 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
392 |
318 |
$5K |
| 81002 |
|
2,725 |
2,334 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
141 |
141 |
$2K |
| 99385 |
|
279 |
276 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
147 |
$1K |
| 3008F |
|
19,274 |
14,821 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,145 |
1,631 |
$1K |
| 1160F |
|
23,210 |
20,102 |
$1K |
| 90686 |
|
489 |
450 |
$825.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
109 |
$693.55 |
| 93000 |
|
255 |
236 |
$623.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
570 |
203 |
$601.80 |
| 1159F |
|
23,443 |
20,289 |
$480.73 |
| 90461 |
|
1,065 |
294 |
$346.28 |
| 90651 |
|
883 |
221 |
$287.62 |
| 3074F |
|
13,532 |
9,989 |
$272.60 |
| 2001F |
|
1,729 |
730 |
$269.42 |
| 99443 |
|
15 |
15 |
$151.32 |
| 3725F |
|
2,511 |
2,368 |
$149.65 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
91 |
77 |
$116.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
15 |
$88.27 |
| 90620 |
|
116 |
25 |
$72.54 |
| 3078F |
|
12,118 |
8,767 |
$64.62 |
| 90633 |
|
397 |
103 |
$62.54 |
| 90670 |
|
199 |
26 |
$60.00 |
| 1125F |
|
154 |
148 |
$55.12 |
| 3044F |
|
244 |
241 |
$42.51 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
12 |
$25.22 |
| 3079F |
|
3,089 |
2,894 |
$25.22 |
| 90685 |
|
33 |
30 |
$24.18 |
| 90658 |
|
17 |
17 |
$20.00 |
| 82948 |
|
213 |
175 |
$18.65 |
| 90734 |
|
289 |
61 |
$14.18 |
| 1034F |
|
604 |
544 |
$14.17 |
| 3075F |
|
1,515 |
1,415 |
$12.61 |
| 1036F |
|
957 |
880 |
$12.61 |
| 3077F |
|
247 |
228 |
$12.61 |
| 1111F |
|
423 |
397 |
$0.00 |
| 3319F |
|
17 |
16 |
$0.00 |
| 1170F |
|
72 |
68 |
$0.00 |
| 3080F |
|
109 |
101 |
$0.00 |
| 1126F |
|
645 |
597 |
$0.00 |
| 1220F |
|
165 |
158 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
188 |
112 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 4010F |
|
30 |
29 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 90680 |
|
15 |
13 |
$0.00 |
| 4013F |
|
12 |
12 |
$0.00 |
| 90710 |
|
29 |
26 |
$0.00 |
| 4004F |
|
93 |
82 |
$0.00 |
| 3016F |
|
91 |
86 |
$0.00 |
| 4120F |
|
187 |
169 |
$0.00 |
| 1158F |
|
61 |
61 |
$0.00 |
| 1003F |
|
25 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
55 |
38 |
$0.00 |
| 90715 |
|
135 |
12 |
$0.00 |
| 90648 |
|
41 |
12 |
$0.00 |