| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,360 |
12,669 |
$819K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,690 |
5,289 |
$441K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,017 |
997 |
$82K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
180 |
179 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,071 |
1,919 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
277 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
276 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,309 |
2,227 |
$20K |
| 92587 |
|
918 |
901 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,069 |
939 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
175 |
175 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
219 |
$17K |
| 99215 |
Prolong outpt/office vis |
166 |
156 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
310 |
$12K |
| 90746 |
|
188 |
188 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
99 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,841 |
1,786 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
119 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
683 |
672 |
$9K |
| 90461 |
|
560 |
531 |
$8K |
| 36410 |
|
306 |
302 |
$4K |
| 3008F |
|
3,517 |
3,391 |
$4K |
| 90656 |
|
213 |
213 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
459 |
415 |
$2K |
| 90674 |
|
86 |
86 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
101 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
94 |
$1K |
| 99385 |
|
14 |
14 |
$1K |
| 97802 |
|
296 |
288 |
$1K |
| 82947 |
|
394 |
357 |
$1K |
| 90670 |
|
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
367 |
360 |
$782.87 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,147 |
5,430 |
$782.00 |
| 99401 |
|
45 |
44 |
$740.28 |
| 90658 |
|
40 |
40 |
$497.35 |
| 0333T |
|
50 |
50 |
$295.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
947 |
933 |
$257.00 |
| 90686 |
|
12 |
12 |
$135.65 |
| 99000 |
|
647 |
631 |
$105.25 |
| 90707 |
|
13 |
13 |
$89.87 |
| 81025 |
|
14 |
13 |
$82.46 |
| 82948 |
|
63 |
55 |
$49.30 |
| 99051 |
|
118 |
110 |
$35.00 |
| 81002 |
|
17 |
16 |
$23.19 |
| 99072 |
|
450 |
430 |
$21.00 |
| 1036F |
|
740 |
712 |
$10.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
14 |
$9.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
14 |
$9.20 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
24 |
24 |
$4.50 |
| 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) |
1,082 |
1,051 |
$3.50 |
| 3044F |
|
35 |
29 |
$2.00 |
| G8482 |
Influenza immunization administered or previously received |
481 |
470 |
$1.50 |
| 4551F |
|
1,264 |
1,191 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
648 |
611 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
73 |
73 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
451 |
402 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
235 |
228 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,129 |
1,100 |
$0.00 |