| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,190 |
15,648 |
$652K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,970 |
1,912 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,483 |
1,443 |
$129K |
| 99423 |
|
2,150 |
542 |
$110K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,467 |
7,020 |
$102K |
| 99444 |
|
1,539 |
402 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
622 |
600 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
657 |
639 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,266 |
1,744 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,352 |
1,812 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,500 |
1,398 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,380 |
2,185 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
140 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
261 |
247 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
737 |
703 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
626 |
424 |
$7K |
| 99091 |
|
44 |
44 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
114 |
$5K |
| 90461 |
|
460 |
342 |
$3K |
| 90686 |
|
1,166 |
1,118 |
$3K |
| 87807 |
|
278 |
260 |
$3K |
| 99406 |
|
787 |
600 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
68 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,080 |
1,010 |
$2K |
| 93000 |
|
209 |
184 |
$2K |
| 90619 |
|
93 |
89 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
292 |
265 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$1K |
| 97169 |
|
38 |
38 |
$865.80 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
92 |
92 |
$823.93 |
| 90651 |
|
246 |
235 |
$720.00 |
| 81003 |
|
243 |
229 |
$370.83 |
| 82947 |
|
164 |
146 |
$272.94 |
| 0012A |
|
60 |
60 |
$229.96 |
| 90656 |
|
47 |
47 |
$215.75 |
| 90620 |
|
78 |
76 |
$180.00 |
| 82044 |
|
62 |
55 |
$163.43 |
| 82570 |
|
63 |
56 |
$140.30 |
| 0011A |
|
57 |
56 |
$138.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
67 |
$123.72 |
| 90734 |
|
109 |
105 |
$90.00 |
| 90715 |
|
102 |
94 |
$60.00 |
| 90688 |
|
14 |
12 |
$15.96 |
| 90677 |
|
12 |
12 |
$0.04 |
| 91301 |
|
119 |
118 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,832 |
6,192 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 3008F |
|
14,569 |
12,705 |
$0.00 |
| 1036F |
|
4,338 |
3,517 |
$0.00 |
| 4000F |
|
318 |
249 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
629 |
480 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
480 |
354 |
$0.00 |
| 3079F |
|
69 |
66 |
$0.00 |
| 1125F |
|
1,032 |
925 |
$0.00 |
| 1170F |
|
76 |
68 |
$0.00 |
| 3074F |
|
46 |
44 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
12 |
$0.00 |
| 99458 |
|
13 |
13 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| 99457 |
|
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
27 |
15 |
$0.00 |
| 1160F |
|
4,182 |
3,579 |
$0.00 |
| 0521F |
|
766 |
712 |
$0.00 |
| 3725F |
|
1,422 |
1,243 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
260 |
207 |
$0.00 |
| 1159F |
|
4,186 |
3,581 |
$0.00 |
| 0518F |
|
43 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,102 |
813 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
49 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
670 |
503 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
221 |
184 |
$0.00 |
| 90710 |
|
43 |
39 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
15 |
$0.00 |
| 3288F |
|
78 |
68 |
$0.00 |
| 1090F |
|
76 |
68 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
105 |
94 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 3077F |
|
17 |
15 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |