| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,233 |
21,819 |
$640K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,393 |
10,276 |
$364K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,363 |
3,344 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,714 |
1,690 |
$95K |
| 99201 |
|
727 |
690 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,106 |
3,722 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,428 |
3,384 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
579 |
570 |
$30K |
| 99215 |
Prolong outpt/office vis |
371 |
325 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
501 |
499 |
$23K |
| G9920 |
Screening performed and negative |
868 |
854 |
$22K |
| 94760 |
|
11,954 |
11,083 |
$20K |
| 96156 |
|
1,700 |
1,669 |
$18K |
| 0012A |
|
237 |
235 |
$9K |
| 96127 |
|
2,031 |
2,022 |
$6K |
| 0011A |
|
230 |
230 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
614 |
579 |
$6K |
| 93000 |
|
304 |
297 |
$4K |
| 90686 |
|
180 |
178 |
$4K |
| 81002 |
|
1,037 |
985 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
46 |
$2K |
| 94761 |
|
3,696 |
3,362 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
830 |
817 |
$1K |
| 96151 |
|
84 |
83 |
$1K |
| 0013A |
|
33 |
33 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
37 |
35 |
$971.50 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
61 |
58 |
$667.03 |
| 96150 |
|
43 |
43 |
$631.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
336 |
331 |
$439.67 |
| 81001 |
|
217 |
207 |
$375.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$236.16 |
| 80076 |
|
43 |
43 |
$216.92 |
| 90656 |
|
12 |
12 |
$210.84 |
| 96125 |
|
19 |
18 |
$187.54 |
| 99001 |
|
237 |
214 |
$134.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,858 |
3,584 |
$61.50 |
| 90682 |
|
15 |
12 |
$52.32 |
| 4004F |
|
7,500 |
6,724 |
$48.00 |
| 3008F |
|
15,203 |
13,592 |
$37.52 |
| 1125F |
|
9,786 |
8,569 |
$37.50 |
| 99000 |
|
14 |
14 |
$32.67 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,180 |
2,848 |
$24.04 |
| 3074F |
|
8,668 |
8,024 |
$24.01 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
109 |
105 |
$21.58 |
| 99442 |
|
71 |
70 |
$18.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
33 |
$18.79 |
| 1036F |
|
14,787 |
12,736 |
$2.93 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
63 |
54 |
$0.10 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
10,039 |
9,155 |
$0.03 |
| 1003F |
|
12,314 |
11,015 |
$0.02 |
| 1159F |
|
14,777 |
12,755 |
$0.02 |
| 1160F |
|
14,402 |
12,446 |
$0.02 |
| 3078F |
|
9,275 |
8,581 |
$0.01 |
| 1170F |
|
13,999 |
12,589 |
$0.01 |
| 3077F |
|
1,186 |
1,111 |
$0.00 |
| 0521F |
|
580 |
527 |
$0.00 |
| 1158F |
|
1,896 |
1,744 |
$0.00 |
| 99071 |
|
1,536 |
1,456 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 3075F |
|
1,886 |
1,807 |
$0.00 |
| 1126F |
|
14,163 |
12,757 |
$0.00 |
| 1000F |
|
3,658 |
3,350 |
$0.00 |
| 3079F |
|
2,067 |
1,966 |
$0.00 |
| 1111F |
|
689 |
646 |
$0.00 |
| 99441 |
|
42 |
42 |
$0.00 |
| 1157F |
|
1,383 |
1,264 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
160 |
157 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
58 |
$0.00 |
| 3080F |
|
344 |
325 |
$0.00 |
| 88150 |
|
30 |
30 |
$0.00 |
| 4037F |
|
52 |
52 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |