| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,363 |
8,822 |
$458K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,469 |
6,719 |
$368K |
| 99490 |
Ccm add 20min |
5,799 |
5,183 |
$138K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
625 |
502 |
$34K |
| 99439 |
|
1,045 |
967 |
$26K |
| 99457 |
|
803 |
773 |
$26K |
| 99454 |
|
539 |
521 |
$22K |
| 99491 |
Ccm add 20min |
538 |
456 |
$20K |
| 99458 |
|
730 |
703 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
301 |
213 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
824 |
698 |
$17K |
| 99408 |
|
960 |
755 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
575 |
524 |
$12K |
| 90682 |
|
682 |
406 |
$10K |
| 96127 |
|
3,048 |
2,241 |
$8K |
| 99215 |
Prolong outpt/office vis |
58 |
56 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
811 |
692 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
50 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,016 |
645 |
$4K |
| 99487 |
Ccm add 20min |
156 |
136 |
$2K |
| 99453 |
|
95 |
94 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
88 |
$1K |
| 96160 |
|
1,021 |
842 |
$1K |
| 92552 |
|
124 |
95 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
27 |
$1K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
84 |
67 |
$887.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$798.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
95 |
$689.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
259 |
207 |
$621.75 |
| 0011A |
|
22 |
22 |
$561.60 |
| 96125 |
|
60 |
43 |
$397.78 |
| 81002 |
|
719 |
519 |
$363.05 |
| 0012A |
|
18 |
18 |
$361.60 |
| 99173 |
|
173 |
138 |
$234.01 |
| 0001A |
|
14 |
13 |
$120.00 |
| 99489 |
Ccm add 20min |
36 |
31 |
$81.30 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
13 |
$71.84 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
127 |
112 |
$70.12 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
172 |
139 |
$50.82 |
| 93000 |
|
39 |
29 |
$34.18 |
| 91301 |
|
66 |
66 |
$0.02 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
33 |
25 |
$0.00 |
| 3078F |
|
1,117 |
998 |
$0.00 |
| 99072 |
|
1,566 |
1,276 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
23 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
24 |
$0.00 |
| 91300 |
|
60 |
49 |
$0.00 |
| 3074F |
|
1,287 |
1,143 |
$0.00 |
| 1101F |
|
374 |
301 |
$0.00 |
| 3075F |
|
227 |
209 |
$0.00 |
| 3079F |
|
436 |
404 |
$0.00 |
| 1170F |
|
75 |
68 |
$0.00 |
| 99406 |
|
156 |
86 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |
| 1111F |
|
174 |
148 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
17 |
$0.00 |