| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,514 |
11,003 |
$1.23M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,408 |
1,406 |
$181K |
| 99487 |
Ccm add 20min |
1,370 |
1,347 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
997 |
940 |
$114K |
| 99442 |
|
752 |
675 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,591 |
1,534 |
$25K |
| 99443 |
|
279 |
255 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
366 |
$20K |
| 93000 |
|
1,475 |
1,459 |
$19K |
| 94010 |
|
639 |
636 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
453 |
440 |
$13K |
| 90756 |
|
459 |
458 |
$13K |
| 94664 |
|
929 |
920 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$10K |
| 90686 |
|
328 |
328 |
$7K |
| 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) |
415 |
333 |
$6K |
| 90688 |
|
282 |
279 |
$5K |
| 3078F |
|
2,356 |
1,877 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
355 |
$5K |
| 3074F |
|
2,194 |
1,738 |
$5K |
| 90682 |
|
68 |
68 |
$4K |
| 92552 |
|
119 |
119 |
$4K |
| 99491 |
Ccm add 20min |
68 |
68 |
$3K |
| 99406 |
|
309 |
309 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
125 |
125 |
$2K |
| 99441 |
|
103 |
95 |
$2K |
| 87807 |
|
335 |
326 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
244 |
243 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,177 |
3,116 |
$643.42 |
| 90658 |
|
37 |
37 |
$636.67 |
| 90715 |
|
13 |
12 |
$577.49 |
| 81002 |
|
198 |
196 |
$505.63 |
| 1159F |
|
2,512 |
1,960 |
$505.00 |
| 1160F |
|
2,661 |
1,986 |
$490.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
19 |
18 |
$445.76 |
| 92228 |
|
12 |
12 |
$341.94 |
| 99408 |
|
374 |
373 |
$330.00 |
| 3075F |
|
109 |
100 |
$261.50 |
| 3044F |
|
276 |
270 |
$157.00 |
| 82962 |
|
70 |
70 |
$144.37 |
| 80061 |
Lipid panel |
16 |
16 |
$132.32 |
| 3079F |
|
55 |
51 |
$125.00 |
| 99072 |
|
78 |
65 |
$110.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$96.00 |
| 99173 |
|
86 |
83 |
$71.70 |
| 3048F |
|
76 |
75 |
$63.00 |
| 3049F |
|
41 |
39 |
$18.00 |
| 94760 |
|
62 |
57 |
$5.93 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
353 |
310 |
$3.44 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
331 |
297 |
$3.44 |
| G9275 |
Documentation that patient is a current non-tobacco user |
662 |
662 |
$2.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
790 |
787 |
$2.06 |
| 99000 |
|
334 |
329 |
$0.00 |
| 1000F |
|
124 |
124 |
$0.00 |
| 3061F |
|
209 |
203 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
745 |
744 |
$0.00 |
| 1036F |
|
114 |
114 |
$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) |
29 |
29 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 91301 |
|
15 |
13 |
$0.00 |
| 3725F |
|
138 |
138 |
$0.00 |