| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,394 |
9,682 |
$705K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,238 |
9,925 |
$585K |
| 99199 |
Unlisted special service, procedure or report |
69,410 |
36,162 |
$487K |
| 87428 |
|
601 |
570 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,550 |
1,028 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,294 |
1,114 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
443 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,250 |
2,826 |
$5K |
| 96127 |
|
1,152 |
954 |
$5K |
| 87430 |
|
297 |
277 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
24 |
$772.97 |
| 92552 |
|
282 |
249 |
$761.98 |
| 96160 |
|
199 |
178 |
$646.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
90 |
71 |
$547.98 |
| 94010 |
|
12 |
12 |
$258.43 |
| 99173 |
|
374 |
331 |
$207.04 |
| 94664 |
|
12 |
12 |
$133.56 |
| 90688 |
|
21 |
13 |
$130.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
15 |
$119.86 |
| 90658 |
|
13 |
12 |
$77.09 |
| 81001 |
|
13 |
12 |
$33.18 |
| 92551 |
|
31 |
31 |
$32.08 |
| 81003 |
|
13 |
12 |
$30.47 |
| 1160F |
|
20,972 |
17,120 |
$3.49 |
| 1159F |
|
20,352 |
16,583 |
$3.47 |
| 3008F |
|
17,119 |
14,022 |
$1.74 |
| 3074F |
|
3,251 |
2,558 |
$0.77 |
| 3078F |
|
1,594 |
1,252 |
$0.48 |
| 3079F |
|
2,157 |
1,792 |
$0.43 |
| 3080F |
|
94 |
80 |
$0.06 |
| 3075F |
|
262 |
235 |
$0.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,770 |
1,562 |
$0.04 |
| 1036F |
|
5,599 |
4,490 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
270 |
222 |
$0.00 |
| 3017F |
|
483 |
429 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| 1034F |
|
535 |
427 |
$0.00 |
| 3048F |
|
59 |
54 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 94760 |
|
45 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3014F |
|
30 |
25 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 99072 |
|
220 |
201 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
162 |
146 |
$0.00 |
| 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) |
1,024 |
841 |
$0.00 |
| 3725F |
|
312 |
260 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
207 |
192 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
196 |
181 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 3015F |
|
14 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |