| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,020 |
21,568 |
$2.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,065 |
18,344 |
$1.39M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,062 |
4,021 |
$387K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,708 |
3,670 |
$319K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
590 |
588 |
$73K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,524 |
1,471 |
$48K |
| 99401 |
|
1,929 |
1,736 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
9,666 |
9,256 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,342 |
1,147 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,031 |
2,415 |
$21K |
| 99496 |
|
214 |
201 |
$20K |
| 96127 |
|
5,732 |
5,461 |
$17K |
| 90688 |
|
1,034 |
1,030 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
195 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
171 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,332 |
1,266 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
279 |
270 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,484 |
1,477 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
545 |
536 |
$9K |
| 99406 |
|
981 |
929 |
$7K |
| 81002 |
|
2,721 |
2,626 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
65 |
64 |
$6K |
| 90756 |
|
305 |
299 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
723 |
717 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
444 |
275 |
$5K |
| 93000 |
|
618 |
611 |
$5K |
| 90686 |
|
342 |
340 |
$4K |
| 99000 |
|
925 |
865 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
191 |
$2K |
| 90656 |
|
138 |
137 |
$2K |
| 96160 |
|
1,266 |
1,248 |
$2K |
| 87428 |
|
44 |
44 |
$976.19 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$953.55 |
| 20610 |
|
68 |
47 |
$726.02 |
| 83014 |
|
198 |
195 |
$577.99 |
| 82962 |
|
190 |
182 |
$381.10 |
| 90658 |
|
32 |
32 |
$357.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
507 |
484 |
$264.15 |
| 99408 |
|
19 |
19 |
$260.10 |
| 20553 |
|
14 |
13 |
$233.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
548 |
513 |
$140.02 |
| 90662 |
|
60 |
56 |
$83.49 |
| 86580 |
|
16 |
14 |
$76.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,926 |
5,781 |
$16.25 |
| 3078F |
|
5,809 |
4,951 |
$10.12 |
| 3074F |
|
5,613 |
4,776 |
$9.70 |
| 3079F |
|
1,472 |
1,376 |
$2.76 |
| 3075F |
|
1,215 |
1,146 |
$2.19 |
| 3077F |
|
904 |
836 |
$1.99 |
| 3080F |
|
458 |
427 |
$1.02 |
| 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) |
2,157 |
2,120 |
$0.03 |
| 3051F |
|
13 |
12 |
$0.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
226 |
225 |
$0.01 |
| 1170F |
|
299 |
298 |
$0.00 |
| 1125F |
|
260 |
259 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
188 |
186 |
$0.00 |
| 3044F |
|
278 |
278 |
$0.00 |
| 1126F |
|
24 |
24 |
$0.00 |
| 3288F |
|
275 |
274 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
98 |
96 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
13 |
$0.00 |
| 99072 |
|
118 |
107 |
$0.00 |