| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,784 |
23,086 |
$679K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,258 |
11,231 |
$354K |
| 99091 |
|
2,724 |
2,629 |
$215K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,967 |
2,835 |
$133K |
| 99423 |
|
2,078 |
801 |
$119K |
| 99444 |
|
1,835 |
436 |
$104K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,910 |
1,406 |
$36K |
| 99422 |
|
1,268 |
667 |
$28K |
| 99000 |
|
2,058 |
1,979 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
178 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,735 |
1,562 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
917 |
884 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,834 |
4,703 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,734 |
412 |
$9K |
| 80053 |
Comprehensive metabolic panel |
3,388 |
3,320 |
$3K |
| 81001 |
|
2,407 |
2,313 |
$3K |
| 90686 |
|
334 |
330 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
877 |
857 |
$2K |
| 99490 |
Ccm add 20min |
1,111 |
1,106 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
68 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
73 |
$970.13 |
| 99421 |
|
46 |
30 |
$822.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
986 |
973 |
$706.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
57 |
$672.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$580.45 |
| 93923 |
|
33 |
29 |
$458.22 |
| 99441 |
|
65 |
55 |
$351.68 |
| 80061 |
Lipid panel |
702 |
686 |
$339.99 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
68 |
64 |
$292.74 |
| 96161 |
|
119 |
117 |
$258.44 |
| 99439 |
|
459 |
458 |
$239.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
263 |
239 |
$232.14 |
| 99307 |
|
230 |
211 |
$216.80 |
| 99457 |
|
880 |
871 |
$208.39 |
| 0012A |
|
37 |
37 |
$208.00 |
| 99454 |
|
670 |
667 |
$204.45 |
| 99051 |
|
68 |
68 |
$194.22 |
| 93922 |
|
13 |
13 |
$137.61 |
| 90461 |
|
20 |
12 |
$135.27 |
| 0011A |
|
49 |
49 |
$130.82 |
| 83721 |
|
206 |
203 |
$73.19 |
| 99458 |
|
603 |
603 |
$72.10 |
| 82044 |
|
241 |
236 |
$70.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
22 |
16 |
$45.30 |
| 99453 |
|
53 |
52 |
$37.37 |
| 82274 |
|
24 |
24 |
$36.66 |
| 82570 |
|
73 |
73 |
$36.24 |
| 90688 |
|
40 |
39 |
$33.62 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
75 |
75 |
$23.30 |
| 91301 |
|
164 |
163 |
$0.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
48 |
$0.03 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
605 |
603 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
596 |
594 |
$0.00 |
| 1170F |
|
659 |
657 |
$0.00 |
| 1036F |
|
403 |
402 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
565 |
563 |
$0.00 |
| 1126F |
|
148 |
148 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
544 |
544 |
$0.00 |
| 1125F |
|
66 |
60 |
$0.00 |
| 96127 |
|
23 |
22 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 1101F |
|
133 |
133 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
41 |
$0.00 |
| 1111F |
|
67 |
65 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
634 |
632 |
$0.00 |
| 90662 |
|
306 |
305 |
$0.00 |
| 3725F |
|
478 |
477 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
224 |
219 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
456 |
456 |
$0.00 |
| 1159F |
|
361 |
344 |
$0.00 |
| 1100F |
|
62 |
62 |
$0.00 |
| 1160F |
|
270 |
261 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |