| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,880 |
6,940 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,569 |
2,731 |
$149K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
567 |
461 |
$37K |
| 99490 |
Ccm add 20min |
4,797 |
3,656 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
795 |
617 |
$6K |
| 90686 |
|
533 |
406 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
844 |
616 |
$5K |
| 0003A |
|
204 |
153 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
55 |
$4K |
| 99439 |
|
1,423 |
1,270 |
$4K |
| 0124A |
|
83 |
77 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,343 |
899 |
$2K |
| 90682 |
|
53 |
34 |
$2K |
| 0001A |
|
49 |
48 |
$2K |
| 90662 |
|
309 |
237 |
$2K |
| 0002A |
|
53 |
46 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
15 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$924.60 |
| 90734 |
|
19 |
14 |
$874.62 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
75 |
48 |
$519.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
30 |
$424.66 |
| 0013A |
|
21 |
17 |
$320.00 |
| 0004A |
|
22 |
17 |
$304.21 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
49 |
33 |
$286.34 |
| 90756 |
|
33 |
14 |
$266.60 |
| 99487 |
Ccm add 20min |
63 |
38 |
$168.32 |
| G0008 |
Administration of influenza virus vaccine |
287 |
217 |
$165.71 |
| 99484 |
|
89 |
87 |
$159.25 |
| 82607 |
|
46 |
39 |
$150.80 |
| 93000 |
|
26 |
14 |
$112.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
60 |
49 |
$42.15 |
| 92552 |
|
37 |
24 |
$41.50 |
| 91300 |
|
490 |
382 |
$23.56 |
| 81002 |
|
32 |
28 |
$17.76 |
| 91301 |
|
53 |
42 |
$0.06 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
309 |
198 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
83 |
73 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
34 |
25 |
$0.00 |
| 91312 |
|
60 |
57 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
29 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$0.00 |
| 1111F |
|
19 |
12 |
$0.00 |