| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,287 |
29,501 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,179 |
29,093 |
$1.09M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,124 |
1,680 |
$77K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,356 |
1,268 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,473 |
969 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,830 |
1,677 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
477 |
$31K |
| 96127 |
|
9,390 |
7,928 |
$30K |
| 92587 |
|
1,574 |
1,449 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
391 |
352 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,104 |
996 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
288 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
223 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
699 |
646 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
267 |
217 |
$15K |
| 90686 |
|
1,330 |
1,115 |
$12K |
| 3008F |
|
44,311 |
36,239 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
170 |
157 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
872 |
796 |
$8K |
| 0011A |
|
236 |
169 |
$8K |
| 0012A |
|
226 |
166 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
4,548 |
3,813 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
634 |
494 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
179 |
139 |
$4K |
| 99173 |
|
1,642 |
1,500 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
295 |
245 |
$4K |
| 99215 |
Prolong outpt/office vis |
77 |
72 |
$4K |
| 99406 |
|
562 |
474 |
$3K |
| 97802 |
|
52 |
36 |
$2K |
| 85018 |
|
1,118 |
1,032 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
273 |
242 |
$2K |
| 0013A |
|
63 |
51 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$1K |
| 36416 |
|
776 |
704 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
14 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
364 |
317 |
$778.43 |
| 87430 |
|
86 |
76 |
$732.37 |
| 90697 |
|
18 |
12 |
$708.80 |
| 81003 |
|
381 |
336 |
$539.44 |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$483.95 |
| 3074F |
|
1,231 |
995 |
$470.00 |
| 90651 |
|
29 |
26 |
$407.30 |
| 3079F |
|
571 |
465 |
$390.12 |
| 3078F |
|
944 |
765 |
$380.00 |
| 94760 |
|
1,210 |
967 |
$376.60 |
| 81025 |
|
71 |
65 |
$356.18 |
| 90461 |
|
322 |
243 |
$148.67 |
| 87807 |
|
12 |
12 |
$136.64 |
| 90656 |
|
17 |
14 |
$103.86 |
| 3077F |
|
100 |
88 |
$80.00 |
| 90480 |
|
14 |
13 |
$75.09 |
| 3080F |
|
30 |
26 |
$60.00 |
| 91301 |
|
66 |
49 |
$40.00 |
| 3075F |
|
119 |
93 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
117 |
93 |
$20.98 |
| 88738 |
|
817 |
731 |
$0.00 |
| 99000 |
|
4,130 |
3,426 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
196 |
164 |
$0.00 |
| 1036F |
|
143 |
126 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
44 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
131 |
109 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
200 |
179 |
$0.00 |
| 1111F |
|
113 |
90 |
$0.00 |
| 3044F |
|
15 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |
| 4037F |
|
51 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,660 |
1,383 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
237 |
203 |
$0.00 |
| 90715 |
|
28 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
91 |
83 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
37 |
29 |
$0.00 |
| 90662 |
|
14 |
13 |
$0.00 |