| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,784 |
2,443 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,866 |
3,378 |
$278K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,546 |
1,494 |
$31K |
| 92552 |
|
1,442 |
1,435 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
266 |
266 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
220 |
$20K |
| 92570 |
|
763 |
647 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
494 |
469 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
894 |
440 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
72 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,312 |
1,213 |
$7K |
| 69210 |
|
71 |
69 |
$4K |
| 96127 |
|
536 |
535 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
415 |
389 |
$2K |
| 99177 |
|
286 |
286 |
$1K |
| 99441 |
|
14 |
14 |
$666.18 |
| 36415 |
Collection of venous blood by venipuncture |
500 |
494 |
$264.19 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
220 |
214 |
$246.46 |
| 97802 |
|
2,069 |
1,992 |
$168.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
67 |
$101.50 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
91 |
91 |
$99.44 |
| 90461 |
|
193 |
191 |
$76.45 |
| 99173 |
|
443 |
443 |
$70.09 |
| 90686 |
|
99 |
99 |
$42.68 |
| 85018 |
|
26 |
26 |
$38.28 |
| 96160 |
|
422 |
421 |
$27.62 |
| 85014 |
|
14 |
14 |
$21.85 |
| 36416 |
|
24 |
24 |
$7.93 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,064 |
1,987 |
$0.00 |
| 3008F |
|
1,028 |
929 |
$0.00 |
| 1036F |
|
91 |
90 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
599 |
558 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
402 |
401 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
449 |
447 |
$0.00 |
| 1000F |
|
91 |
90 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
431 |
314 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
53 |
52 |
$0.00 |
| 99000 |
|
51 |
51 |
$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) |
484 |
479 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
610 |
577 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
176 |
176 |
$0.00 |
| 3725F |
|
109 |
108 |
$0.00 |
| 3210F |
|
270 |
252 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
50 |
40 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
46 |
46 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
44 |
44 |
$0.00 |