| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,499 |
6,697 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,988 |
1,731 |
$21K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,112 |
981 |
$14K |
| 94010 |
|
791 |
679 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
852 |
736 |
$5K |
| 93000 |
|
1,025 |
849 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
263 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,682 |
3,284 |
$2K |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
653 |
594 |
$2K |
| 99215 |
Prolong outpt/office vis |
136 |
125 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,194 |
986 |
$2K |
| 81002 |
|
2,708 |
2,358 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
789 |
646 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
571 |
500 |
$943.93 |
| 96136 |
|
144 |
123 |
$903.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
441 |
395 |
$895.04 |
| 90756 |
|
126 |
122 |
$892.40 |
| 99495 |
|
25 |
24 |
$853.24 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
392 |
350 |
$821.49 |
| 82947 |
|
981 |
832 |
$626.75 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
12 |
$592.03 |
| 90674 |
|
103 |
86 |
$508.41 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
111 |
94 |
$413.57 |
| 0011A |
|
39 |
36 |
$380.00 |
| 90688 |
|
62 |
54 |
$238.56 |
| 90686 |
|
70 |
66 |
$192.09 |
| 99397 |
|
418 |
362 |
$181.46 |
| 99442 |
|
14 |
13 |
$160.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$141.32 |
| 99441 |
|
30 |
28 |
$140.01 |
| 94644 |
|
13 |
12 |
$131.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$59.10 |
| 36416 |
|
101 |
77 |
$8.44 |
| 94760 |
|
16 |
15 |
$0.09 |
| 1159F |
|
2,407 |
2,179 |
$0.04 |
| 1160F |
|
1,483 |
1,357 |
$0.03 |
| 3074F |
|
2,614 |
2,372 |
$0.03 |
| 3044F |
|
1,000 |
914 |
$0.03 |
| 3078F |
|
2,857 |
2,583 |
$0.02 |
| 1125F |
|
1,459 |
1,350 |
$0.02 |
| 3008F |
|
3,122 |
2,815 |
$0.01 |
| 3725F |
|
511 |
441 |
$0.00 |
| 1090F |
|
362 |
324 |
$0.00 |
| 0521F |
|
1,002 |
931 |
$0.00 |
| 82274 |
|
67 |
58 |
$0.00 |
| 99354 |
|
14 |
13 |
$0.00 |
| 4274F |
|
31 |
29 |
$0.00 |
| 3077F |
|
129 |
123 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
85 |
77 |
$0.00 |
| 3050F |
|
26 |
26 |
$0.00 |
| 90687 |
|
72 |
50 |
$0.00 |
| 1170F |
|
1,145 |
1,032 |
$0.00 |
| 3049F |
|
1,022 |
925 |
$0.00 |
| 1126F |
|
453 |
409 |
$0.00 |
| 3048F |
|
337 |
303 |
$0.00 |
| 3079F |
|
311 |
290 |
$0.00 |
| 3075F |
|
378 |
344 |
$0.00 |
| 4037F |
|
56 |
54 |
$0.00 |
| 1034F |
|
102 |
93 |
$0.00 |
| 4010F |
|
97 |
89 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 3080F |
|
29 |
26 |
$0.00 |
| 1111F |
|
22 |
15 |
$0.00 |