| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,907 |
7,982 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,259 |
4,468 |
$160K |
| 99444 |
|
545 |
147 |
$31K |
| 99000 |
|
1,608 |
1,530 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,762 |
3,591 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
853 |
402 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,823 |
1,774 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
439 |
415 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
661 |
570 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
62 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
256 |
$5K |
| 99490 |
Ccm add 20min |
1,207 |
1,206 |
$4K |
| 81000 |
|
3,025 |
2,853 |
$4K |
| 99215 |
Prolong outpt/office vis |
68 |
63 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
93 |
$2K |
| 99354 |
|
224 |
216 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$1K |
| 90682 |
|
44 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$841.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
84 |
$810.15 |
| 81001 |
|
447 |
428 |
$761.28 |
| 82043 |
|
534 |
514 |
$693.27 |
| 82570 |
|
665 |
642 |
$634.24 |
| 36410 |
|
141 |
136 |
$619.56 |
| 90686 |
|
122 |
118 |
$502.53 |
| 90461 |
|
80 |
70 |
$159.36 |
| 96116 |
|
78 |
76 |
$138.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
46 |
$80.48 |
| 82947 |
|
1,039 |
787 |
$73.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
30 |
$72.82 |
| 90656 |
|
13 |
13 |
$69.88 |
| 82948 |
|
13 |
13 |
$4.23 |
| 90734 |
|
12 |
12 |
$0.01 |
| 90651 |
|
14 |
12 |
$0.01 |
| 4013F |
|
803 |
680 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
1,598 |
1,332 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,215 |
1,876 |
$0.00 |
| 3288F |
|
154 |
143 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,719 |
2,300 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
528 |
453 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
193 |
185 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
244 |
237 |
$0.00 |
| 3078F |
|
93 |
79 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
22 |
20 |
$0.00 |
| 3045F |
|
108 |
88 |
$0.00 |
| 90662 |
|
49 |
49 |
$0.00 |
| 3077F |
|
44 |
39 |
$0.00 |
| 90756 |
|
54 |
52 |
$0.00 |
| 3008F |
|
862 |
774 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,187 |
2,645 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,001 |
1,889 |
$0.00 |
| 1101F |
|
433 |
406 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
195 |
190 |
$0.00 |
| 1036F |
|
159 |
154 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
178 |
176 |
$0.00 |
| 3044F |
|
768 |
639 |
$0.00 |
| 3048F |
|
678 |
594 |
$0.00 |
| 4008F |
|
99 |
82 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
102 |
100 |
$0.00 |
| 2000F |
|
140 |
131 |
$0.00 |
| 82962 |
|
111 |
86 |
$0.00 |
| 4010F |
|
19 |
15 |
$0.00 |
| 3049F |
|
84 |
66 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
30 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
58 |
54 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
27 |
$0.00 |
| 3074F |
|
41 |
38 |
$0.00 |