| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,566 |
25,022 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,569 |
6,378 |
$493K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,089 |
2,081 |
$177K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,523 |
1,519 |
$142K |
| 90677 |
|
269 |
267 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,138 |
5,076 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
427 |
426 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
584 |
584 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,118 |
1,088 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
413 |
413 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,018 |
1,997 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
428 |
403 |
$28K |
| 90651 |
|
314 |
314 |
$26K |
| 90686 |
|
2,121 |
2,111 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
265 |
265 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
261 |
$20K |
| 90715 |
|
666 |
666 |
$16K |
| 96127 |
|
3,732 |
3,672 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,278 |
2,268 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
127 |
127 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,071 |
1,020 |
$9K |
| 0012A |
|
128 |
128 |
$5K |
| 81025 |
|
716 |
684 |
$5K |
| 0011A |
|
140 |
140 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
215 |
211 |
$3K |
| 90732 |
|
24 |
24 |
$3K |
| 81003 |
|
1,185 |
1,165 |
$2K |
| 90656 |
|
121 |
121 |
$2K |
| 0064A |
|
63 |
63 |
$2K |
| 99495 |
|
24 |
24 |
$2K |
| 90682 |
|
32 |
32 |
$2K |
| 99442 |
|
52 |
51 |
$1K |
| 99381 |
|
16 |
16 |
$1K |
| 90670 |
|
297 |
296 |
$1K |
| 90621 |
|
52 |
52 |
$999.96 |
| 99406 |
|
96 |
96 |
$630.82 |
| 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 |
1,925 |
1,920 |
$401.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$351.08 |
| 90474 |
|
108 |
108 |
$324.60 |
| 90619 |
|
83 |
83 |
$313.68 |
| 90716 |
|
92 |
92 |
$272.52 |
| 90734 |
|
119 |
119 |
$257.70 |
| 93000 |
|
27 |
26 |
$207.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
18 |
$189.96 |
| 99459 |
|
13 |
13 |
$146.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
113 |
92 |
$111.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,860 |
1,856 |
$101.00 |
| G0008 |
Administration of influenza virus vaccine |
139 |
138 |
$19.80 |
| 96160 |
|
12 |
12 |
$15.80 |
| 3078F |
|
5,423 |
5,207 |
$6.00 |
| 3074F |
|
8,044 |
7,626 |
$6.00 |
| 3077F |
|
3,439 |
3,258 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
117 |
116 |
$0.00 |
| 2028F |
|
165 |
165 |
$0.00 |
| 1160F |
|
153 |
140 |
$0.00 |
| 3051F |
|
27 |
26 |
$0.00 |
| 3045F |
|
66 |
66 |
$0.00 |
| 90700 |
|
45 |
45 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 3046F |
|
139 |
139 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 1159F |
|
155 |
142 |
$0.00 |
| 90707 |
|
77 |
77 |
$0.00 |
| 90662 |
|
27 |
27 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
18 |
18 |
$0.00 |
| 3080F |
|
3,338 |
3,184 |
$0.00 |
| 3079F |
|
6,053 |
5,853 |
$0.00 |
| 90647 |
|
109 |
109 |
$0.00 |
| 90723 |
|
134 |
134 |
$0.00 |
| 3044F |
|
577 |
573 |
$0.00 |
| 3075F |
|
3,269 |
3,202 |
$0.00 |
| 1220F |
|
72 |
72 |
$0.00 |
| 91306 |
|
60 |
60 |
$0.00 |
| 1125F |
|
18 |
17 |
$0.00 |
| 91301 |
|
195 |
191 |
$0.00 |
| 90698 |
|
31 |
31 |
$0.00 |
| 90680 |
|
112 |
112 |
$0.00 |
| 1111F |
|
24 |
24 |
$0.00 |