| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,067 |
49,108 |
$2.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,684 |
9,518 |
$723K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,366 |
3,363 |
$288K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,793 |
1,790 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,079 |
2,906 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,185 |
1,183 |
$86K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,603 |
1,542 |
$80K |
| 94060 |
|
945 |
944 |
$39K |
| 0012A |
|
1,142 |
1,142 |
$36K |
| 0011A |
|
1,230 |
1,230 |
$34K |
| 90686 |
|
1,553 |
1,539 |
$28K |
| 99385 |
|
329 |
328 |
$27K |
| 93000 |
|
1,702 |
1,697 |
$22K |
| 99050 |
|
2,472 |
2,382 |
$20K |
| 99443 |
|
381 |
367 |
$17K |
| 0001A |
|
624 |
624 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,665 |
1,662 |
$15K |
| 0002A |
|
550 |
550 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,299 |
1,297 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
554 |
546 |
$11K |
| 0013A |
|
274 |
274 |
$10K |
| 99442 |
|
270 |
266 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
424 |
409 |
$7K |
| 99406 |
|
752 |
743 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
698 |
687 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
119 |
118 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$6K |
| 99441 |
|
371 |
348 |
$6K |
| 0031A |
|
206 |
206 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
406 |
397 |
$5K |
| 87428 |
|
54 |
51 |
$4K |
| 0004A |
|
102 |
102 |
$4K |
| 99386 |
|
45 |
45 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$3K |
| 92250 |
|
74 |
74 |
$3K |
| 0071A |
|
71 |
71 |
$3K |
| 0072A |
|
42 |
42 |
$1K |
| 0003A |
|
40 |
40 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
285 |
277 |
$728.30 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$678.73 |
| 92587 |
|
30 |
30 |
$571.44 |
| 93922 |
|
14 |
14 |
$382.97 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$210.15 |
| 3074F |
|
5,630 |
5,442 |
$120.00 |
| 86580 |
|
26 |
26 |
$119.18 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
13 |
$118.54 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
13 |
13 |
$102.70 |
| 3044F |
|
167 |
164 |
$60.00 |
| 81002 |
|
24 |
24 |
$48.00 |
| 3078F |
|
3,990 |
3,860 |
$40.00 |
| 3079F |
|
3,223 |
3,145 |
$20.00 |
| G8482 |
Influenza immunization administered or previously received |
8,533 |
8,198 |
$17.93 |
| 91300 |
|
1,179 |
1,064 |
$13.23 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
13,245 |
12,574 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12,767 |
12,138 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14,226 |
13,505 |
$0.00 |
| 1036F |
|
5,602 |
5,366 |
$0.00 |
| 3075F |
|
1,676 |
1,656 |
$0.00 |
| 91303 |
|
183 |
183 |
$0.00 |
| 91301 |
|
2,435 |
2,408 |
$0.00 |
| G9907 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) |
122 |
120 |
$0.00 |
| 3080F |
|
585 |
576 |
$0.00 |
| 3017F |
|
319 |
319 |
$0.00 |
| G0028 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
1,001 |
950 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 1123F |
|
15 |
15 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
51 |
51 |
$0.00 |
| 91307 |
|
106 |
100 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
17 |
$0.00 |
| 91306 |
|
17 |
17 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |
| 1170F |
|
19 |
19 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
18 |
18 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
15,998 |
15,177 |
$0.00 |
| 4004F |
|
13,617 |
12,987 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
3,878 |
3,697 |
$0.00 |
| 3077F |
|
1,526 |
1,492 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
9,238 |
8,885 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
46,523 |
43,628 |
$0.00 |
| 3046F |
|
268 |
257 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
3,200 |
3,069 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
895 |
816 |
$0.00 |
| G9904 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
7,681 |
7,307 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
741 |
698 |
$0.00 |
| G2089 |
Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% |
35 |
35 |
$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) |
1,446 |
1,374 |
$0.00 |
| G9909 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) |
116 |
114 |
$0.00 |
| 3725F |
|
71 |
71 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G9708 |
Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy |
88 |
84 |
$0.00 |
| 1159F |
|
27 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
17 |
$0.00 |
| 1160F |
|
27 |
26 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |