| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,227 |
13,522 |
$820K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,785 |
4,006 |
$357K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,615 |
2,073 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,877 |
1,460 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,520 |
3,347 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
834 |
628 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,558 |
1,617 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
250 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,254 |
714 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
332 |
203 |
$12K |
| 99173 |
|
3,262 |
2,408 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
385 |
293 |
$10K |
| 90670 |
|
1,350 |
1,134 |
$9K |
| 92551 |
|
2,650 |
1,992 |
$9K |
| 99460 |
|
234 |
188 |
$7K |
| 90686 |
|
923 |
724 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,049 |
660 |
$6K |
| 90680 |
|
921 |
710 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
292 |
243 |
$4K |
| 90723 |
|
569 |
500 |
$4K |
| 90633 |
|
558 |
404 |
$3K |
| 99381 |
|
85 |
54 |
$3K |
| 90647 |
|
400 |
343 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$3K |
| 99462 |
|
127 |
96 |
$2K |
| 90697 |
|
380 |
233 |
$2K |
| 90648 |
|
231 |
216 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,087 |
798 |
$1K |
| 90674 |
|
133 |
117 |
$1K |
| 81003 |
|
484 |
360 |
$1K |
| 90671 |
|
207 |
129 |
$992.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
38 |
$926.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
89 |
$911.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
89 |
$848.00 |
| 87807 |
|
98 |
75 |
$814.00 |
| 90651 |
|
83 |
38 |
$248.00 |
| 36416 |
|
88 |
44 |
$105.00 |
| 90700 |
|
24 |
12 |
$80.00 |
| 85014 |
|
490 |
399 |
$30.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
14 |
$20.00 |
| 3078F |
|
13,190 |
10,022 |
$0.00 |
| 1159F |
|
10,079 |
7,671 |
$0.00 |
| 4274F |
|
778 |
695 |
$0.00 |
| 1160F |
|
9,911 |
7,490 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,080 |
861 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
128 |
81 |
$0.00 |
| 3028F |
|
1,546 |
1,238 |
$0.00 |
| 4040F |
|
265 |
257 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,589 |
2,115 |
$0.00 |
| 2010F |
|
11,383 |
8,286 |
$0.00 |
| 3074F |
|
14,610 |
11,145 |
$0.00 |
| 3008F |
|
15,153 |
11,142 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
422 |
281 |
$0.00 |
| 2000F |
|
7,806 |
5,651 |
$0.00 |
| 1125F |
|
129 |
83 |
$0.00 |
| 1036F |
|
593 |
370 |
$0.00 |
| 3079F |
|
427 |
348 |
$0.00 |
| 3037F |
|
768 |
614 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,043 |
1,604 |
$0.00 |
| 2001F |
|
5,196 |
4,190 |
$0.00 |
| 1000F |
|
615 |
423 |
$0.00 |
| 1126F |
|
326 |
225 |
$0.00 |
| 1030F |
|
56 |
49 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
78 |
50 |
$0.00 |