| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,336 |
40,240 |
$3.67M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,770 |
17,317 |
$922K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,045 |
3,025 |
$370K |
| 99442 |
|
4,929 |
4,399 |
$273K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,481 |
2,469 |
$240K |
| 99443 |
|
2,201 |
2,112 |
$184K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,379 |
1,375 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,170 |
1,135 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,893 |
5,692 |
$107K |
| 83013 |
|
1,634 |
1,631 |
$106K |
| 93000 |
|
4,807 |
4,794 |
$75K |
| 90756 |
|
2,543 |
2,534 |
$60K |
| 94010 |
|
1,339 |
1,338 |
$51K |
| 86769 |
|
1,525 |
774 |
$48K |
| 90746 |
|
517 |
517 |
$33K |
| 99490 |
Ccm add 20min |
713 |
711 |
$29K |
| 90674 |
|
1,105 |
1,105 |
$28K |
| H0001 |
Alcohol and/or drug assessment |
2,302 |
2,292 |
$28K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,254 |
2,250 |
$27K |
| 36410 |
|
6,277 |
6,161 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
578 |
462 |
$17K |
| 94375 |
|
375 |
375 |
$15K |
| 83014 |
|
1,549 |
1,548 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,164 |
2,161 |
$10K |
| 90686 |
|
550 |
548 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
135 |
$8K |
| 99406 |
|
492 |
487 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
6,602 |
6,544 |
$6K |
| 81001 |
|
2,117 |
2,108 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
752 |
751 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
84 |
83 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
73 |
$4K |
| 0013A |
|
117 |
117 |
$4K |
| 99439 |
|
118 |
118 |
$4K |
| 3077F |
|
1,318 |
1,199 |
$4K |
| 99051 |
|
586 |
495 |
$4K |
| 86580 |
|
418 |
379 |
$4K |
| 90651 |
|
13 |
13 |
$3K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
58 |
51 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
88 |
88 |
$3K |
| 99457 |
|
56 |
56 |
$3K |
| 99000 |
|
4,705 |
4,389 |
$2K |
| 80061 |
Lipid panel |
1,341 |
1,338 |
$2K |
| 90688 |
|
135 |
135 |
$2K |
| 81003 |
|
874 |
854 |
$2K |
| 99454 |
|
30 |
30 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
204 |
204 |
$2K |
| 99397 |
|
12 |
12 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,010 |
2,002 |
$2K |
| 3080F |
|
440 |
403 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
57 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
739 |
736 |
$1K |
| 0011A |
|
49 |
49 |
$1K |
| 0012A |
|
45 |
45 |
$1K |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,541 |
2,523 |
$1K |
| 90750 |
|
75 |
75 |
$976.80 |
| 3079F |
|
653 |
614 |
$960.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
31 |
$755.64 |
| 90658 |
|
40 |
39 |
$677.66 |
| 92551 |
|
65 |
65 |
$590.39 |
| 3078F |
|
514 |
491 |
$567.50 |
| 82274 |
|
38 |
38 |
$500.26 |
| 90661 |
|
18 |
18 |
$465.35 |
| 3725F |
|
4,125 |
4,112 |
$438.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
241 |
237 |
$403.50 |
| G9276 |
Documentation that patient is a current tobacco user |
405 |
403 |
$335.50 |
| 3016F |
|
2,032 |
2,025 |
$244.00 |
| 1036F |
|
3,519 |
3,502 |
$200.00 |
| 1000F |
|
4,051 |
4,030 |
$188.00 |
| 91301 |
|
116 |
113 |
$170.96 |
| 3075F |
|
107 |
106 |
$160.00 |
| 3074F |
|
132 |
127 |
$155.00 |
| 3008F |
|
1,540 |
1,539 |
$132.01 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$123.50 |
| 4293F |
|
3,147 |
3,146 |
$122.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
70 |
68 |
$108.94 |
| S0612 |
Annual gynecological examination, established patient |
80 |
80 |
$100.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$91.65 |
| 88142 |
|
63 |
63 |
$85.79 |
| 92201 |
|
18 |
18 |
$72.80 |
| 83615 |
|
16 |
16 |
$70.72 |
| 84100 |
|
16 |
16 |
$55.51 |
| 84550 |
|
16 |
16 |
$52.91 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
20 |
20 |
$50.28 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
22 |
22 |
$48.00 |
| 81000 |
|
15 |
15 |
$47.06 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
80 |
80 |
$44.00 |
| G0008 |
Administration of influenza virus vaccine |
394 |
393 |
$31.14 |
| 3044F |
|
495 |
492 |
$20.00 |
| 1126F |
|
133 |
132 |
$15.00 |
| 1170F |
|
224 |
223 |
$15.00 |
| 1159F |
|
194 |
193 |
$15.00 |
| 82465 |
|
15 |
15 |
$4.36 |
| 1160F |
|
170 |
169 |
$2.50 |
| 3049F |
|
1,754 |
1,747 |
$0.00 |
| 1101F |
|
185 |
183 |
$0.00 |
| 1157F |
|
122 |
121 |
$0.00 |
| 4000F |
|
511 |
511 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 3014F |
|
73 |
70 |
$0.00 |
| 3048F |
|
239 |
238 |
$0.00 |
| 84478 |
|
15 |
15 |
$0.00 |
| 99429 |
|
19 |
16 |
$0.00 |
| 1100F |
|
185 |
183 |
$0.00 |
| 1032F |
|
346 |
344 |
$0.00 |
| 3050F |
|
1,690 |
1,667 |
$0.00 |
| 3045F |
|
68 |
65 |
$0.00 |
| 3288F |
|
185 |
183 |
$0.00 |
| 90461 |
|
15 |
13 |
$0.00 |
| 83718 |
|
15 |
15 |
$0.00 |
| 99080 |
|
113 |
25 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 1158F |
|
27 |
27 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
19 |
19 |
$0.00 |
| 83721 |
|
16 |
16 |
$0.00 |