| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,644 |
6,118 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,554 |
3,819 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
630 |
547 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
950 |
780 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
369 |
323 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,054 |
478 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
128 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
54 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
40 |
$3K |
| 81002 |
|
2,286 |
1,952 |
$3K |
| 90756 |
|
234 |
205 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
244 |
$3K |
| 94760 |
|
319 |
254 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
192 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
24 |
$1K |
| 93000 |
|
113 |
102 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
289 |
241 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$954.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
55 |
$941.91 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
521 |
424 |
$755.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$754.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
340 |
295 |
$741.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
84 |
74 |
$647.17 |
| 90688 |
|
44 |
41 |
$547.05 |
| 0011A |
|
22 |
16 |
$517.02 |
| 3008F |
|
110 |
95 |
$460.00 |
| 0012A |
|
16 |
12 |
$400.00 |
| 99173 |
|
60 |
52 |
$339.62 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$277.19 |
| 99490 |
Ccm add 20min |
68 |
68 |
$253.54 |
| 1159F |
|
40 |
36 |
$180.00 |
| 1160F |
|
40 |
36 |
$180.00 |
| 90686 |
|
126 |
105 |
$111.21 |
| 80305 |
|
19 |
13 |
$110.68 |
| 90674 |
|
12 |
12 |
$87.78 |
| 1111F |
|
73 |
68 |
$60.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$19.78 |
| 3074F |
|
39 |
38 |
$10.00 |
| 3078F |
|
55 |
51 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
92 |
81 |
$0.43 |
| 90680 |
|
13 |
12 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
889 |
804 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
105 |
85 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
16 |
16 |
$0.00 |
| 90723 |
|
16 |
13 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,315 |
4,240 |
$0.00 |
| 4551F |
|
67 |
62 |
$0.00 |
| 90670 |
|
59 |
51 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
30 |
25 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
69 |
57 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
16 |
$0.00 |