| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,011 |
7,916 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,650 |
3,023 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
940 |
914 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
799 |
788 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
595 |
589 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,178 |
1,104 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,281 |
3,195 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
297 |
272 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
203 |
$17K |
| 97802 |
|
2,023 |
1,988 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
147 |
$9K |
| 99441 |
|
731 |
702 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
56 |
$4K |
| 93000 |
|
1,584 |
1,321 |
$4K |
| 99385 |
|
67 |
57 |
$2K |
| 99442 |
|
93 |
85 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$999.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
61 |
56 |
$841.97 |
| 90686 |
|
1,471 |
1,423 |
$817.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
205 |
$589.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
39 |
$553.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
140 |
$511.05 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
179 |
$460.00 |
| 90461 |
|
998 |
955 |
$132.61 |
| 81003 |
|
192 |
170 |
$105.82 |
| 99490 |
Ccm add 20min |
90 |
73 |
$94.35 |
| 1126F |
|
5,466 |
4,926 |
$88.31 |
| 3074F |
|
4,578 |
4,156 |
$50.46 |
| 3288F |
|
1,287 |
1,142 |
$50.44 |
| 90651 |
|
338 |
330 |
$50.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$39.68 |
| 90620 |
|
114 |
107 |
$30.00 |
| 3075F |
|
1,259 |
1,150 |
$25.22 |
| 3077F |
|
920 |
831 |
$25.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,644 |
1,455 |
$23.47 |
| 36416 |
|
33 |
28 |
$12.61 |
| 1159F |
|
5,094 |
4,568 |
$12.61 |
| 90670 |
|
254 |
249 |
$10.04 |
| 92567 |
|
2,074 |
2,026 |
$8.18 |
| S9452 |
Nutrition classes, non-physician provider, per session |
60 |
59 |
$0.25 |
| 1160F |
|
6,537 |
5,834 |
$0.01 |
| 3078F |
|
4,724 |
4,253 |
$0.01 |
| 3079F |
|
1,852 |
1,701 |
$0.00 |
| 1101F |
|
1,081 |
988 |
$0.00 |
| 3044F |
|
226 |
197 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |
| 1125F |
|
721 |
671 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,747 |
1,630 |
$0.00 |
| 96127 |
|
293 |
278 |
$0.00 |
| 3080F |
|
130 |
108 |
$0.00 |
| 1170F |
|
837 |
720 |
$0.00 |
| 1036F |
|
37 |
25 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
24 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
133 |
113 |
$0.00 |
| 3008F |
|
198 |
154 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
31 |
$0.00 |
| 99173 |
|
1,906 |
1,753 |
$0.00 |
| 3725F |
|
107 |
102 |
$0.00 |
| 90648 |
|
148 |
146 |
$0.00 |
| 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 |
16 |
15 |
$0.00 |
| 1158F |
|
401 |
356 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
227 |
186 |
$0.00 |
| 90707 |
|
40 |
40 |
$0.00 |
| 90685 |
|
76 |
76 |
$0.00 |
| 90734 |
|
164 |
160 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
161 |
135 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90633 |
|
55 |
54 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
12 |
$0.00 |