| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,756 |
6,661 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,814 |
5,055 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,758 |
1,582 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,599 |
1,422 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,063 |
2,496 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
463 |
422 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,764 |
3,326 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
135 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
960 |
891 |
$10K |
| 90671 |
|
432 |
390 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
769 |
690 |
$8K |
| 90461 |
|
1,581 |
1,229 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
63 |
57 |
$6K |
| 92552 |
|
365 |
329 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,899 |
2,572 |
$4K |
| 90670 |
|
587 |
512 |
$4K |
| 99381 |
|
66 |
65 |
$4K |
| 92551 |
|
1,456 |
1,321 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
46 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
275 |
218 |
$2K |
| 96160 |
|
2,110 |
1,798 |
$2K |
| 99383 |
|
41 |
35 |
$1K |
| 90734 |
|
13 |
13 |
$1K |
| 90651 |
|
28 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$1K |
| 90716 |
|
179 |
167 |
$1K |
| 90756 |
|
54 |
53 |
$1K |
| 93000 |
|
118 |
113 |
$935.79 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$916.44 |
| 90680 |
|
606 |
532 |
$725.19 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$694.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$640.44 |
| 90633 |
|
296 |
263 |
$507.22 |
| 90707 |
|
162 |
151 |
$504.60 |
| 90723 |
|
663 |
582 |
$441.90 |
| 90474 |
|
83 |
82 |
$414.74 |
| 90700 |
|
204 |
196 |
$377.30 |
| 94760 |
|
1,042 |
905 |
$329.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
33 |
$289.17 |
| 90648 |
|
886 |
782 |
$237.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$191.19 |
| 87807 |
|
13 |
12 |
$136.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$52.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
149 |
128 |
$37.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
29 |
$36.69 |
| 90686 |
|
307 |
272 |
$35.91 |
| 97802 |
|
403 |
367 |
$30.32 |
| 80061 |
Lipid panel |
29 |
29 |
$27.00 |
| 3044F |
|
445 |
392 |
$20.00 |
| 80053 |
Comprehensive metabolic panel |
29 |
29 |
$17.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
30 |
$16.98 |
| 96161 |
|
324 |
267 |
$11.49 |
| 81001 |
|
25 |
25 |
$10.64 |
| 3078F |
|
2,222 |
1,968 |
$0.01 |
| 3075F |
|
848 |
785 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
750 |
666 |
$0.00 |
| 1159F |
|
3,493 |
3,028 |
$0.00 |
| 1160F |
|
5,514 |
4,805 |
$0.00 |
| 3077F |
|
544 |
496 |
$0.00 |
| 99173 |
|
1,672 |
1,542 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
101 |
86 |
$0.00 |
| 99490 |
Ccm add 20min |
94 |
85 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
12 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 90710 |
|
16 |
14 |
$0.00 |
| 99401 |
|
19 |
13 |
$0.00 |
| 3080F |
|
211 |
193 |
$0.00 |
| 3079F |
|
981 |
903 |
$0.00 |
| 96127 |
|
1,092 |
1,006 |
$0.00 |
| 1126F |
|
688 |
615 |
$0.00 |
| 3074F |
|
2,108 |
1,834 |
$0.00 |
| 3008F |
|
2,774 |
2,380 |
$0.00 |
| 1125F |
|
225 |
187 |
$0.00 |
| 1036F |
|
300 |
266 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |
| 36416 |
|
22 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$0.00 |
| 90697 |
|
14 |
12 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
22 |
13 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |