| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,962 |
3,768 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,004 |
1,861 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,839 |
1,667 |
$38K |
| 96127 |
|
7,930 |
2,940 |
$17K |
| H0049 |
Alcohol and/or drug screening |
3,381 |
1,491 |
$5K |
| 96160 |
|
6,205 |
2,287 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
68 |
$3K |
| A4663 |
Blood pressure cuff only |
889 |
379 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
67 |
$2K |
| 81002 |
|
1,800 |
1,099 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
146 |
$2K |
| 99401 |
|
411 |
167 |
$2K |
| 99402 |
|
153 |
74 |
$2K |
| 99051 |
|
240 |
136 |
$2K |
| 99385 |
|
37 |
25 |
$2K |
| 90688 |
|
108 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
898 |
646 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$774.54 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
641 |
414 |
$750.11 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
13 |
$701.04 |
| 99490 |
Ccm add 20min |
149 |
121 |
$688.54 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
557 |
358 |
$682.69 |
| 0001A |
|
19 |
17 |
$676.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$616.80 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
578 |
372 |
$431.29 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
167 |
115 |
$420.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
245 |
101 |
$362.62 |
| 90686 |
|
42 |
35 |
$337.61 |
| 80074 |
|
213 |
114 |
$329.86 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
342 |
192 |
$289.96 |
| 57150 |
|
16 |
12 |
$283.84 |
| 84443 |
Thyroid stimulating hormone (TSH) |
323 |
198 |
$237.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
55 |
$236.89 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
232 |
142 |
$225.21 |
| 80053 |
Comprehensive metabolic panel |
485 |
301 |
$184.09 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$174.24 |
| 80061 |
Lipid panel |
477 |
289 |
$152.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
548 |
351 |
$137.89 |
| 82962 |
|
78 |
47 |
$133.92 |
| 99417 |
Prolong home eval add 15m |
58 |
28 |
$105.06 |
| 98960 |
|
201 |
124 |
$101.43 |
| 0513F |
|
351 |
256 |
$90.00 |
| 99408 |
|
75 |
52 |
$84.72 |
| 83525 |
|
116 |
61 |
$66.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
46 |
$63.78 |
| 82607 |
|
127 |
73 |
$60.02 |
| 86592 |
|
253 |
164 |
$49.37 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
224 |
88 |
$39.87 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
195 |
111 |
$35.36 |
| 82465 |
|
41 |
34 |
$25.47 |
| 83690 |
|
56 |
31 |
$21.97 |
| 82150 |
|
59 |
32 |
$20.61 |
| 84403 |
|
20 |
13 |
$20.58 |
| 2010F |
|
6,702 |
3,595 |
$16.06 |
| 82533 |
|
16 |
15 |
$12.99 |
| 3079F |
|
980 |
562 |
$12.09 |
| 86703 |
|
300 |
202 |
$10.60 |
| 3078F |
|
962 |
553 |
$8.03 |
| 3074F |
|
1,650 |
888 |
$4.09 |
| 3077F |
|
271 |
136 |
$4.07 |
| 3080F |
|
241 |
133 |
$4.02 |
| 3075F |
|
432 |
256 |
$4.02 |
| 99000 |
|
265 |
142 |
$2.50 |
| 82542 |
|
73 |
62 |
$0.18 |
| 87088 |
|
77 |
57 |
$0.13 |
| 84479 |
|
29 |
28 |
$0.07 |
| 84436 |
|
29 |
28 |
$0.07 |
| 82746 |
|
18 |
15 |
$0.05 |
| 87806 |
|
26 |
25 |
$0.05 |
| 86593 |
|
148 |
122 |
$0.02 |
| 80076 |
|
28 |
25 |
$0.02 |
| 1125F |
|
517 |
323 |
$0.00 |
| 2000F |
|
3,118 |
1,510 |
$0.00 |
| 1126F |
|
4,551 |
2,081 |
$0.00 |
| 1157F |
|
241 |
145 |
$0.00 |
| 96156 |
|
56 |
25 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
83 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,430 |
1,898 |
$0.00 |
| 3008F |
|
1,472 |
751 |
$0.00 |
| 2001F |
|
1,895 |
964 |
$0.00 |
| 97802 |
|
291 |
131 |
$0.00 |
| 96150 |
|
29 |
13 |
$0.00 |
| 1170F |
|
139 |
62 |
$0.00 |
| 1123F |
|
212 |
132 |
$0.00 |
| 3011F |
|
20 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| 1030F |
|
43 |
34 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
83 |
51 |
$0.00 |
| 87340 |
|
13 |
12 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,228 |
1,098 |
$0.00 |
| 1026F |
|
60 |
37 |
$0.00 |
| 1159F |
|
2,635 |
975 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
623 |
198 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,511 |
772 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
190 |
119 |
$0.00 |
| 1160F |
|
88 |
43 |
$0.00 |
| 3502F |
|
78 |
44 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,027 |
615 |
$0.00 |
| 91300 |
|
97 |
69 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
763 |
456 |
$0.00 |
| 2014F |
|
2,962 |
1,047 |
$0.00 |
| 87631 |
|
23 |
13 |
$0.00 |
| 87660 |
|
37 |
29 |
$0.00 |
| 99072 |
|
82 |
65 |
$0.00 |