| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,769 |
17,357 |
$928K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,700 |
9,088 |
$351K |
| 99199 |
Unlisted special service, procedure or report |
31,097 |
26,090 |
$207K |
| 99215 |
Prolong outpt/office vis |
660 |
534 |
$29K |
| 96127 |
|
963 |
678 |
$3K |
| 99407 |
|
282 |
213 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
112 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
45 |
$1K |
| 99406 |
|
106 |
84 |
$737.99 |
| 99499 |
|
2,008 |
1,289 |
$575.00 |
| 99051 |
|
36 |
35 |
$553.01 |
| 1159F |
|
6,742 |
5,400 |
$433.66 |
| 3008F |
|
5,152 |
4,209 |
$408.55 |
| 1160F |
|
3,834 |
3,201 |
$356.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
28 |
$300.16 |
| 1036F |
|
3,549 |
2,877 |
$292.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
54 |
$281.77 |
| 1126F |
|
3,023 |
2,578 |
$278.15 |
| 1125F |
|
5,645 |
4,581 |
$258.26 |
| 90686 |
|
50 |
38 |
$229.16 |
| 0513F |
|
1,957 |
1,552 |
$202.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$130.57 |
| 99490 |
Ccm add 20min |
14 |
13 |
$128.40 |
| 3078F |
|
2,667 |
2,164 |
$100.30 |
| 3074F |
|
2,653 |
2,131 |
$100.18 |
| 3075F |
|
242 |
213 |
$75.03 |
| 4004F |
|
1,766 |
1,407 |
$50.15 |
| 1124F |
|
3,821 |
3,184 |
$50.15 |
| J0725 |
Injection, chorionic gonadotropin, per 1,000 usp units |
36 |
33 |
$43.41 |
| 3079F |
|
646 |
531 |
$25.03 |
| 3044F |
|
600 |
516 |
$10.02 |
| G8482 |
Influenza immunization administered or previously received |
1,274 |
1,070 |
$0.79 |
| G8864 |
Pneumococcal vaccine administered or previously received |
1,016 |
843 |
$0.35 |
| G8866 |
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) |
392 |
312 |
$0.11 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,120 |
934 |
$0.09 |
| 3048F |
|
221 |
179 |
$0.02 |
| G8451 |
Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons) |
275 |
234 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 1123F |
|
137 |
105 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
68 |
59 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 3725F |
|
742 |
628 |
$0.00 |
| 3077F |
|
31 |
26 |
$0.00 |