| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,168 |
11,896 |
$485K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,066 |
5,399 |
$192K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,764 |
1,604 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
936 |
849 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,324 |
1,223 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
648 |
605 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
529 |
504 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,184 |
1,118 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
980 |
925 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,477 |
1,379 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
41 |
28 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
793 |
716 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
191 |
78 |
$4K |
| 99215 |
Prolong outpt/office vis |
313 |
280 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,262 |
2,176 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
39 |
$2K |
| 99307 |
|
477 |
441 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
132 |
129 |
$1K |
| 99406 |
|
166 |
156 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
642 |
179 |
$1K |
| 99442 |
|
73 |
69 |
$981.81 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
18 |
$646.99 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
13 |
$579.05 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
29 |
27 |
$509.45 |
| 99152 |
|
62 |
51 |
$410.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
111 |
95 |
$389.81 |
| 87807 |
|
47 |
44 |
$386.14 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
12 |
$242.61 |
| 90688 |
|
12 |
12 |
$201.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$94.08 |
| 96127 |
|
288 |
266 |
$16.24 |
| 81002 |
|
12 |
12 |
$12.13 |
| 81000 |
|
14 |
13 |
$4.06 |
| 82962 |
|
12 |
12 |
$3.28 |
| 93000 |
|
22 |
20 |
$2.17 |
| 1125F |
|
3,103 |
2,794 |
$0.00 |
| 1126F |
|
5,005 |
4,556 |
$0.00 |
| 3008F |
|
16,500 |
14,649 |
$0.00 |
| 1036F |
|
14,339 |
12,714 |
$0.00 |
| 3079F |
|
2,608 |
2,416 |
$0.00 |
| 3074F |
|
8,976 |
8,174 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
305 |
263 |
$0.00 |
| 1034F |
|
1,304 |
1,163 |
$0.00 |
| 99024 |
|
424 |
339 |
$0.00 |
| 3075F |
|
381 |
363 |
$0.00 |
| 3044F |
|
52 |
43 |
$0.00 |
| 3080F |
|
151 |
144 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
42 |
38 |
$0.00 |
| 3048F |
|
29 |
28 |
$0.00 |
| 3072F |
|
34 |
24 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
29 |
29 |
$0.00 |
| 1170F |
|
17 |
17 |
$0.00 |
| 1101F |
|
27 |
27 |
$0.00 |
| 3078F |
|
7,465 |
6,768 |
$0.00 |
| 1160F |
|
7,269 |
6,581 |
$0.00 |
| 3077F |
|
668 |
619 |
$0.00 |
| 3725F |
|
3,330 |
3,045 |
$0.00 |
| 1159F |
|
6,672 |
5,736 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
554 |
478 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,404 |
1,190 |
$0.00 |
| 4004F |
|
520 |
444 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
86 |
71 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
84 |
71 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
36 |
34 |
$0.00 |
| 1090F |
|
17 |
17 |
$0.00 |