| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,353 |
16,035 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,490 |
7,532 |
$175K |
| G9920 |
Screening performed and negative |
2,911 |
2,881 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,479 |
3,055 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,988 |
2,821 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
372 |
$12K |
| 99000 |
|
4,735 |
4,316 |
$10K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,399 |
1,383 |
$10K |
| 97803 |
|
2,894 |
2,886 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,481 |
1,373 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
708 |
705 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
786 |
785 |
$6K |
| 97802 |
|
1,764 |
1,606 |
$6K |
| 90686 |
|
921 |
907 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,186 |
1,139 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,803 |
1,794 |
$5K |
| 99385 |
|
74 |
74 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$5K |
| 92551 |
|
1,348 |
1,346 |
$4K |
| 0003A |
|
57 |
57 |
$2K |
| 0072A |
|
54 |
54 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
155 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
485 |
466 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,571 |
1,535 |
$2K |
| 0001A |
|
44 |
44 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
971 |
912 |
$2K |
| 90674 |
|
141 |
141 |
$1K |
| 0071A |
|
38 |
36 |
$1K |
| 90688 |
|
174 |
171 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
751 |
706 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
68 |
66 |
$998.08 |
| 90658 |
|
65 |
59 |
$791.36 |
| 99406 |
|
395 |
348 |
$780.71 |
| 93000 |
|
79 |
78 |
$732.23 |
| 36415 |
Collection of venous blood by venipuncture |
5,365 |
5,092 |
$645.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$583.23 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
295 |
257 |
$395.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
67 |
$369.44 |
| H0049 |
Alcohol and/or drug screening |
1,943 |
1,935 |
$307.04 |
| 81025 |
|
115 |
115 |
$261.37 |
| 88150 |
|
43 |
43 |
$254.14 |
| 90651 |
|
55 |
55 |
$197.91 |
| 1220F |
|
98 |
97 |
$180.00 |
| 99173 |
|
1,079 |
1,075 |
$168.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
17 |
$130.18 |
| 1125F |
|
165 |
155 |
$85.56 |
| 90734 |
|
14 |
14 |
$81.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
37 |
$71.85 |
| 3008F |
|
7,251 |
6,669 |
$66.90 |
| 90715 |
|
12 |
12 |
$45.00 |
| 81003 |
|
223 |
218 |
$34.87 |
| 1036F |
|
2,339 |
2,334 |
$30.00 |
| 90656 |
|
17 |
17 |
$23.99 |
| 88142 |
|
30 |
29 |
$18.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
55 |
$18.00 |
| 3078F |
|
2,142 |
1,915 |
$13.00 |
| 94760 |
|
63 |
60 |
$11.06 |
| 90657 |
|
20 |
20 |
$10.38 |
| 3074F |
|
1,783 |
1,613 |
$8.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
192 |
147 |
$7.71 |
| 3077F |
|
122 |
115 |
$6.00 |
| 3079F |
|
46 |
43 |
$2.70 |
| 3353F |
|
100 |
94 |
$2.10 |
| 3351F |
|
544 |
517 |
$1.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
92 |
$0.00 |
| 1160F |
|
69 |
68 |
$0.00 |
| 1159F |
|
69 |
68 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
128 |
128 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 3046F |
|
27 |
24 |
$0.00 |
| 99446 |
|
32 |
28 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 99496 |
|
43 |
43 |
$0.00 |
| 99447 |
|
108 |
106 |
$0.00 |
| 1000F |
|
85 |
85 |
$0.00 |
| 1111F |
|
24 |
24 |
$0.00 |
| 3075F |
|
38 |
38 |
$0.00 |