| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,357 |
32,189 |
$907K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,874 |
6,266 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,799 |
2,678 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,533 |
2,479 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,289 |
2,134 |
$77K |
| 97802 |
|
21,691 |
18,861 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,270 |
1,165 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,569 |
7,105 |
$34K |
| 99385 |
|
701 |
678 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,128 |
1,095 |
$32K |
| 1159F |
|
6,197 |
5,289 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
890 |
857 |
$27K |
| 99386 |
|
305 |
298 |
$19K |
| 1036F |
|
4,095 |
3,568 |
$16K |
| 1126F |
|
3,114 |
2,853 |
$11K |
| 3074F |
|
9,543 |
8,365 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
500 |
483 |
$7K |
| 90670 |
|
951 |
869 |
$6K |
| 3008F |
|
6,143 |
5,245 |
$5K |
| 1125F |
|
3,075 |
2,694 |
$5K |
| 99496 |
|
456 |
413 |
$5K |
| 1034F |
|
1,767 |
1,549 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
171 |
$4K |
| 1170F |
|
962 |
937 |
$4K |
| 3079F |
|
3,969 |
3,561 |
$3K |
| 1160F |
|
6,158 |
5,260 |
$3K |
| 3078F |
|
6,843 |
6,126 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,710 |
860 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,434 |
3,244 |
$2K |
| 3080F |
|
1,204 |
1,101 |
$1K |
| 99387 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
756 |
734 |
$894.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
357 |
332 |
$794.72 |
| 3077F |
|
1,364 |
1,242 |
$762.24 |
| 90710 |
|
109 |
106 |
$735.49 |
| 90634 |
|
462 |
446 |
$594.45 |
| 3075F |
|
1,060 |
1,017 |
$483.72 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,735 |
6,380 |
$482.12 |
| 3048F |
|
382 |
377 |
$479.87 |
| 99397 |
|
12 |
12 |
$473.53 |
| 3049F |
|
166 |
165 |
$471.60 |
| 90461 |
|
1,005 |
811 |
$378.12 |
| 99215 |
Prolong outpt/office vis |
52 |
49 |
$317.14 |
| 99441 |
|
62 |
58 |
$307.41 |
| 90649 |
|
305 |
299 |
$297.03 |
| 1220F |
|
774 |
758 |
$260.74 |
| 97803 |
|
61 |
58 |
$255.24 |
| 90715 |
|
123 |
122 |
$220.00 |
| 81002 |
|
91 |
87 |
$134.82 |
| 3044F |
|
208 |
203 |
$120.42 |
| 3050F |
|
43 |
43 |
$76.92 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
5,125 |
4,547 |
$74.60 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,415 |
2,048 |
$70.90 |
| 90734 |
|
376 |
373 |
$70.00 |
| 90716 |
|
41 |
41 |
$60.00 |
| 1111F |
|
650 |
609 |
$42.54 |
| 90680 |
|
367 |
326 |
$40.00 |
| 90648 |
|
110 |
94 |
$20.00 |
| 90696 |
|
15 |
15 |
$20.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
188 |
$14.18 |
| 90651 |
|
81 |
79 |
$10.50 |
| 90619 |
|
53 |
53 |
$10.00 |
| 99406 |
|
33 |
28 |
$8.24 |
| 99173 |
|
358 |
347 |
$0.00 |
| 90658 |
|
49 |
49 |
$0.00 |
| 1158F |
|
709 |
684 |
$0.00 |
| 3288F |
|
497 |
457 |
$0.00 |
| 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) |
14 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
26 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
283 |
258 |
$0.00 |
| 1101F |
|
245 |
236 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 4010F |
|
170 |
143 |
$0.00 |
| 3061F |
|
19 |
16 |
$0.00 |
| 4086F |
|
82 |
75 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
21 |
21 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |