| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,155 |
19,620 |
$583K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,997 |
5,495 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,606 |
3,277 |
$92K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,912 |
4,810 |
$63K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,622 |
1,479 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,213 |
1,194 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
865 |
860 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,362 |
2,214 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,054 |
1,041 |
$28K |
| T1015 |
Clinic visit/encounter, all-inclusive |
172 |
134 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
839 |
812 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
532 |
524 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,533 |
1,512 |
$16K |
| 59426 |
|
214 |
126 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
368 |
360 |
$11K |
| 90686 |
|
1,485 |
1,425 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
711 |
699 |
$7K |
| 81025 |
|
2,158 |
2,058 |
$6K |
| V5008 |
Hearing screening |
1,585 |
1,576 |
$5K |
| 99215 |
Prolong outpt/office vis |
297 |
268 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
279 |
275 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
597 |
586 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,886 |
1,813 |
$4K |
| 90461 |
|
456 |
447 |
$3K |
| 99173 |
|
1,515 |
1,497 |
$3K |
| 99385 |
|
57 |
57 |
$2K |
| 99442 |
|
407 |
384 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,745 |
1,614 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
377 |
327 |
$2K |
| 90677 |
|
79 |
76 |
$2K |
| 97802 |
|
1,295 |
1,261 |
$2K |
| 96127 |
|
825 |
812 |
$1K |
| 81001 |
|
831 |
733 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
137 |
$1K |
| 11721 |
|
78 |
76 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
316 |
286 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
271 |
267 |
$994.32 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
235 |
102 |
$813.79 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
559 |
544 |
$801.45 |
| 88150 |
|
158 |
155 |
$782.45 |
| 3008F |
|
1,790 |
1,660 |
$705.07 |
| 90651 |
|
78 |
77 |
$626.82 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
71 |
63 |
$615.82 |
| 82947 |
|
463 |
404 |
$546.35 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
435 |
402 |
$512.55 |
| 59425 |
|
16 |
12 |
$504.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$494.02 |
| 92551 |
|
88 |
87 |
$443.20 |
| 99421 |
|
33 |
32 |
$430.15 |
| 1126F |
|
9,652 |
8,427 |
$406.16 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
112 |
$374.00 |
| 99000 |
|
5,184 |
4,345 |
$238.10 |
| D1110 |
Prophylaxis - adult |
588 |
551 |
$204.00 |
| 99443 |
|
21 |
21 |
$193.94 |
| 36410 |
|
12 |
12 |
$178.35 |
| 81003 |
|
1,229 |
1,030 |
$172.90 |
| 11056 |
|
12 |
12 |
$152.64 |
| 90734 |
|
12 |
12 |
$134.77 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
427 |
382 |
$120.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
20 |
$112.58 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
568 |
547 |
$102.31 |
| 99441 |
|
18 |
18 |
$96.70 |
| 87490 |
|
85 |
78 |
$81.78 |
| D0140 |
Limited oral evaluation - problem focused |
55 |
51 |
$75.00 |
| 90710 |
|
57 |
56 |
$75.00 |
| 90785 |
|
1,284 |
442 |
$69.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$60.85 |
| 90674 |
|
48 |
48 |
$60.00 |
| 96161 |
|
616 |
576 |
$37.47 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
955 |
883 |
$33.50 |
| 99422 |
|
13 |
13 |
$32.76 |
| 93000 |
|
12 |
12 |
$10.21 |
| 1125F |
|
982 |
899 |
$5.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,988 |
1,778 |
$1.00 |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,538 |
2,357 |
$0.00 |
| 90733 |
|
13 |
13 |
$0.00 |
| 1220F |
|
1,667 |
1,528 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
68 |
$0.00 |
| D1330 |
|
290 |
265 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
538 |
498 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
323 |
303 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
956 |
863 |
$0.00 |
| 91307 |
|
19 |
17 |
$0.00 |
| 3017F |
|
94 |
90 |
$0.00 |
| 0500F |
|
33 |
33 |
$0.00 |
| 87590 |
|
16 |
15 |
$0.00 |
| 91301 |
|
14 |
12 |
$0.00 |
| 1036F |
|
55 |
53 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
15 |
14 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 1160F |
|
131 |
106 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
893 |
811 |
$0.00 |
| D1120 |
Prophylaxis - child |
90 |
82 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,119 |
1,010 |
$0.00 |
| 90648 |
|
12 |
12 |
$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) |
558 |
537 |
$0.00 |
| 1159F |
|
131 |
105 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
64 |
61 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
363 |
357 |
$0.00 |
| 90633 |
|
122 |
114 |
$0.00 |
| 90670 |
|
120 |
112 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
63 |
26 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
17 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 91300 |
|
19 |
17 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
20 |
$0.00 |