| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,007 |
5,600 |
$417K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,527 |
2,394 |
$257K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
670 |
638 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
589 |
584 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
632 |
632 |
$60K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
130 |
124 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
55 |
55 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
305 |
304 |
$6K |
| 90686 |
|
544 |
544 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
31 |
31 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
211 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 11721 |
|
51 |
51 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
49 |
$2K |
| 92083 |
|
42 |
39 |
$2K |
| 96127 |
|
162 |
158 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$1K |
| 93000 |
|
71 |
70 |
$1K |
| 81002 |
|
266 |
210 |
$904.21 |
| 20610 |
|
15 |
12 |
$879.39 |
| 73562 |
|
14 |
13 |
$451.30 |
| 94070 |
|
13 |
13 |
$336.06 |
| 92133 |
|
16 |
15 |
$320.90 |
| 90630 |
|
15 |
15 |
$305.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$244.05 |
| 93016 |
|
12 |
12 |
$241.10 |
| 94010 |
|
41 |
41 |
$232.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$223.98 |
| 99406 |
|
15 |
15 |
$203.84 |
| 93018 |
|
12 |
12 |
$161.21 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
14 |
$48.77 |
| 92015 |
Determination of refractive state |
116 |
114 |
$13.96 |
| 36415 |
Collection of venous blood by venipuncture |
575 |
430 |
$10.34 |
| 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) |
476 |
440 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
793 |
727 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,050 |
972 |
$0.00 |
| 99024 |
|
122 |
92 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
90 |
84 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
187 |
172 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
40 |
40 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,454 |
4,900 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
646 |
576 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
102 |
86 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
40 |
38 |
$0.00 |
| G9904 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
15 |
15 |
$0.00 |