| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,978 |
8,794 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,606 |
9,810 |
$291K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,759 |
7,218 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,731 |
1,583 |
$80K |
| 87428 |
|
1,431 |
1,323 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,450 |
1,361 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
596 |
491 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,845 |
871 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
263 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
348 |
318 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,932 |
1,474 |
$12K |
| 99305 |
|
559 |
498 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
861 |
813 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
89 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
730 |
616 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,039 |
924 |
$6K |
| 90756 |
|
380 |
342 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
72 |
$2K |
| 99307 |
|
406 |
346 |
$2K |
| 81003 |
|
880 |
755 |
$898.50 |
| 90670 |
|
397 |
375 |
$815.01 |
| G0008 |
Administration of influenza virus vaccine |
332 |
300 |
$808.87 |
| 87807 |
|
68 |
65 |
$633.39 |
| 99318 |
|
221 |
215 |
$630.19 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
37 |
$541.35 |
| 99497 |
|
93 |
87 |
$385.71 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
138 |
105 |
$286.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
30 |
28 |
$176.90 |
| 82044 |
|
67 |
65 |
$98.40 |
| 90648 |
|
365 |
343 |
$94.60 |
| 99173 |
|
28 |
27 |
$90.84 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
102 |
78 |
$44.25 |
| 90633 |
|
30 |
26 |
$43.67 |
| 90686 |
|
54 |
51 |
$20.53 |
| 80305 |
|
14 |
12 |
$19.76 |
| 3074F |
|
427 |
309 |
$10.00 |
| 3078F |
|
540 |
390 |
$10.00 |
| 90677 |
|
29 |
25 |
$0.05 |
| 90723 |
|
128 |
124 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
256 |
243 |
$0.00 |
| 1170F |
|
110 |
72 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$0.00 |
| 3075F |
|
21 |
14 |
$0.00 |
| 3079F |
|
17 |
14 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |
| 1126F |
|
20 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
45 |
42 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 1158F |
|
100 |
66 |
$0.00 |
| 90461 |
|
38 |
27 |
$0.00 |
| 1160F |
|
110 |
72 |
$0.00 |