| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,638 |
21,437 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,234 |
10,139 |
$451K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
502 |
474 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
510 |
467 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,500 |
4,116 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
498 |
477 |
$21K |
| 80061 |
Lipid panel |
2,697 |
2,512 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
279 |
265 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
301 |
285 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,205 |
2,048 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
144 |
116 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,515 |
1,407 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
8,005 |
6,886 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,133 |
1,949 |
$12K |
| 83721 |
|
2,304 |
2,167 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
152 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
222 |
215 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
332 |
298 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
91 |
$5K |
| 80076 |
|
1,116 |
1,038 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
83 |
$4K |
| 96127 |
|
935 |
885 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
432 |
387 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
83 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
70 |
$1K |
| 99460 |
|
14 |
13 |
$949.81 |
| 90686 |
|
42 |
39 |
$533.30 |
| 99462 |
|
16 |
12 |
$514.08 |
| 0011A |
|
12 |
12 |
$424.24 |
| 99406 |
|
76 |
70 |
$376.86 |
| 90658 |
|
37 |
31 |
$307.25 |
| 87807 |
|
67 |
58 |
$237.47 |
| 81000 |
|
53 |
49 |
$176.46 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
749 |
701 |
$9.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
575 |
551 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,076 |
1,021 |
$0.00 |
| 1036F |
|
1,337 |
1,249 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
667 |
630 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,158 |
1,081 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
935 |
881 |
$0.00 |
| 3074F |
|
72 |
66 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
886 |
809 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
234 |
216 |
$0.00 |
| 3049F |
|
18 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3079F |
|
17 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,174 |
4,757 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14,745 |
13,578 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,634 |
4,307 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
617 |
583 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
17 |
13 |
$0.00 |
| 3078F |
|
71 |
65 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
41 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
15 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
16 |
13 |
$0.00 |