| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,133 |
16,150 |
$1.77M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,328 |
4,037 |
$236K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,010 |
1,000 |
$123K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
953 |
930 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
721 |
716 |
$82K |
| 90651 |
|
353 |
353 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
699 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,113 |
3,026 |
$53K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,546 |
2,544 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
896 |
$27K |
| 3074F |
|
13,655 |
9,345 |
$26K |
| 99401 |
|
2,601 |
2,588 |
$24K |
| 90756 |
|
802 |
801 |
$24K |
| 92552 |
|
878 |
864 |
$21K |
| 3078F |
|
9,665 |
6,908 |
$18K |
| 93000 |
|
1,173 |
1,166 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$11K |
| 3079F |
|
5,916 |
4,588 |
$11K |
| 90686 |
|
818 |
817 |
$10K |
| 97802 |
|
4,674 |
3,328 |
$9K |
| 82274 |
|
546 |
546 |
$9K |
| 99497 |
|
276 |
274 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
383 |
381 |
$8K |
| 90688 |
|
439 |
437 |
$7K |
| 94010 |
|
266 |
264 |
$7K |
| 91320 |
|
55 |
55 |
$6K |
| 0013A |
|
142 |
142 |
$6K |
| 90715 |
|
185 |
185 |
$6K |
| 99490 |
Ccm add 20min |
370 |
362 |
$5K |
| 3075F |
|
2,652 |
2,139 |
$5K |
| 90661 |
|
126 |
126 |
$5K |
| 0011A |
|
85 |
85 |
$4K |
| 3080F |
|
1,604 |
1,274 |
$3K |
| 0134A |
|
84 |
84 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
99 |
92 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,805 |
4,750 |
$3K |
| 0012A |
|
67 |
67 |
$3K |
| 87428 |
|
45 |
45 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$3K |
| 90480 |
|
64 |
64 |
$2K |
| 99051 |
|
522 |
489 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
101 |
$1K |
| 0031A |
|
36 |
36 |
$1K |
| 90678 |
|
12 |
12 |
$1K |
| 99406 |
|
142 |
141 |
$1K |
| 3077F |
|
714 |
546 |
$1K |
| 17110 |
|
12 |
12 |
$1K |
| H0049 |
Alcohol and/or drug screening |
2,645 |
2,642 |
$1K |
| 83014 |
|
167 |
166 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
73 |
$987.90 |
| 90674 |
|
41 |
41 |
$747.22 |
| 90750 |
|
12 |
12 |
$412.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,283 |
2,279 |
$316.01 |
| 36410 |
|
513 |
510 |
$245.02 |
| G0008 |
Administration of influenza virus vaccine |
95 |
95 |
$136.26 |
| 90662 |
|
25 |
25 |
$131.53 |
| 96160 |
|
79 |
79 |
$130.46 |
| 96127 |
|
176 |
175 |
$118.42 |
| 90656 |
|
36 |
36 |
$111.75 |
| 3008F |
|
22,022 |
14,500 |
$83.69 |
| 92250 |
|
12 |
12 |
$40.05 |
| 90660 |
|
25 |
25 |
$25.45 |
| 99173 |
|
306 |
304 |
$18.95 |
| 91301 |
|
226 |
211 |
$0.04 |
| 99429 |
|
660 |
463 |
$0.00 |
| 99000 |
|
5,352 |
5,120 |
$0.00 |
| 1000F |
|
2,381 |
2,371 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
53 |
53 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,109 |
2,876 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
331 |
257 |
$0.00 |
| 3017F |
|
611 |
610 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,709 |
1,707 |
$0.00 |
| 1031F |
|
1,911 |
1,911 |
$0.00 |
| 1036F |
|
1,924 |
1,921 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
363 |
346 |
$0.00 |
| 3014F |
|
15 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
36 |
$0.00 |
| 3066F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
57 |
47 |
$0.00 |
| 3048F |
|
39 |
39 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
34 |
24 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 3049F |
|
30 |
29 |
$0.00 |
| 91303 |
|
36 |
36 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
162 |
162 |
$0.00 |
| 99408 |
|
1,990 |
1,989 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
424 |
424 |
$0.00 |
| 3725F |
|
2,673 |
2,662 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
117 |
117 |
$0.00 |
| 91313 |
|
84 |
83 |
$0.00 |
| 1032F |
|
117 |
117 |
$0.00 |
| 90672 |
|
69 |
69 |
$0.00 |
| 3050F |
|
124 |
123 |
$0.00 |
| G9666 |
Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl |
380 |
375 |
$0.00 |
| 99072 |
|
59 |
55 |
$0.00 |
| 3016F |
|
191 |
191 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
121 |
87 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
58 |
48 |
$0.00 |
| 4013F |
|
13 |
13 |
$0.00 |