| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,332 |
5,620 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,504 |
5,757 |
$343K |
| 99199 |
Unlisted special service, procedure or report |
23,735 |
12,460 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,949 |
2,176 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,411 |
1,058 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,402 |
1,006 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
709 |
526 |
$54K |
| D0145 |
Oral evaluation for a patient under three years of age |
961 |
765 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
626 |
455 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,132 |
1,529 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
169 |
133 |
$14K |
| D1206 |
Topical application of fluoride varnish |
1,102 |
809 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,389 |
1,820 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
367 |
$10K |
| 80061 |
Lipid panel |
509 |
408 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
416 |
316 |
$5K |
| 99490 |
Ccm add 20min |
608 |
530 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
158 |
112 |
$4K |
| 96127 |
|
1,399 |
1,036 |
$4K |
| 87807 |
|
217 |
141 |
$3K |
| 99051 |
|
67 |
65 |
$2K |
| 90688 |
|
1,128 |
845 |
$1K |
| 92551 |
|
1,628 |
1,198 |
$1K |
| 96161 |
|
296 |
258 |
$943.67 |
| 0071A |
|
24 |
16 |
$715.00 |
| 99173 |
|
1,558 |
1,126 |
$292.18 |
| 90651 |
|
13 |
13 |
$257.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
38 |
$179.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$145.90 |
| 90734 |
|
13 |
13 |
$144.94 |
| 94664 |
|
21 |
13 |
$133.56 |
| 81003 |
|
37 |
30 |
$49.86 |
| 90687 |
|
385 |
276 |
$18.21 |
| 94760 |
|
121 |
77 |
$2.07 |
| 1159F |
|
22,008 |
15,992 |
$1.55 |
| 1160F |
|
20,372 |
14,717 |
$1.55 |
| 3008F |
|
15,669 |
11,716 |
$1.30 |
| 3074F |
|
7,929 |
6,259 |
$0.73 |
| 3078F |
|
7,167 |
5,721 |
$0.69 |
| 36416 |
|
1,072 |
876 |
$0.68 |
| 1126F |
|
2,387 |
1,965 |
$0.08 |
| 3037F |
|
17,469 |
12,708 |
$0.03 |
| 3079F |
|
1,036 |
863 |
$0.03 |
| 4010F |
|
14 |
12 |
$0.01 |
| 3028F |
|
17,998 |
13,100 |
$0.00 |
| 3725F |
|
1,579 |
1,137 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
530 |
465 |
$0.00 |
| 90648 |
|
566 |
428 |
$0.00 |
| 4035F |
|
3,553 |
2,908 |
$0.00 |
| 3288F |
|
4,645 |
3,770 |
$0.00 |
| 0518F |
|
1,784 |
1,512 |
$0.00 |
| 1100F |
|
760 |
668 |
$0.00 |
| 90670 |
|
961 |
745 |
$0.00 |
| 90633 |
|
214 |
149 |
$0.00 |
| 1158F |
|
16 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
49 |
42 |
$0.00 |
| 3077F |
|
36 |
28 |
$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) |
22 |
14 |
$0.00 |
| 90707 |
|
24 |
12 |
$0.00 |
| 4013F |
|
12 |
12 |
$0.00 |
| 1036F |
|
6,606 |
5,260 |
$0.00 |
| 1000F |
|
6,399 |
5,136 |
$0.00 |
| 1034F |
|
426 |
343 |
$0.00 |
| 4037F |
|
2,078 |
1,622 |
$0.00 |
| 1022F |
|
1,826 |
1,453 |
$0.00 |
| 99000 |
|
1,169 |
901 |
$0.00 |
| 1101F |
|
4,482 |
3,624 |
$0.00 |
| 3048F |
|
105 |
90 |
$0.00 |
| 90680 |
|
490 |
398 |
$0.00 |
| 90723 |
|
145 |
112 |
$0.00 |
| 3075F |
|
149 |
128 |
$0.00 |
| 1125F |
|
283 |
251 |
$0.00 |
| 90716 |
|
27 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
44 |
28 |
$0.00 |
| 1157F |
|
15 |
14 |
$0.00 |
| 90686 |
|
19 |
13 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |