| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,490 |
35,543 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,614 |
11,390 |
$566K |
| 99215 |
Prolong outpt/office vis |
1,931 |
1,592 |
$115K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,338 |
1,256 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,148 |
974 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,110 |
2,007 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
956 |
920 |
$78K |
| 99401 |
|
2,629 |
2,497 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
551 |
541 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
380 |
372 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
307 |
$31K |
| 87428 |
|
399 |
367 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
261 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,178 |
1,056 |
$17K |
| 96127 |
|
4,725 |
4,268 |
$13K |
| 95923 |
|
186 |
164 |
$13K |
| 94690 |
|
389 |
348 |
$12K |
| 93000 |
|
930 |
900 |
$11K |
| 99490 |
Ccm add 20min |
1,581 |
1,542 |
$11K |
| 99457 |
|
485 |
473 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,749 |
4,440 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
656 |
635 |
$9K |
| 99385 |
|
95 |
93 |
$8K |
| 95921 |
|
187 |
164 |
$8K |
| 81002 |
|
2,617 |
2,319 |
$6K |
| 99454 |
|
210 |
205 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
371 |
340 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
97 |
$5K |
| 94060 |
|
109 |
93 |
$4K |
| 94760 |
|
3,475 |
3,189 |
$4K |
| 99402 |
|
77 |
68 |
$4K |
| 90756 |
|
235 |
161 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
174 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
102 |
82 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
89 |
82 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
306 |
288 |
$2K |
| 93922 |
|
38 |
31 |
$2K |
| 93880 |
|
13 |
12 |
$2K |
| 99443 |
|
19 |
14 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
275 |
250 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 0013A |
|
29 |
25 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
17 |
$1K |
| 94200 |
|
86 |
71 |
$1K |
| 83037 |
|
265 |
223 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
95 |
$1K |
| 99491 |
Ccm add 20min |
72 |
72 |
$918.61 |
| 90688 |
|
123 |
108 |
$915.51 |
| 96138 |
|
56 |
40 |
$749.08 |
| 99497 |
|
252 |
132 |
$743.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$696.02 |
| 80305 |
|
84 |
82 |
$677.65 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
43 |
42 |
$509.15 |
| 80061 |
Lipid panel |
38 |
37 |
$506.66 |
| 0012A |
|
13 |
13 |
$444.00 |
| 96119 |
|
17 |
12 |
$383.19 |
| 81003 |
|
125 |
123 |
$296.91 |
| 90715 |
|
14 |
12 |
$260.51 |
| 80053 |
Comprehensive metabolic panel |
27 |
25 |
$192.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
167 |
145 |
$183.49 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$158.70 |
| 96132 |
|
35 |
14 |
$116.31 |
| 99397 |
|
29 |
14 |
$95.42 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
184 |
133 |
$27.65 |
| 99173 |
|
15 |
15 |
$15.24 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
41 |
33 |
$14.55 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$13.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
20 |
$10.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
49 |
26 |
$8.76 |
| 96160 |
|
17 |
13 |
$8.31 |
| 99406 |
|
152 |
120 |
$7.74 |
| 90670 |
|
28 |
28 |
$6.64 |
| 3008F |
|
1,741 |
1,313 |
$0.01 |
| 1160F |
|
2,178 |
1,818 |
$0.01 |
| 3074F |
|
216 |
216 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 3079F |
|
19 |
19 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
33 |
21 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,303 |
800 |
$0.00 |
| 3078F |
|
153 |
153 |
$0.00 |
| 4004F |
|
198 |
163 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
59 |
27 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
25 |
12 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
35 |
22 |
$0.00 |