| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,379 |
30,850 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,996 |
33,877 |
$2.19M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,131 |
2,018 |
$145K |
| 87428 |
|
1,970 |
1,866 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
581 |
550 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,283 |
1,204 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
470 |
440 |
$45K |
| 99493 |
|
228 |
221 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
289 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,610 |
2,468 |
$16K |
| 80305 |
|
3,763 |
3,243 |
$13K |
| 90686 |
|
1,913 |
1,823 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,496 |
5,251 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,393 |
1,210 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
166 |
165 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
162 |
156 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
9,180 |
8,135 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,118 |
1,926 |
$8K |
| 99215 |
Prolong outpt/office vis |
79 |
71 |
$8K |
| 99492 |
|
65 |
64 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
93 |
54 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,371 |
1,312 |
$6K |
| 99490 |
Ccm add 20min |
589 |
535 |
$5K |
| 11721 |
|
507 |
439 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
72 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
51 |
$3K |
| 90715 |
|
188 |
177 |
$3K |
| 90651 |
|
160 |
154 |
$3K |
| 81003 |
|
2,096 |
1,921 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
15 |
$2K |
| 99494 |
|
54 |
54 |
$2K |
| 81025 |
|
283 |
266 |
$2K |
| 90656 |
|
136 |
132 |
$2K |
| 96127 |
|
748 |
711 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
45 |
37 |
$1K |
| 93922 |
|
42 |
38 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
65 |
62 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,408 |
1,344 |
$932.93 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$880.01 |
| 0031A |
|
39 |
23 |
$820.89 |
| 90619 |
|
24 |
24 |
$404.31 |
| 90677 |
|
14 |
13 |
$298.04 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
233 |
219 |
$295.75 |
| 99487 |
Ccm add 20min |
12 |
12 |
$278.61 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,854 |
2,938 |
$189.71 |
| 92250 |
|
13 |
12 |
$154.72 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,492 |
4,077 |
$151.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
129 |
113 |
$122.91 |
| 3077F |
|
624 |
561 |
$80.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$31.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
30 |
$29.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
76 |
$19.98 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19 |
12 |
$10.15 |
| 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) |
30 |
27 |
$10.10 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,404 |
5,425 |
$0.00 |
| 3079F |
|
618 |
542 |
$0.00 |
| 1125F |
|
2,512 |
1,830 |
$0.00 |
| 3074F |
|
2,886 |
2,314 |
$0.00 |
| 1036F |
|
1,122 |
936 |
$0.00 |
| 1126F |
|
1,973 |
1,513 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
176 |
138 |
$0.00 |
| 3080F |
|
67 |
64 |
$0.00 |
| 1220F |
|
92 |
87 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
133 |
105 |
$0.00 |
| 3075F |
|
169 |
157 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
134 |
101 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,218 |
3,728 |
$0.00 |
| 1160F |
|
2,741 |
2,431 |
$0.00 |
| 3078F |
|
2,428 |
2,043 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,115 |
856 |
$0.00 |
| 1159F |
|
1,208 |
1,116 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 4274F |
|
132 |
119 |
$0.00 |
| 4040F |
|
166 |
149 |
$0.00 |
| 90662 |
|
15 |
14 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90633 |
|
18 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
26 |
$0.00 |