| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,295 |
54,666 |
$1.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,754 |
16,644 |
$422K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,932 |
3,322 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,714 |
3,081 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,756 |
2,653 |
$134K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,974 |
1,466 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,859 |
1,216 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,692 |
8,848 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,151 |
967 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,645 |
1,160 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
554 |
466 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
608 |
398 |
$18K |
| 99442 |
|
1,081 |
964 |
$8K |
| 90651 |
|
1,097 |
651 |
$5K |
| 90461 |
|
4,012 |
2,402 |
$4K |
| 99385 |
|
58 |
50 |
$3K |
| 90670 |
|
702 |
549 |
$2K |
| 99397 |
|
80 |
73 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
469 |
455 |
$984.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
836 |
699 |
$978.99 |
| 85018 |
|
10,023 |
5,610 |
$971.65 |
| 90620 |
|
202 |
97 |
$682.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$663.68 |
| 36415 |
Collection of venous blood by venipuncture |
440 |
405 |
$602.94 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
135 |
87 |
$484.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
960 |
667 |
$376.27 |
| 90710 |
|
209 |
55 |
$341.64 |
| 99499 |
|
4,437 |
3,555 |
$318.84 |
| 90619 |
|
552 |
132 |
$260.47 |
| 90688 |
|
1,486 |
1,160 |
$218.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
107 |
$182.06 |
| 3008F |
|
71,717 |
46,492 |
$165.04 |
| 1158F |
|
6,047 |
4,781 |
$158.15 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,824 |
1,169 |
$155.93 |
| 1220F |
|
13,962 |
9,084 |
$151.17 |
| 90633 |
|
947 |
766 |
$111.00 |
| 90734 |
|
148 |
143 |
$100.38 |
| 1159F |
|
36,882 |
23,966 |
$86.01 |
| 3017F |
|
1,720 |
1,194 |
$80.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$80.00 |
| 82948 |
|
142 |
110 |
$54.49 |
| 1034F |
|
7,482 |
5,153 |
$48.57 |
| 90656 |
|
47 |
47 |
$40.00 |
| 1125F |
|
7,182 |
4,923 |
$33.08 |
| 96160 |
|
82 |
78 |
$23.92 |
| 99173 |
|
11,399 |
6,310 |
$22.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
50 |
$16.45 |
| 96127 |
|
852 |
730 |
$15.00 |
| 93000 |
|
78 |
60 |
$10.99 |
| 92567 |
|
352 |
310 |
$10.58 |
| 90696 |
|
95 |
13 |
$10.00 |
| 99441 |
|
15 |
13 |
$9.05 |
| 3075F |
|
3,995 |
2,857 |
$4.40 |
| 3016F |
|
12,667 |
8,059 |
$0.02 |
| 3074F |
|
11,181 |
7,758 |
$0.00 |
| 0513F |
|
4,383 |
1,621 |
$0.00 |
| 3048F |
|
1,855 |
1,528 |
$0.00 |
| 3079F |
|
7,822 |
5,319 |
$0.00 |
| 92551 |
|
8,957 |
4,932 |
$0.00 |
| 4000F |
|
1,338 |
907 |
$0.00 |
| 1126F |
|
17,827 |
10,458 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
631 |
455 |
$0.00 |
| 4010F |
|
8,302 |
5,922 |
$0.00 |
| 1170F |
|
1,419 |
1,077 |
$0.00 |
| 1036F |
|
1,228 |
792 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
92 |
75 |
$0.00 |
| 3044F |
|
505 |
448 |
$0.00 |
| 90744 |
|
107 |
106 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
28 |
$0.00 |
| 3049F |
|
1,347 |
1,060 |
$0.00 |
| 3061F |
|
640 |
476 |
$0.00 |
| 3014F |
|
1,134 |
323 |
$0.00 |
| 2015F |
|
176 |
117 |
$0.00 |
| 3080F |
|
358 |
225 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
162 |
78 |
$0.00 |
| 90677 |
|
22 |
14 |
$0.00 |
| 90680 |
|
55 |
38 |
$0.00 |
| 36416 |
|
152 |
84 |
$0.00 |
| 1111F |
|
29 |
26 |
$0.00 |
| 90698 |
|
163 |
160 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
54 |
$0.00 |
| 90697 |
|
19 |
12 |
$0.00 |
| 90657 |
|
17 |
16 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 3077F |
|
771 |
472 |
$0.00 |
| 1160F |
|
33,223 |
21,341 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
1,601 |
1,394 |
$0.00 |
| 3078F |
|
8,422 |
5,678 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 3050F |
|
1,545 |
963 |
$0.00 |
| 3288F |
|
4,657 |
2,075 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,518 |
986 |
$0.00 |
| 3725F |
|
1,354 |
1,139 |
$0.00 |
| 3085F |
|
274 |
138 |
$0.00 |
| 1124F |
|
425 |
222 |
$0.00 |
| 90658 |
|
82 |
78 |
$0.00 |
| 99497 |
|
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
220 |
178 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
29 |
26 |
$0.00 |
| 3046F |
|
15 |
12 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |