| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,483 |
10,556 |
$840K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,311 |
6,681 |
$385K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,744 |
1,710 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,774 |
1,719 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,912 |
1,729 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
897 |
875 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,255 |
3,187 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
660 |
657 |
$58K |
| 99215 |
Prolong outpt/office vis |
344 |
333 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,417 |
3,325 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
328 |
324 |
$32K |
| 90686 |
|
3,180 |
3,148 |
$23K |
| 90677 |
|
157 |
155 |
$16K |
| G9002 |
Coordinated care fee, maintenance rate |
555 |
293 |
$16K |
| 96127 |
|
5,010 |
4,195 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,153 |
2,116 |
$14K |
| 91320 |
|
87 |
87 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
609 |
596 |
$10K |
| 90746 |
|
140 |
137 |
$10K |
| 90670 |
|
929 |
903 |
$6K |
| 80061 |
Lipid panel |
586 |
579 |
$5K |
| 90480 |
|
102 |
102 |
$3K |
| 90715 |
|
153 |
151 |
$3K |
| 90651 |
|
97 |
97 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
163 |
$2K |
| 90656 |
|
244 |
242 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
130 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
53 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
94 |
$993.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$963.73 |
| 87428 |
|
42 |
41 |
$922.32 |
| 98966 |
|
123 |
110 |
$840.33 |
| 36416 |
|
2,534 |
2,371 |
$821.62 |
| 81003 |
|
516 |
488 |
$818.53 |
| 90632 |
|
18 |
12 |
$817.64 |
| 85018 |
|
247 |
238 |
$511.08 |
| 92552 |
|
26 |
26 |
$463.58 |
| 82947 |
|
182 |
179 |
$376.14 |
| 82044 |
|
49 |
49 |
$207.97 |
| 82570 |
|
49 |
49 |
$180.85 |
| 92551 |
|
13 |
13 |
$85.02 |
| 90694 |
|
12 |
12 |
$84.42 |
| 90713 |
|
13 |
13 |
$34.74 |
| 90473 |
|
13 |
13 |
$33.15 |
| 90672 |
|
26 |
26 |
$26.88 |
| G0008 |
Administration of influenza virus vaccine |
60 |
59 |
$7.35 |
| 3077F |
|
82 |
81 |
$0.00 |
| 90685 |
|
98 |
88 |
$0.00 |
| 99173 |
|
184 |
184 |
$0.00 |
| 90648 |
|
123 |
122 |
$0.00 |
| 90700 |
|
36 |
36 |
$0.00 |
| 3078F |
|
217 |
206 |
$0.00 |
| 90461 |
|
51 |
51 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |
| 90633 |
|
71 |
52 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
17 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90680 |
|
362 |
351 |
$0.00 |
| 3075F |
|
66 |
66 |
$0.00 |
| 90698 |
|
385 |
371 |
$0.00 |
| 3079F |
|
214 |
209 |
$0.00 |
| 3074F |
|
356 |
335 |
$0.00 |
| 90744 |
|
112 |
108 |
$0.00 |
| 3080F |
|
71 |
69 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 90723 |
|
67 |
67 |
$0.00 |