| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,012 |
39,928 |
$1.39M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,169 |
2,815 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,668 |
2,299 |
$124K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,649 |
5,117 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,116 |
1,055 |
$44K |
| 87276 |
|
3,119 |
2,795 |
$36K |
| 87275 |
|
3,121 |
2,797 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,446 |
1,335 |
$34K |
| 99219 |
|
674 |
614 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
466 |
$32K |
| 99490 |
Ccm add 20min |
2,768 |
2,656 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
590 |
508 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,376 |
1,237 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,252 |
519 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
859 |
743 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,045 |
3,663 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
401 |
346 |
$18K |
| 99460 |
|
145 |
134 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,057 |
927 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
201 |
164 |
$11K |
| 87428 |
|
145 |
142 |
$10K |
| 99381 |
|
162 |
148 |
$9K |
| 80061 |
Lipid panel |
1,355 |
1,232 |
$8K |
| 87807 |
|
706 |
644 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,330 |
1,240 |
$7K |
| 90670 |
|
507 |
438 |
$6K |
| 99217 |
|
220 |
203 |
$5K |
| 90680 |
|
383 |
333 |
$4K |
| 90698 |
|
325 |
265 |
$4K |
| 0071A |
|
34 |
24 |
$3K |
| 99457 |
|
166 |
159 |
$3K |
| 99307 |
|
183 |
170 |
$3K |
| 90697 |
|
216 |
145 |
$2K |
| 71020 |
|
62 |
57 |
$2K |
| 81003 |
|
1,610 |
1,461 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
134 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
42 |
$2K |
| 90686 |
|
135 |
125 |
$2K |
| 0072A |
|
14 |
14 |
$1K |
| 90744 |
|
134 |
108 |
$1K |
| 90685 |
|
141 |
106 |
$984.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$975.60 |
| 99499 |
|
33 |
31 |
$775.00 |
| 81025 |
|
112 |
98 |
$740.46 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
416 |
384 |
$549.67 |
| 99397 |
|
12 |
12 |
$537.01 |
| 90633 |
|
55 |
42 |
$499.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
269 |
199 |
$370.22 |
| 99441 |
|
44 |
40 |
$215.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$119.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$106.56 |
| 36415 |
Collection of venous blood by venipuncture |
768 |
661 |
$34.85 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
30 |
21 |
$23.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$4.73 |
| 91307 |
|
64 |
44 |
$0.51 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
234 |
209 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
187 |
149 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
164 |
125 |
$0.00 |
| 3074F |
|
148 |
135 |
$0.00 |
| 3079F |
|
110 |
105 |
$0.00 |
| 3075F |
|
46 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
43 |
$0.00 |
| 1036F |
|
155 |
121 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
37 |
$0.00 |
| 1101F |
|
52 |
49 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
22 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
16 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
217 |
175 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,224 |
1,953 |
$0.00 |
| 3288F |
|
71 |
66 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
24 |
19 |
$0.00 |
| 3078F |
|
87 |
82 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
199 |
182 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
43 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
21 |
$0.00 |