| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,252 |
32,634 |
$1.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,501 |
5,636 |
$437K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,793 |
2,646 |
$153K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,213 |
1,165 |
$120K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,451 |
4,736 |
$119K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,604 |
1,501 |
$116K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,400 |
1,298 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,393 |
1,287 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,162 |
1,820 |
$34K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,306 |
1,054 |
$19K |
| 93000 |
|
1,607 |
1,475 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,538 |
1,400 |
$13K |
| 81003 |
|
8,060 |
7,106 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
411 |
$8K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
2,158 |
1,455 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$6K |
| 99439 |
|
351 |
341 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
310 |
238 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
160 |
151 |
$5K |
| 81025 |
|
1,021 |
928 |
$4K |
| J1000 |
Injection, depo-estradiol cypionate, up to 5 mg |
256 |
179 |
$4K |
| 99490 |
Ccm add 20min |
421 |
410 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$3K |
| 90658 |
|
293 |
274 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
160 |
151 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
162 |
147 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
174 |
117 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
351 |
308 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
109 |
102 |
$903.79 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$743.25 |
| 82962 |
|
466 |
410 |
$644.68 |
| 90682 |
|
18 |
13 |
$543.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
468 |
403 |
$450.25 |
| 94010 |
|
16 |
15 |
$427.06 |
| 90461 |
|
39 |
27 |
$421.17 |
| 99489 |
Ccm add 20min |
16 |
15 |
$351.87 |
| 99487 |
Ccm add 20min |
16 |
15 |
$339.02 |
| 96127 |
|
131 |
123 |
$318.12 |
| 94667 |
|
13 |
12 |
$236.58 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
24 |
$149.26 |
| 94664 |
|
14 |
13 |
$137.33 |
| 3079F |
|
18,004 |
16,253 |
$107.38 |
| 3074F |
|
31,665 |
27,744 |
$68.62 |
| 3077F |
|
2,814 |
2,535 |
$47.47 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$31.14 |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
14 |
13 |
$14.68 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
14 |
13 |
$12.18 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$6.48 |
| 3078F |
|
19,227 |
17,187 |
$0.00 |
| 4040F |
|
216 |
183 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
535 |
465 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
759 |
641 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
76 |
69 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
13 |
$0.00 |
| 99072 |
|
570 |
513 |
$0.00 |
| 99401 |
|
23 |
13 |
$0.00 |
| 99173 |
|
103 |
87 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
146 |
122 |
$0.00 |
| 90662 |
|
28 |
17 |
$0.00 |
| 90734 |
|
16 |
14 |
$0.00 |
| 3080F |
|
2,828 |
2,573 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
518 |
447 |
$0.00 |
| 1036F |
|
682 |
590 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
166 |
149 |
$0.00 |
| 3075F |
|
4,657 |
4,287 |
$0.00 |
| 1101F |
|
131 |
122 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
65 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
110 |
95 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
99 |
90 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
15 |
$0.00 |