| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,482 |
16,073 |
$561K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,391 |
15,506 |
$383K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,745 |
1,601 |
$40K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
972 |
864 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,270 |
3,020 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
873 |
827 |
$36K |
| 80305 |
|
4,161 |
3,921 |
$35K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
852 |
783 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
241 |
$22K |
| 99441 |
|
826 |
743 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
587 |
521 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
620 |
547 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
92 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
340 |
306 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
502 |
464 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
101 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
215 |
199 |
$2K |
| 93000 |
|
91 |
89 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
100 |
47 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
263 |
245 |
$1K |
| 81003 |
|
890 |
817 |
$316.59 |
| 99201 |
|
14 |
13 |
$286.21 |
| 90756 |
|
14 |
12 |
$211.79 |
| 97803 |
|
43 |
43 |
$0.10 |
| 1125F |
|
15 |
14 |
$0.07 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,056 |
1,839 |
$0.01 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
8,021 |
7,079 |
$0.01 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
44 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39 |
39 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
182 |
177 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
46 |
46 |
$0.00 |