| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,209 |
6,365 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,902 |
1,766 |
$89K |
| 90682 |
|
328 |
318 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,341 |
1,288 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
391 |
373 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
142 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
792 |
752 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
325 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
61 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
402 |
361 |
$4K |
| 96127 |
|
1,216 |
1,054 |
$4K |
| 81002 |
|
1,267 |
1,228 |
$3K |
| 90673 |
|
36 |
36 |
$2K |
| 99000 |
|
169 |
163 |
$2K |
| 0012A |
|
45 |
44 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
49 |
$943.36 |
| 0011A |
|
44 |
43 |
$792.16 |
| 99406 |
|
114 |
101 |
$683.99 |
| 90686 |
|
181 |
178 |
$673.40 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
943 |
860 |
$665.00 |
| 90688 |
|
46 |
41 |
$328.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
20 |
$230.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$156.86 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
28 |
28 |
$135.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
28 |
$130.00 |
| 96160 |
|
13 |
13 |
$130.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,316 |
3,778 |
$5.00 |
| 3079F |
|
1,671 |
1,564 |
$0.00 |
| 3075F |
|
413 |
396 |
$0.00 |
| 3074F |
|
3,868 |
3,410 |
$0.00 |
| 91301 |
|
89 |
87 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
194 |
165 |
$0.00 |
| 3008F |
|
74 |
66 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
17 |
15 |
$0.00 |
| 3078F |
|
3,022 |
2,697 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
184 |
177 |
$0.00 |
| 99072 |
|
456 |
430 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
120 |
102 |
$0.00 |
| 99173 |
|
42 |
41 |
$0.00 |