| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,658 |
28,625 |
$2.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,480 |
6,157 |
$560K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,764 |
4,740 |
$419K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,347 |
3,324 |
$324K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,555 |
1,548 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,272 |
1,268 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,566 |
2,374 |
$104K |
| 36415 |
Collection of venous blood by venipuncture |
15,774 |
14,968 |
$50K |
| 92552 |
|
2,405 |
2,385 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
617 |
609 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,329 |
4,251 |
$45K |
| 90756 |
|
1,812 |
1,777 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,287 |
1,253 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,435 |
2,025 |
$19K |
| 81003 |
|
10,214 |
9,933 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,226 |
1,199 |
$16K |
| 96127 |
|
4,676 |
4,643 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
296 |
292 |
$12K |
| 36416 |
|
3,490 |
3,258 |
$10K |
| 99051 |
|
6,176 |
5,857 |
$9K |
| 85018 |
|
2,966 |
2,929 |
$6K |
| 82962 |
|
2,589 |
2,306 |
$6K |
| 90661 |
|
194 |
190 |
$4K |
| 81025 |
|
577 |
564 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
559 |
553 |
$4K |
| 93000 |
|
443 |
434 |
$4K |
| 99401 |
|
1,101 |
1,088 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
37 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
82 |
80 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 0011A |
|
43 |
42 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
858 |
611 |
$1K |
| 82044 |
|
267 |
260 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
540 |
515 |
$1K |
| 83014 |
|
407 |
401 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$901.85 |
| 99000 |
|
72 |
69 |
$628.96 |
| 99497 |
|
117 |
75 |
$561.68 |
| 0012A |
|
12 |
12 |
$473.14 |
| 96160 |
|
139 |
138 |
$288.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
74 |
41 |
$280.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$221.67 |
| 97802 |
|
1,403 |
1,392 |
$61.14 |
| 90686 |
|
273 |
268 |
$57.09 |
| G0008 |
Administration of influenza virus vaccine |
78 |
58 |
$17.74 |
| 3079F |
|
10,814 |
9,944 |
$0.86 |
| 3078F |
|
18,066 |
16,044 |
$0.84 |
| 3075F |
|
7,862 |
7,347 |
$0.73 |
| 3077F |
|
4,900 |
4,479 |
$0.72 |
| 3074F |
|
19,156 |
17,009 |
$0.71 |
| 3080F |
|
2,988 |
2,783 |
$0.46 |
| 3008F |
|
29,645 |
25,516 |
$0.07 |
| 90649 |
|
148 |
146 |
$0.04 |
| 90674 |
|
89 |
89 |
$0.03 |
| 3051F |
|
13 |
12 |
$0.01 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
235 |
204 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,284 |
1,068 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
820 |
675 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |
| 90633 |
|
49 |
49 |
$0.00 |
| 90734 |
|
55 |
55 |
$0.00 |
| 90715 |
|
60 |
59 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,181 |
984 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
41 |
38 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
40 |
$0.00 |
| 3044F |
|
73 |
73 |
$0.00 |
| 91301 |
|
91 |
89 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
68 |
42 |
$0.00 |
| 90716 |
|
50 |
50 |
$0.00 |