| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,495 |
5,656 |
$639K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,291 |
2,446 |
$158K |
| 96160 |
|
4,185 |
2,360 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
388 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
572 |
468 |
$43K |
| 96127 |
|
4,388 |
2,123 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
598 |
502 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
392 |
225 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
938 |
760 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
289 |
121 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
647 |
443 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
170 |
146 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
723 |
620 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
60 |
$7K |
| 99215 |
Prolong outpt/office vis |
108 |
68 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
223 |
181 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
742 |
347 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
75 |
$4K |
| 86328 |
|
46 |
17 |
$2K |
| 90674 |
|
48 |
18 |
$1K |
| 99406 |
|
127 |
84 |
$952.50 |
| 90686 |
|
475 |
335 |
$341.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
15 |
$335.80 |
| 90670 |
|
352 |
284 |
$273.42 |
| 90677 |
|
14 |
12 |
$167.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
221 |
186 |
$94.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,050 |
817 |
$86.18 |
| 90744 |
|
153 |
109 |
$50.13 |
| 90461 |
|
569 |
448 |
$45.00 |
| 90698 |
|
299 |
233 |
$33.42 |
| 90651 |
|
32 |
31 |
$16.71 |
| 90734 |
|
52 |
40 |
$16.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
67 |
$12.10 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
42 |
$9.02 |
| 36416 |
|
50 |
37 |
$4.10 |
| 90680 |
|
192 |
152 |
$0.00 |
| 3074F |
|
3,984 |
1,707 |
$0.00 |
| 1123F |
|
1,732 |
908 |
$0.00 |
| 3754F |
|
526 |
229 |
$0.00 |
| 3075F |
|
118 |
83 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,662 |
2,000 |
$0.00 |
| 1157F |
|
259 |
200 |
$0.00 |
| 3353F |
|
572 |
336 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,958 |
2,011 |
$0.00 |
| 3351F |
|
3,026 |
1,768 |
$0.00 |
| 1036F |
|
5,863 |
2,941 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,420 |
1,129 |
$0.00 |
| 3079F |
|
189 |
86 |
$0.00 |
| 1101F |
|
75 |
42 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
78 |
75 |
$0.00 |
| 1220F |
|
2,287 |
1,371 |
$0.00 |
| 3017F |
|
74 |
63 |
$0.00 |
| 3080F |
|
51 |
30 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
101 |
97 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
55 |
52 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
51 |
30 |
$0.00 |
| 1111F |
|
26 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,486 |
1,629 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,027 |
854 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,465 |
1,928 |
$0.00 |
| 0518F |
|
333 |
193 |
$0.00 |
| 3078F |
|
4,044 |
1,731 |
$0.00 |
| 4040F |
|
337 |
271 |
$0.00 |
| 4274F |
|
2,382 |
1,396 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
633 |
472 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,028 |
1,911 |
$0.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
23 |
12 |
$0.00 |
| 3288F |
|
334 |
194 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |
| 1090F |
|
608 |
396 |
$0.00 |
| 3511F |
|
46 |
25 |
$0.00 |
| 90682 |
|
79 |
48 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
134 |
85 |
$0.00 |
| 1032F |
|
46 |
13 |
$0.00 |
| 3046F |
|
202 |
109 |
$0.00 |
| 3077F |
|
57 |
32 |
$0.00 |