| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,641 |
9,945 |
$583K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,208 |
6,921 |
$561K |
| 99215 |
Prolong outpt/office vis |
2,016 |
1,963 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,069 |
2,056 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,829 |
1,794 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,311 |
4,280 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
635 |
$55K |
| D0190 |
|
3,237 |
3,229 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,634 |
2,569 |
$30K |
| 90677 |
|
374 |
374 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,032 |
2,021 |
$21K |
| 99188 |
|
1,976 |
1,972 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$14K |
| 90686 |
|
2,105 |
2,099 |
$12K |
| 92551 |
|
1,747 |
1,743 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,773 |
1,761 |
$11K |
| 96127 |
|
3,106 |
3,009 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
320 |
306 |
$10K |
| 0124A |
|
205 |
205 |
$7K |
| 91320 |
|
60 |
60 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
218 |
217 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$6K |
| 90715 |
|
199 |
198 |
$5K |
| 90480 |
|
152 |
152 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
78 |
$4K |
| 0011A |
|
166 |
166 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
242 |
240 |
$3K |
| 90674 |
|
175 |
175 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$3K |
| 99381 |
|
26 |
26 |
$2K |
| 0054A |
|
74 |
74 |
$2K |
| 0012A |
|
72 |
72 |
$2K |
| 83655 |
|
241 |
240 |
$2K |
| 96160 |
|
74 |
74 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
92 |
$2K |
| 0001A |
|
39 |
36 |
$1K |
| 91322 |
|
14 |
14 |
$1K |
| 90756 |
|
72 |
69 |
$1K |
| 82962 |
|
1,031 |
986 |
$1K |
| 96161 |
|
1,028 |
885 |
$1K |
| 90656 |
|
243 |
243 |
$1K |
| 85018 |
|
701 |
700 |
$1K |
| 97802 |
|
101 |
101 |
$1K |
| 0111A |
|
29 |
29 |
$1K |
| 0002A |
|
21 |
21 |
$794.85 |
| 0071A |
|
30 |
30 |
$605.60 |
| 87807 |
|
59 |
58 |
$535.24 |
| 0112A |
|
13 |
13 |
$456.36 |
| 0004A |
|
12 |
12 |
$454.20 |
| 0064A |
|
17 |
17 |
$415.83 |
| 99406 |
|
47 |
47 |
$351.11 |
| 96380 |
|
16 |
16 |
$345.45 |
| 81003 |
|
221 |
213 |
$328.66 |
| 90688 |
|
15 |
15 |
$249.76 |
| 81025 |
|
26 |
26 |
$158.79 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
163 |
156 |
$109.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$87.75 |
| 90685 |
|
198 |
198 |
$43.62 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
33 |
29 |
$22.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
75 |
75 |
$10.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,173 |
1,111 |
$0.64 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,166 |
2,875 |
$0.46 |
| 3074F |
|
3,918 |
3,703 |
$0.11 |
| 3079F |
|
1,355 |
1,305 |
$0.08 |
| 3078F |
|
3,239 |
3,085 |
$0.08 |
| 3075F |
|
689 |
677 |
$0.04 |
| 3077F |
|
794 |
754 |
$0.03 |
| 3080F |
|
817 |
784 |
$0.02 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
620 |
596 |
$0.00 |
| 1101F |
|
237 |
226 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,699 |
1,655 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,877 |
2,713 |
$0.00 |
| 1036F |
|
6,075 |
5,629 |
$0.00 |
| 3044F |
|
130 |
109 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,201 |
1,127 |
$0.00 |
| 90716 |
|
206 |
206 |
$0.00 |
| 90680 |
|
354 |
354 |
$0.00 |
| 90698 |
|
146 |
146 |
$0.00 |
| 1123F |
|
443 |
420 |
$0.00 |
| 3014F |
|
36 |
34 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
31 |
29 |
$0.00 |
| 90697 |
|
52 |
52 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
39 |
33 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,660 |
1,650 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,511 |
2,375 |
$0.00 |
| 99173 |
|
1,200 |
1,197 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
4,161 |
3,851 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,267 |
7,667 |
$0.00 |
| 4004F |
|
3,607 |
3,326 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,359 |
2,214 |
$0.00 |
| 90633 |
|
282 |
282 |
$0.00 |
| 90670 |
|
830 |
828 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
1,572 |
1,459 |
$0.00 |
| 3046F |
|
452 |
391 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,102 |
1,067 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
186 |
186 |
$0.00 |
| 91312 |
|
153 |
153 |
$0.00 |
| 3045F |
|
25 |
24 |
$0.00 |
| 91321 |
|
18 |
18 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
12 |
12 |
$0.00 |