| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,347 |
20,525 |
$859K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,314 |
6,762 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,635 |
3,091 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,869 |
3,425 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,035 |
2,498 |
$136K |
| 90670 |
|
2,218 |
1,775 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
544 |
470 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,278 |
1,037 |
$14K |
| 90698 |
|
1,159 |
936 |
$14K |
| 92551 |
|
1,562 |
1,365 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
307 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
709 |
563 |
$8K |
| 99188 |
|
449 |
387 |
$6K |
| 90686 |
|
1,868 |
1,593 |
$4K |
| 36416 |
|
1,241 |
976 |
$3K |
| 90633 |
|
215 |
176 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
41 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
30 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,280 |
1,161 |
$2K |
| 96127 |
|
436 |
403 |
$2K |
| 99173 |
|
626 |
532 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
70 |
$1K |
| 90710 |
|
15 |
12 |
$832.59 |
| 90680 |
|
1,035 |
830 |
$618.02 |
| D1206 |
Topical application of fluoride varnish |
97 |
86 |
$582.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27 |
25 |
$507.87 |
| 85018 |
|
301 |
249 |
$449.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$418.22 |
| 90744 |
|
277 |
218 |
$325.00 |
| 80305 |
|
24 |
21 |
$170.21 |
| 90461 |
|
3,933 |
3,132 |
$156.28 |
| 90696 |
|
15 |
12 |
$117.00 |
| 90672 |
|
20 |
14 |
$84.66 |
| 90473 |
|
18 |
13 |
$66.70 |
| 90700 |
|
15 |
13 |
$10.50 |
| 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) |
121 |
114 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
6,631 |
5,741 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,751 |
1,418 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,336 |
2,095 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,217 |
4,686 |
$0.00 |
| 4004F |
|
845 |
741 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
157 |
144 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
26 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,925 |
2,641 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
936 |
829 |
$0.00 |
| 3017F |
|
1,094 |
964 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
171 |
159 |
$0.00 |
| 1036F |
|
2,987 |
2,696 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
807 |
710 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
645 |
573 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
63 |
54 |
$0.00 |