| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,714 |
5,706 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,014 |
2,790 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
895 |
885 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
891 |
874 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,446 |
1,859 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
342 |
336 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
147 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
143 |
$4K |
| 90461 |
|
467 |
384 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
139 |
$2K |
| 0003A |
|
26 |
26 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$933.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
68 |
$830.50 |
| 81003 |
|
356 |
342 |
$643.57 |
| 0071A |
|
15 |
15 |
$600.00 |
| 0002A |
|
13 |
13 |
$520.00 |
| 90686 |
|
252 |
249 |
$508.23 |
| 0124A |
|
12 |
12 |
$400.00 |
| 90688 |
|
124 |
122 |
$384.94 |
| 90674 |
|
197 |
195 |
$247.95 |
| 90656 |
|
92 |
92 |
$139.83 |
| 90651 |
|
94 |
94 |
$0.00 |
| 1170F |
|
154 |
143 |
$0.00 |
| 96127 |
|
427 |
410 |
$0.00 |
| 1126F |
|
160 |
153 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
26 |
25 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
94 |
90 |
$0.00 |
| 1036F |
|
67 |
63 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
64 |
61 |
$0.00 |
| 91307 |
|
23 |
19 |
$0.00 |
| 90657 |
|
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
146 |
138 |
$0.00 |
| 99072 |
|
946 |
841 |
$0.00 |
| 1159F |
|
206 |
192 |
$0.00 |
| 90734 |
|
110 |
110 |
$0.00 |
| 91300 |
|
87 |
85 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
46 |
43 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90621 |
|
27 |
25 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
46 |
44 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 1158F |
|
63 |
61 |
$0.00 |