| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,563 |
38,105 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,631 |
12,729 |
$681K |
| 87428 |
|
9,103 |
8,582 |
$426K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,524 |
13,781 |
$199K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,218 |
2,166 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,721 |
1,686 |
$159K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,662 |
3,458 |
$159K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,865 |
5,220 |
$148K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,388 |
6,414 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,216 |
1,188 |
$97K |
| S8301 |
Infection control supplies, not otherwise specified |
19,430 |
16,120 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
901 |
874 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,030 |
1,011 |
$61K |
| 87634 |
|
695 |
654 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,011 |
990 |
$24K |
| 97802 |
|
10,141 |
9,504 |
$23K |
| 93000 |
|
1,589 |
1,553 |
$18K |
| 99215 |
Prolong outpt/office vis |
259 |
249 |
$18K |
| 99429 |
|
516 |
504 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,072 |
1,715 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,510 |
1,361 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
185 |
$16K |
| 81025 |
|
2,097 |
1,945 |
$15K |
| H0049 |
Alcohol and/or drug screening |
2,161 |
2,060 |
$12K |
| 92552 |
|
1,743 |
1,704 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
456 |
446 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
931 |
849 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
95 |
93 |
$9K |
| 90461 |
|
2,294 |
1,848 |
$8K |
| 81003 |
|
3,775 |
3,554 |
$7K |
| 83013 |
|
105 |
104 |
$6K |
| 82947 |
|
2,165 |
1,660 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$5K |
| 96160 |
|
4,828 |
4,694 |
$4K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
905 |
831 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
397 |
382 |
$4K |
| 90688 |
|
231 |
222 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
37 |
$3K |
| 86769 |
|
102 |
100 |
$3K |
| 99072 |
|
13,131 |
11,222 |
$3K |
| 90686 |
|
2,059 |
2,023 |
$2K |
| 99490 |
Ccm add 20min |
1,017 |
1,007 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 99442 |
|
32 |
32 |
$1K |
| 87807 |
|
84 |
79 |
$1K |
| 98960 |
|
452 |
387 |
$1K |
| 10040 |
|
12 |
12 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 99000 |
|
117 |
114 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$944.88 |
| 90661 |
|
556 |
551 |
$664.83 |
| 83014 |
|
105 |
104 |
$655.58 |
| 3044F |
|
627 |
529 |
$480.00 |
| 72100 |
|
13 |
12 |
$362.81 |
| 97169 |
|
76 |
76 |
$359.40 |
| 74019 |
|
13 |
12 |
$331.78 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
159 |
154 |
$324.97 |
| 94010 |
|
13 |
12 |
$292.22 |
| 99439 |
|
24 |
24 |
$103.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$99.78 |
| 99497 |
|
67 |
67 |
$82.38 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$72.47 |
| 82044 |
|
13 |
13 |
$54.38 |
| 82570 |
|
13 |
13 |
$50.22 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
877 |
808 |
$39.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$19.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
10,779 |
10,240 |
$17.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$10.86 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
54,439 |
44,339 |
$8.14 |
| 90674 |
|
740 |
730 |
$7.02 |
| 90651 |
|
192 |
189 |
$0.24 |
| 3077F |
|
86 |
75 |
$0.01 |
| 3078F |
|
819 |
687 |
$0.01 |
| 90650 |
|
216 |
211 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
32 |
30 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
782 |
647 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,859 |
1,733 |
$0.00 |
| 3074F |
|
775 |
653 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,164 |
1,093 |
$0.00 |
| 99606 |
|
1,120 |
902 |
$0.00 |
| 3079F |
|
135 |
124 |
$0.00 |
| 3017F |
|
27 |
25 |
$0.00 |
| 90744 |
|
52 |
52 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
198 |
196 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 1123F |
|
68 |
68 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
292 |
257 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
12 |
12 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |
| 3027F |
|
12 |
12 |
$0.00 |
| 1036F |
|
63 |
62 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
30 |
29 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| 1159F |
|
14,951 |
11,815 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 3210F |
|
14,453 |
13,703 |
$0.00 |
| 99173 |
|
4,230 |
4,073 |
$0.00 |
| 90633 |
|
432 |
423 |
$0.00 |
| 99188 |
|
209 |
200 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
32 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
248 |
222 |
$0.00 |
| 94664 |
|
394 |
364 |
$0.00 |
| 90734 |
|
194 |
190 |
$0.00 |
| 90713 |
|
39 |
39 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
68 |
68 |
$0.00 |
| 99408 |
|
29 |
29 |
$0.00 |
| 90670 |
|
54 |
54 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 3023F |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
13 |
13 |
$0.00 |