| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,345 |
24,464 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,091 |
15,659 |
$594K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,082 |
993 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,191 |
937 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
778 |
709 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
386 |
355 |
$26K |
| 90674 |
|
504 |
472 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
822 |
409 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
174 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
175 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,441 |
3,171 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
91 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
363 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
78 |
$5K |
| 95251 |
|
189 |
166 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
232 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
27 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
82 |
80 |
$3K |
| 87428 |
|
64 |
52 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
350 |
322 |
$2K |
| 82962 |
|
780 |
724 |
$1K |
| 90661 |
|
47 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
51 |
$999.34 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
110 |
97 |
$887.13 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$845.16 |
| 96127 |
|
260 |
214 |
$759.09 |
| 99401 |
|
29 |
27 |
$453.52 |
| 99233 |
Prolong inpt eval add15 m |
13 |
12 |
$418.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$331.54 |
| 99406 |
|
55 |
49 |
$317.93 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$136.27 |
| 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) |
668 |
607 |
$77.15 |
| 90715 |
|
12 |
12 |
$40.20 |
| 81002 |
|
15 |
12 |
$26.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$14.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38,385 |
35,015 |
$0.09 |
| 2022F |
|
1,841 |
1,677 |
$0.02 |
| 3017F |
|
13,151 |
11,930 |
$0.00 |
| 1036F |
|
22,070 |
20,067 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,470 |
1,323 |
$0.00 |
| 3079F |
|
1,108 |
1,001 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,028 |
919 |
$0.00 |
| 3074F |
|
3,999 |
3,596 |
$0.00 |
| 1123F |
|
294 |
262 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,332 |
1,230 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 3075F |
|
432 |
391 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
283 |
280 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
24,500 |
22,288 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
18,946 |
17,180 |
$0.00 |
| 4004F |
|
11,316 |
10,305 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,409 |
1,230 |
$0.00 |
| 3078F |
|
3,136 |
2,838 |
$0.00 |
| 3023F |
|
1,102 |
1,059 |
$0.00 |
| 4040F |
|
29 |
27 |
$0.00 |
| 3046F |
|
182 |
155 |
$0.00 |
| 1090F |
|
19 |
14 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |