| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,076 |
9,186 |
$945K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,940 |
4,226 |
$243K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
494 |
494 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,338 |
2,141 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
440 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
431 |
382 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
189 |
188 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
172 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
152 |
$13K |
| 90461 |
|
348 |
344 |
$12K |
| 92551 |
|
840 |
834 |
$11K |
| 93000 |
|
527 |
526 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
507 |
485 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
70 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
468 |
460 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
335 |
335 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
315 |
315 |
$3K |
| 86580 |
|
358 |
353 |
$3K |
| 99490 |
Ccm add 20min |
269 |
262 |
$3K |
| 36410 |
|
1,085 |
1,076 |
$3K |
| 90756 |
|
107 |
107 |
$3K |
| 90674 |
|
97 |
97 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
78 |
$2K |
| 83013 |
|
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,708 |
1,694 |
$1K |
| 81001 |
|
588 |
579 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90686 |
|
852 |
849 |
$1K |
| 92552 |
|
30 |
30 |
$1K |
| 90672 |
|
31 |
31 |
$806.40 |
| 99051 |
|
102 |
95 |
$598.29 |
| 81003 |
|
248 |
243 |
$558.84 |
| 94010 |
|
13 |
13 |
$494.12 |
| 90651 |
|
90 |
90 |
$421.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50 |
49 |
$284.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
261 |
261 |
$230.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$222.60 |
| 90473 |
|
15 |
15 |
$204.63 |
| 83014 |
|
26 |
26 |
$204.44 |
| 90656 |
|
15 |
15 |
$176.46 |
| G9275 |
Documentation that patient is a current non-tobacco user |
339 |
338 |
$129.00 |
| 85018 |
|
24 |
24 |
$47.52 |
| 96127 |
|
186 |
185 |
$42.42 |
| 99173 |
|
35 |
35 |
$17.70 |
| 90744 |
|
95 |
95 |
$15.00 |
| 3078F |
|
15 |
15 |
$5.00 |
| 3074F |
|
12 |
12 |
$2.50 |
| 1000F |
|
627 |
625 |
$0.00 |
| 99000 |
|
503 |
478 |
$0.00 |
| 3008F |
|
545 |
535 |
$0.00 |
| 1036F |
|
557 |
556 |
$0.00 |
| 4293F |
|
503 |
503 |
$0.00 |
| 3049F |
|
24 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
16 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 87070 |
|
14 |
13 |
$0.00 |
| 3725F |
|
640 |
638 |
$0.00 |
| 3016F |
|
260 |
260 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
14 |
$0.00 |