| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,426 |
31,795 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,284 |
7,001 |
$388K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,405 |
9,306 |
$294K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,636 |
2,345 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,333 |
1,686 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,649 |
1,518 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,189 |
1,989 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,147 |
3,788 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,918 |
1,694 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
376 |
357 |
$28K |
| 90461 |
|
709 |
584 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,106 |
1,006 |
$12K |
| 90670 |
|
989 |
805 |
$10K |
| 90686 |
|
3,359 |
3,072 |
$10K |
| 87807 |
|
546 |
505 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
53 |
$5K |
| 90633 |
|
516 |
437 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
66 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
47 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
180 |
$3K |
| 87428 |
|
64 |
60 |
$1K |
| 99460 |
|
34 |
32 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
73 |
$1K |
| 99383 |
|
23 |
12 |
$863.04 |
| 90716 |
|
95 |
58 |
$640.08 |
| 90723 |
|
260 |
239 |
$636.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
29 |
$616.08 |
| 90647 |
|
256 |
201 |
$524.77 |
| 90707 |
|
65 |
46 |
$498.69 |
| 0002A |
|
18 |
12 |
$480.00 |
| 99441 |
|
15 |
13 |
$330.00 |
| 99462 |
|
12 |
12 |
$295.56 |
| 90651 |
|
29 |
28 |
$213.36 |
| 99177 |
|
27 |
25 |
$166.04 |
| 97803 |
|
8,113 |
7,390 |
$146.84 |
| 90715 |
|
16 |
16 |
$106.92 |
| 3725F |
|
384 |
357 |
$42.63 |
| 3008F |
|
3,026 |
2,356 |
$36.24 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,808 |
4,678 |
$11.38 |
| 81003 |
|
13 |
12 |
$6.76 |
| 3078F |
|
268 |
252 |
$0.45 |
| 1111F |
|
196 |
162 |
$0.36 |
| 3074F |
|
226 |
211 |
$0.33 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,154 |
963 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90681 |
|
27 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
68 |
61 |
$0.00 |
| 1036F |
|
1,091 |
886 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
372 |
315 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
33 |
26 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
29 |
29 |
$0.00 |