| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,636 |
11,641 |
$495K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,740 |
1,518 |
$72K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,918 |
1,738 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
1,018 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,735 |
3,173 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,123 |
1,007 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,703 |
973 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
974 |
834 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
96 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
92 |
$6K |
| 82947 |
|
3,482 |
2,876 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,058 |
993 |
$4K |
| 81003 |
|
1,158 |
1,050 |
$3K |
| 99173 |
|
616 |
589 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,406 |
1,222 |
$3K |
| 92551 |
|
600 |
575 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
43 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
173 |
150 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
117 |
$1K |
| 90651 |
|
59 |
54 |
$1K |
| 90674 |
|
159 |
156 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
397 |
354 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
825 |
739 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
983 |
883 |
$1K |
| 74018 |
|
90 |
83 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
25 |
$897.76 |
| 93000 |
|
85 |
83 |
$880.27 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
14 |
$784.18 |
| 90633 |
|
53 |
42 |
$689.70 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
469 |
$618.40 |
| 0011A |
|
35 |
35 |
$427.76 |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
39 |
$390.01 |
| 90734 |
|
32 |
31 |
$240.00 |
| 99497 |
|
20 |
16 |
$204.51 |
| 81025 |
|
54 |
48 |
$136.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
486 |
426 |
$115.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
16 |
$79.20 |
| 90670 |
|
31 |
31 |
$48.00 |
| 85018 |
|
63 |
55 |
$18.00 |
| 3080F |
|
638 |
529 |
$0.00 |
| 3074F |
|
6,943 |
6,010 |
$0.00 |
| 3079F |
|
2,449 |
2,149 |
$0.00 |
| 3044F |
|
366 |
331 |
$0.00 |
| 3075F |
|
1,178 |
993 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
262 |
246 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
149 |
138 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
22 |
22 |
$0.00 |
| 1170F |
|
88 |
82 |
$0.00 |
| 36416 |
|
15 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
68 |
60 |
$0.00 |
| 1111F |
|
18 |
16 |
$0.00 |
| 91301 |
|
52 |
47 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3078F |
|
6,392 |
5,543 |
$0.00 |
| 3077F |
|
1,181 |
983 |
$0.00 |
| 1160F |
|
354 |
288 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
243 |
215 |
$0.00 |
| 3288F |
|
138 |
124 |
$0.00 |
| 96160 |
|
44 |
44 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
98 |
90 |
$0.00 |
| 3046F |
|
17 |
14 |
$0.00 |
| 4040F |
|
45 |
45 |
$0.00 |
| 3045F |
|
79 |
68 |
$0.00 |
| 1159F |
|
354 |
288 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
237 |
212 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18 |
18 |
$0.00 |