| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,777 |
46,821 |
$5.25M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36,563 |
29,274 |
$1.86M |
| 99442 |
|
14,945 |
13,318 |
$926K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,387 |
5,384 |
$643K |
| 99443 |
|
6,293 |
5,941 |
$593K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,569 |
2,565 |
$290K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,467 |
1,466 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,240 |
1,200 |
$149K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,347 |
1,794 |
$131K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,422 |
10,399 |
$131K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,886 |
1,647 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,043 |
1,043 |
$117K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,325 |
1,782 |
$113K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,429 |
7,284 |
$95K |
| 90756 |
|
2,514 |
2,513 |
$89K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,634 |
5,627 |
$74K |
| 97161 |
|
796 |
792 |
$74K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,974 |
819 |
$73K |
| 90651 |
|
646 |
645 |
$68K |
| 99051 |
|
11,694 |
10,296 |
$67K |
| 97032 |
|
3,971 |
1,689 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
601 |
601 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,953 |
3,725 |
$51K |
| 93000 |
|
7,832 |
7,802 |
$40K |
| 90686 |
|
2,371 |
2,366 |
$35K |
| 90688 |
|
804 |
804 |
$17K |
| 93922 |
|
238 |
237 |
$16K |
| 36410 |
|
1,263 |
1,237 |
$16K |
| 90746 |
|
202 |
202 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
12,637 |
12,584 |
$11K |
| 99000 |
|
24,209 |
22,325 |
$11K |
| 92551 |
|
2,215 |
2,202 |
$11K |
| H0001 |
Alcohol and/or drug assessment |
5,492 |
5,479 |
$8K |
| 0013A |
|
183 |
183 |
$7K |
| 90658 |
|
252 |
252 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
48 |
$7K |
| 88142 |
|
575 |
573 |
$6K |
| 0124A |
|
143 |
143 |
$6K |
| 0134A |
|
132 |
132 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
40 |
$5K |
| 99490 |
Ccm add 20min |
112 |
112 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
95 |
91 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
75 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$4K |
| 97162 |
|
34 |
34 |
$3K |
| 96127 |
|
881 |
878 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
634 |
632 |
$3K |
| 97035 |
|
166 |
110 |
$3K |
| 90661 |
|
177 |
177 |
$3K |
| 0003A |
|
63 |
63 |
$3K |
| 90715 |
|
153 |
153 |
$3K |
| 93880 |
|
18 |
18 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
83 |
83 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
7,063 |
7,040 |
$2K |
| 90750 |
|
702 |
701 |
$2K |
| 11721 |
|
85 |
83 |
$2K |
| 0064A |
|
39 |
39 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
126 |
126 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| G9275 |
Documentation that patient is a current non-tobacco user |
7,023 |
7,000 |
$1K |
| 90620 |
|
213 |
213 |
$1K |
| 11056 |
|
43 |
43 |
$1K |
| 90656 |
|
98 |
98 |
$1K |
| 83013 |
|
33 |
32 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,788 |
6,743 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
325 |
325 |
$1K |
| 92201 |
|
44 |
44 |
$1K |
| 90707 |
|
59 |
59 |
$914.33 |
| 4293F |
|
160 |
160 |
$808.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
75 |
$706.83 |
| 83014 |
|
855 |
851 |
$626.93 |
| 0072A |
|
13 |
13 |
$552.89 |
| 3725F |
|
715 |
714 |
$542.50 |
| S0612 |
Annual gynecological examination, established patient |
600 |
598 |
$524.00 |
| 82270 |
|
187 |
187 |
$425.48 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,977 |
1,955 |
$412.00 |
| 99173 |
|
2,133 |
2,118 |
$365.20 |
| 94010 |
|
44 |
44 |
$362.66 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
28 |
15 |
$351.04 |
| G9276 |
Documentation that patient is a current tobacco user |
921 |
920 |
$350.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$320.00 |
| 1000F |
|
244 |
243 |
$306.00 |
| 90734 |
|
87 |
87 |
$300.00 |
| 90716 |
|
39 |
39 |
$300.00 |
| 3016F |
|
180 |
180 |
$250.00 |
| 91301 |
|
186 |
186 |
$210.00 |
| 92015 |
Determination of refractive state |
99 |
98 |
$206.46 |
| 90744 |
|
29 |
29 |
$200.00 |
| 90480 |
|
20 |
20 |
$192.98 |
| 3008F |
|
245 |
240 |
$192.00 |
| 1036F |
|
461 |
460 |
$168.00 |
| 90461 |
|
33 |
32 |
$162.39 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
730 |
722 |
$108.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
297 |
296 |
$94.00 |
| 86580 |
|
13 |
13 |
$58.42 |
| 91300 |
|
79 |
79 |
$40.00 |
| 91313 |
|
115 |
115 |
$20.02 |
| 3078F |
|
26 |
24 |
$20.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
319 |
298 |
$12.00 |
| 91312 |
|
119 |
119 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 80061 |
Lipid panel |
14 |
14 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| 3044F |
|
65 |
63 |
$0.00 |
| 91307 |
|
15 |
14 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 2000F |
|
30 |
29 |
$0.00 |