| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,079 |
25,528 |
$662K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,508 |
12,986 |
$373K |
| 99385 |
|
2,944 |
2,825 |
$172K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,891 |
1,823 |
$101K |
| 99386 |
|
1,126 |
1,098 |
$88K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,389 |
1,347 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,408 |
1,223 |
$23K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
183 |
29 |
$18K |
| 93000 |
|
2,892 |
2,743 |
$11K |
| 99499 |
|
658 |
529 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
983 |
901 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
666 |
647 |
$6K |
| 93922 |
|
87 |
74 |
$5K |
| 99401 |
|
289 |
264 |
$4K |
| 99051 |
|
658 |
617 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,907 |
5,306 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
44 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,092 |
985 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
711 |
642 |
$894.47 |
| 94010 |
|
98 |
91 |
$813.64 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
17 |
17 |
$675.00 |
| 0011A |
|
34 |
29 |
$522.51 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,056 |
835 |
$475.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$466.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
55 |
$340.31 |
| 92100 |
|
87 |
79 |
$299.87 |
| 3074F |
|
7,407 |
6,583 |
$297.63 |
| 0012A |
|
21 |
18 |
$294.17 |
| 86328 |
|
45 |
44 |
$262.23 |
| 91301 |
|
119 |
97 |
$247.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
43 |
$207.85 |
| 99423 |
|
15 |
14 |
$174.92 |
| 3008F |
|
11,914 |
10,182 |
$155.93 |
| 1111F |
|
914 |
795 |
$141.70 |
| 3075F |
|
1,667 |
1,510 |
$140.15 |
| 0013A |
|
21 |
12 |
$134.17 |
| 86318 |
|
28 |
27 |
$133.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
26 |
$121.71 |
| 3078F |
|
7,591 |
6,506 |
$85.09 |
| 99422 |
|
74 |
57 |
$82.88 |
| 81003 |
|
82 |
78 |
$58.77 |
| 90756 |
|
58 |
52 |
$57.24 |
| 96127 |
|
1,366 |
1,312 |
$52.18 |
| 99406 |
|
15 |
13 |
$47.39 |
| 81025 |
|
25 |
24 |
$45.85 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
26 |
$43.05 |
| 1160F |
|
4,314 |
3,975 |
$42.57 |
| 1170F |
|
758 |
699 |
$42.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$39.68 |
| 1126F |
|
1,010 |
942 |
$39.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$34.80 |
| 96160 |
|
654 |
567 |
$29.88 |
| 3079F |
|
2,439 |
2,118 |
$28.35 |
| 99177 |
|
996 |
852 |
$28.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,303 |
1,030 |
$28.34 |
| 0521F |
|
610 |
580 |
$28.34 |
| 2001F |
|
4,078 |
3,786 |
$28.34 |
| 1159F |
|
4,889 |
4,536 |
$14.23 |
| 3016F |
|
514 |
503 |
$14.17 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,276 |
1,010 |
$14.17 |
| 1000F |
|
4,400 |
4,075 |
$12.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.09 |
| 3077F |
|
438 |
402 |
$0.01 |
| 3288F |
|
254 |
248 |
$0.00 |
| 4013F |
|
66 |
58 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,144 |
748 |
$0.00 |
| 4551F |
|
363 |
332 |
$0.00 |
| 0518F |
|
349 |
334 |
$0.00 |
| 3015F |
|
40 |
38 |
$0.00 |
| 1158F |
|
73 |
62 |
$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) |
15 |
14 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,162 |
764 |
$0.00 |
| 2010F |
|
3,710 |
3,523 |
$0.00 |
| 2000F |
|
1,435 |
1,325 |
$0.00 |
| 3044F |
|
55 |
54 |
$0.00 |
| 1157F |
|
381 |
363 |
$0.00 |
| 1036F |
|
62 |
62 |
$0.00 |
| 3080F |
|
75 |
67 |
$0.00 |
| 1125F |
|
59 |
57 |
$0.00 |
| 92250 |
|
16 |
15 |
$0.00 |
| 4010F |
|
48 |
46 |
$0.00 |
| 3017F |
|
80 |
70 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| 0001F |
|
46 |
44 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3014F |
|
43 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
14 |
$0.00 |