| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,341 |
10,369 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,200 |
4,688 |
$138K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,530 |
1,615 |
$84K |
| 86328 |
|
1,033 |
617 |
$22K |
| 99490 |
Ccm add 20min |
4,287 |
4,281 |
$21K |
| 99215 |
Prolong outpt/office vis |
449 |
416 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,057 |
464 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
124 |
123 |
$8K |
| 93000 |
|
1,064 |
1,039 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
85 |
$6K |
| 99000 |
|
546 |
528 |
$5K |
| 81002 |
|
3,210 |
3,009 |
$4K |
| 87428 |
|
64 |
59 |
$4K |
| 99497 |
|
228 |
216 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
338 |
303 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
45 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
482 |
450 |
$2K |
| 93041 |
|
968 |
948 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
98 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
930 |
772 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
244 |
178 |
$1K |
| 99407 |
|
74 |
69 |
$941.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
957 |
879 |
$523.79 |
| 99441 |
|
15 |
14 |
$444.91 |
| 90674 |
|
246 |
238 |
$267.42 |
| 86769 |
|
24 |
12 |
$252.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
201 |
178 |
$192.62 |
| 98960 |
|
3,106 |
2,729 |
$159.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$101.92 |
| 82947 |
|
21 |
19 |
$4.07 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,103 |
1,027 |
$1.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,960 |
9,397 |
$0.02 |
| 0518F |
|
5,894 |
5,096 |
$0.00 |
| 99051 |
|
35 |
30 |
$0.00 |
| 3725F |
|
11,950 |
10,162 |
$0.00 |
| 1160F |
|
6,570 |
5,522 |
$0.00 |
| 0521F |
|
2,028 |
1,858 |
$0.00 |
| 3078F |
|
4,732 |
4,089 |
$0.00 |
| 1090F |
|
4,721 |
4,067 |
$0.00 |
| 1033F |
|
3,909 |
3,374 |
$0.00 |
| 1159F |
|
7,020 |
5,846 |
$0.00 |
| 96116 |
|
150 |
139 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
295 |
278 |
$0.00 |
| 1032F |
|
209 |
197 |
$0.00 |
| 3077F |
|
757 |
700 |
$0.00 |
| 1100F |
|
43 |
43 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 3074F |
|
4,935 |
4,245 |
$0.00 |
| 3079F |
|
1,484 |
1,373 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,421 |
1,393 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
248 |
237 |
$0.00 |
| 1036F |
|
256 |
249 |
$0.00 |
| 1170F |
|
7,482 |
6,414 |
$0.00 |
| 3008F |
|
6,965 |
5,789 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,225 |
4,978 |
$0.00 |
| 1111F |
|
698 |
641 |
$0.00 |
| 1126F |
|
10,003 |
8,752 |
$0.00 |
| 1101F |
|
3,839 |
3,407 |
$0.00 |
| 3080F |
|
372 |
347 |
$0.00 |
| 1125F |
|
4,756 |
4,286 |
$0.00 |
| 4010F |
|
280 |
264 |
$0.00 |
| 99439 |
|
65 |
64 |
$0.00 |
| 3075F |
|
909 |
867 |
$0.00 |
| 1035F |
|
27 |
24 |
$0.00 |
| 3044F |
|
17 |
16 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
78 |
74 |
$0.00 |
| 1110F |
|
31 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
199 |
199 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
78 |
$0.00 |
| 1034F |
|
113 |
102 |
$0.00 |
| 1031F |
|
45 |
40 |
$0.00 |
| 4000F |
|
14 |
13 |
$0.00 |