| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,018 |
11,719 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,221 |
4,143 |
$413K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
542 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,363 |
1,175 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,443 |
668 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
5,817 |
4,671 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
169 |
152 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
990 |
639 |
$14K |
| 99442 |
|
336 |
278 |
$11K |
| 90686 |
|
1,096 |
879 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
45 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
40 |
$5K |
| 99385 |
|
31 |
25 |
$3K |
| 99173 |
|
766 |
486 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
28 |
$3K |
| 92551 |
|
740 |
468 |
$3K |
| 0012A |
|
100 |
51 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
594 |
$1K |
| 93000 |
|
71 |
67 |
$939.83 |
| 0031A |
|
155 |
94 |
$840.00 |
| 36416 |
|
384 |
314 |
$822.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
69 |
$785.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
55 |
$593.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$515.13 |
| 98927 |
|
33 |
24 |
$460.95 |
| 0011A |
|
15 |
12 |
$400.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$282.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$206.20 |
| 96127 |
|
27 |
26 |
$68.94 |
| 85018 |
|
530 |
418 |
$25.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$20.98 |
| 99441 |
|
34 |
31 |
$17.00 |
| 81003 |
|
201 |
166 |
$16.49 |
| 4013F |
|
1,374 |
1,097 |
$0.00 |
| 3078F |
|
7,079 |
6,246 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,363 |
1,307 |
$0.00 |
| 3725F |
|
2,030 |
1,928 |
$0.00 |
| 1160F |
|
16,789 |
13,905 |
$0.00 |
| 3028F |
|
7,800 |
6,766 |
$0.00 |
| 1159F |
|
18,891 |
15,082 |
$0.00 |
| 3016F |
|
1,919 |
1,798 |
$0.00 |
| 3077F |
|
783 |
698 |
$0.00 |
| 0521F |
|
2,624 |
2,309 |
$0.00 |
| 3050F |
|
81 |
71 |
$0.00 |
| 4004F |
|
71 |
68 |
$0.00 |
| 99080 |
|
78 |
78 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
16 |
13 |
$0.00 |
| 90461 |
|
109 |
52 |
$0.00 |
| 1000F |
|
3,809 |
3,487 |
$0.00 |
| 3008F |
|
16,868 |
14,037 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,146 |
1,102 |
$0.00 |
| 2000F |
|
8,016 |
6,978 |
$0.00 |
| 3074F |
|
7,669 |
6,736 |
$0.00 |
| 3079F |
|
1,866 |
1,702 |
$0.00 |
| 4008F |
|
584 |
470 |
$0.00 |
| 1034F |
|
147 |
132 |
$0.00 |
| 3044F |
|
942 |
813 |
$0.00 |
| 4037F |
|
868 |
768 |
$0.00 |
| 2010F |
|
20,162 |
16,536 |
$0.00 |
| 3080F |
|
418 |
362 |
$0.00 |
| 1036F |
|
2,775 |
2,545 |
$0.00 |
| 3351F |
|
1,444 |
1,375 |
$0.00 |
| 1125F |
|
3,340 |
2,906 |
$0.00 |
| 4010F |
|
1,449 |
1,160 |
$0.00 |
| 99000 |
|
1,082 |
958 |
$0.00 |
| 3075F |
|
760 |
710 |
$0.00 |
| 3011F |
|
542 |
494 |
$0.00 |
| 3048F |
|
207 |
168 |
$0.00 |
| 1126F |
|
886 |
800 |
$0.00 |
| 3049F |
|
126 |
104 |
$0.00 |
| 91301 |
|
111 |
76 |
$0.00 |
| 91303 |
|
87 |
62 |
$0.00 |
| 1111F |
|
30 |
25 |
$0.00 |