| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,233 |
36,506 |
$1.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,323 |
15,036 |
$837K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,525 |
10,164 |
$276K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,719 |
4,470 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
764 |
756 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
683 |
669 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
698 |
691 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,199 |
2,082 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,651 |
2,552 |
$32K |
| 94010 |
|
1,195 |
1,159 |
$23K |
| 81003 |
|
9,653 |
9,225 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,309 |
1,165 |
$18K |
| 92551 |
|
2,978 |
2,910 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
836 |
508 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,050 |
995 |
$15K |
| 81025 |
|
2,313 |
2,213 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
249 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,891 |
1,809 |
$14K |
| 85018 |
|
6,078 |
5,891 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
568 |
525 |
$8K |
| 93000 |
|
524 |
497 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
683 |
654 |
$7K |
| 99215 |
Prolong outpt/office vis |
95 |
83 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
117 |
$6K |
| 90674 |
|
322 |
302 |
$6K |
| 3008F |
|
745 |
698 |
$6K |
| 82962 |
|
2,117 |
2,018 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
110 |
107 |
$4K |
| 99173 |
|
2,478 |
2,416 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
230 |
$4K |
| 83655 |
|
836 |
820 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
135 |
130 |
$4K |
| 96127 |
|
1,070 |
1,032 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
141 |
134 |
$4K |
| 99441 |
|
549 |
443 |
$3K |
| 36416 |
|
624 |
618 |
$2K |
| 96160 |
|
548 |
533 |
$2K |
| 99442 |
|
266 |
239 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
398 |
380 |
$748.23 |
| 99406 |
|
88 |
83 |
$680.38 |
| 69209 |
|
77 |
76 |
$650.35 |
| 99443 |
|
53 |
43 |
$402.48 |
| 90633 |
|
146 |
143 |
$386.64 |
| 3080F |
|
205 |
201 |
$345.00 |
| 3077F |
|
188 |
182 |
$315.00 |
| 3079F |
|
178 |
176 |
$260.00 |
| 3078F |
|
110 |
110 |
$250.00 |
| 3074F |
|
143 |
139 |
$245.00 |
| 90698 |
|
116 |
111 |
$200.00 |
| 90710 |
|
108 |
108 |
$60.00 |
| 90670 |
|
186 |
177 |
$50.00 |
| 3075F |
|
14 |
14 |
$50.00 |
| 90707 |
|
42 |
38 |
$30.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
143 |
136 |
$30.00 |
| 90716 |
|
42 |
38 |
$30.00 |
| 90651 |
|
152 |
151 |
$25.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
205 |
200 |
$23.95 |
| 90734 |
|
144 |
137 |
$20.00 |
| 90686 |
|
145 |
142 |
$20.00 |
| 3046F |
|
28 |
25 |
$10.00 |
| 90733 |
|
126 |
123 |
$10.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
333 |
284 |
$0.00 |
| 4004F |
|
939 |
924 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
408 |
339 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
806 |
697 |
$0.00 |
| 90715 |
|
48 |
48 |
$0.00 |
| 3015F |
|
402 |
397 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
27 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
67 |
64 |
$0.00 |
| 1160F |
|
27 |
27 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
74 |
67 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| 1036F |
|
3,544 |
3,472 |
$0.00 |
| 3017F |
|
745 |
635 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
57 |
55 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
44 |
40 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
332 |
282 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
148 |
147 |
$0.00 |
| 90688 |
|
58 |
58 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
24 |
21 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
12 |
12 |
$0.00 |