| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,528 |
8,217 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,477 |
3,079 |
$184K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,344 |
1,318 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,207 |
1,191 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,067 |
1,048 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,449 |
3,588 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
814 |
776 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,721 |
2,107 |
$20K |
| 99383 |
|
190 |
182 |
$17K |
| 99429 |
|
496 |
488 |
$16K |
| 90461 |
|
1,815 |
1,483 |
$14K |
| 99000 |
|
1,282 |
1,219 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
882 |
415 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
780 |
751 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
430 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
85 |
$8K |
| 99384 |
|
77 |
77 |
$8K |
| 99381 |
|
90 |
84 |
$7K |
| 99215 |
Prolong outpt/office vis |
57 |
55 |
$5K |
| 92551 |
|
4,095 |
4,044 |
$4K |
| 99382 |
|
28 |
27 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,121 |
1,022 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
116 |
106 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
159 |
$2K |
| 99072 |
|
2,535 |
2,216 |
$438.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$437.58 |
| 81002 |
|
112 |
107 |
$324.65 |
| 96161 |
|
937 |
824 |
$232.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$213.17 |
| 96160 |
|
7,769 |
5,290 |
$34.61 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
90 |
86 |
$25.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
45 |
$11.67 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
109 |
99 |
$4.94 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,875 |
10,547 |
$4.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$2.38 |
| 90686 |
|
1,206 |
1,198 |
$0.60 |
| 90620 |
|
434 |
427 |
$0.44 |
| 90651 |
|
949 |
934 |
$0.34 |
| 90734 |
|
563 |
553 |
$0.13 |
| 90681 |
|
398 |
378 |
$0.06 |
| 90715 |
|
246 |
241 |
$0.04 |
| 97802 |
|
568 |
535 |
$0.03 |
| 90633 |
|
439 |
431 |
$0.01 |
| 90670 |
|
790 |
760 |
$0.01 |
| 99173 |
|
4,229 |
4,169 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
473 |
459 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,288 |
2,031 |
$0.00 |
| 90710 |
|
327 |
320 |
$0.00 |
| 1033F |
|
5,596 |
5,380 |
$0.00 |
| 99401 |
|
380 |
364 |
$0.00 |
| 1032F |
|
639 |
616 |
$0.00 |
| 90648 |
|
541 |
527 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,416 |
3,876 |
$0.00 |
| 1039F |
|
574 |
527 |
$0.00 |
| 3210F |
|
632 |
610 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90700 |
|
54 |
53 |
$0.00 |
| 4120F |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
353 |
317 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,770 |
3,550 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
2,209 |
2,050 |
$0.00 |
| 90696 |
|
62 |
58 |
$0.00 |
| 4140F |
|
108 |
88 |
$0.00 |
| 90723 |
|
327 |
317 |
$0.00 |
| 2015F |
|
41 |
36 |
$0.00 |
| 2016F |
|
26 |
25 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90697 |
|
18 |
18 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
25 |
25 |
$0.00 |
| 1038F |
|
39 |
31 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |