| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,994 |
28,220 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,819 |
27,046 |
$1.03M |
| 87428 |
|
10,327 |
9,628 |
$536K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,047 |
5,030 |
$392K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,979 |
4,653 |
$372K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,978 |
11,970 |
$281K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,134 |
17,715 |
$250K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,769 |
3,298 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,305 |
1,302 |
$106K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,406 |
2,091 |
$58K |
| 90461 |
|
25,913 |
6,488 |
$54K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,030 |
992 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
504 |
497 |
$41K |
| 99000 |
|
2,574 |
2,418 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
723 |
692 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,511 |
1,240 |
$13K |
| 99460 |
|
156 |
152 |
$11K |
| 81002 |
|
3,822 |
2,428 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,271 |
1,267 |
$10K |
| 87807 |
|
909 |
855 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,346 |
1,013 |
$8K |
| 99462 |
|
124 |
89 |
$5K |
| 92551 |
|
668 |
664 |
$3K |
| 81001 |
|
1,001 |
777 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
385 |
367 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
145 |
$2K |
| 90686 |
|
974 |
960 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
79 |
$940.84 |
| 80050 |
General health panel |
28 |
28 |
$914.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$682.52 |
| 90677 |
|
525 |
523 |
$527.77 |
| 99429 |
|
14 |
14 |
$478.24 |
| 97802 |
|
315 |
303 |
$454.16 |
| 90688 |
|
27 |
26 |
$417.84 |
| 80053 |
Comprehensive metabolic panel |
66 |
63 |
$414.64 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
16,330 |
15,997 |
$375.99 |
| 81025 |
|
49 |
48 |
$346.46 |
| 90658 |
|
16 |
16 |
$225.68 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
24,992 |
22,523 |
$225.25 |
| 90715 |
|
56 |
56 |
$220.51 |
| 84439 |
|
29 |
29 |
$189.50 |
| CP002 |
|
15 |
13 |
$147.00 |
| 80061 |
Lipid panel |
14 |
14 |
$135.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13,428 |
13,265 |
$55.20 |
| 90656 |
|
109 |
109 |
$52.41 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,918 |
1,617 |
$47.25 |
| 90672 |
|
46 |
46 |
$24.05 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,461 |
2,780 |
$14.00 |
| 90697 |
|
521 |
521 |
$2.09 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
29 |
26 |
$1.75 |
| 90619 |
|
42 |
42 |
$0.38 |
| 90680 |
|
566 |
560 |
$0.01 |
| 90670 |
|
2,148 |
2,130 |
$0.01 |
| 90648 |
|
464 |
462 |
$0.01 |
| 3008F |
|
33,834 |
29,893 |
$0.00 |
| 1126F |
|
13,634 |
11,628 |
$0.00 |
| 1101F |
|
8,844 |
7,031 |
$0.00 |
| 3074F |
|
17,813 |
15,572 |
$0.00 |
| 4037F |
|
911 |
902 |
$0.00 |
| 1000F |
|
2,977 |
2,543 |
$0.00 |
| 1125F |
|
1,273 |
1,180 |
$0.00 |
| 1036F |
|
3,572 |
3,063 |
$0.00 |
| 90723 |
|
116 |
114 |
$0.00 |
| 3079F |
|
653 |
541 |
$0.00 |
| 1111F |
|
286 |
243 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
133 |
122 |
$0.00 |
| 90698 |
|
19 |
18 |
$0.00 |
| 90696 |
|
45 |
45 |
$0.00 |
| 3075F |
|
49 |
39 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 1030F |
|
13 |
13 |
$0.00 |
| 90660 |
|
15 |
14 |
$0.00 |
| 3288F |
|
2,026 |
1,541 |
$0.00 |
| 1159F |
|
13,004 |
11,035 |
$0.00 |
| 3078F |
|
16,613 |
14,636 |
$0.00 |
| 99173 |
|
615 |
612 |
$0.00 |
| 1160F |
|
7,225 |
6,110 |
$0.00 |
| 90633 |
|
410 |
407 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 1158F |
|
52 |
50 |
$0.00 |
| 90710 |
|
367 |
365 |
$0.00 |
| 99051 |
|
51 |
49 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90685 |
|
209 |
209 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 97803 |
|
31 |
31 |
$0.00 |
| 4013F |
|
30 |
29 |
$0.00 |