| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,511 |
6,477 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,273 |
2,034 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,750 |
1,561 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
700 |
621 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
593 |
519 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
423 |
332 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
226 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
695 |
552 |
$8K |
| 20610 |
|
212 |
136 |
$6K |
| 52000 |
|
75 |
65 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
785 |
719 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
32 |
24 |
$3K |
| 92551 |
|
478 |
432 |
$3K |
| 90677 |
|
202 |
149 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
56 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
472 |
450 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$1K |
| 80061 |
Lipid panel |
237 |
235 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
113 |
112 |
$935.15 |
| 90671 |
|
158 |
157 |
$934.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
237 |
224 |
$881.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$841.88 |
| 80053 |
Comprehensive metabolic panel |
166 |
158 |
$830.70 |
| 73130 |
|
45 |
36 |
$797.73 |
| 36416 |
|
229 |
192 |
$703.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
49 |
$685.85 |
| 96127 |
|
172 |
167 |
$674.76 |
| 99173 |
|
281 |
252 |
$672.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$661.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
227 |
163 |
$626.68 |
| 73630 |
|
32 |
24 |
$582.59 |
| 73564 |
|
34 |
27 |
$499.68 |
| 51798 |
|
94 |
70 |
$392.58 |
| 99188 |
|
19 |
15 |
$371.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
79 |
$279.02 |
| 80076 |
|
118 |
116 |
$208.42 |
| 92552 |
|
14 |
14 |
$197.26 |
| 90698 |
|
207 |
169 |
$174.93 |
| 83721 |
|
27 |
26 |
$141.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$136.00 |
| 81002 |
|
88 |
83 |
$128.33 |
| 90461 |
|
793 |
702 |
$10.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,451 |
1,205 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
890 |
718 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,127 |
1,899 |
$0.00 |
| 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) |
1,063 |
1,015 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
828 |
717 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
137 |
113 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
67 |
62 |
$0.00 |
| 90473 |
|
16 |
12 |
$0.00 |
| 4004F |
|
28 |
26 |
$0.00 |
| 90680 |
|
134 |
105 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
331 |
277 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
46 |
$0.00 |
| 1036F |
|
956 |
795 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
113 |
108 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
99 |
91 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
134 |
121 |
$0.00 |
| 99024 |
|
189 |
155 |
$0.00 |
| 90660 |
|
13 |
12 |
$0.00 |
| 90656 |
|
93 |
91 |
$0.00 |
| 90686 |
|
72 |
63 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
114 |
111 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
29 |
27 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
28 |
26 |
$0.00 |